Assessment & Management of Post-traumatic stress disorder (PTSD)

Assessment & Management of Post-traumatic stress disorder (PTSD)
Posttraumatic stress disorder (PTSD) occurs in an estimated 8% of men and 20% of women who are exposed to traumatic events. PTSD is a trauma- and stress-related disorder associated with significant psychosocial morbidity, substance abuse, and other negative physical health outcomes. The hallmarks of PTSD include exposure to a traumatic event; reexperiencing the event or intrusion symptoms; avoidance of people, places, or things that serve as a reminder of the trauma; negative mood and thoughts associated with the trauma; and chronic hyperarousal symptoms. Self-report questionnaires can assist clinicians in identifying anxiety problems associated with traumatic events. For patients who meet criteria for PTSD, trauma-focused psychotherapy and pharmacotherapy improve symptoms. Primary care physicians should monitor patients with PTSD for comorbid conditions such as substance abuse, mood disorders, and suicidality, and should refer patients to behavioral health specialists and support groups when appropriate.
The physician should educate the patient and his or her family about PTSD symptoms, other potential consequences of trauma exposure, and any comorbid conditions. Because patients often are reluctant to discuss traumatic events and may avoid treatment as a result, it is important to elicit patient preferences for treatment interventions. Other factors that influence treatment choices include locally available resources, individual physicians' comfort level and experience, and severity of symptoms.
Trauma-focused psychotherapy and pharmacotherapy are first-line treatment options, but often must be combined with management of comorbid medical problems, such as chronic pain or sleep disturbance. Many persons with PTSD will attempt self-treatment methods, such as substance use. Physicians should have a low threshold for involving behavioral health specialists in PTSD management in the presence of comorbid substance abuse or psychiatric conditions. Patients who have substance use disorders should attempt a detoxification program, if necessary, and should be referred to a substance abuse or dual-diagnosis treatment program.

[@BerryJackalope]

Thanks man, heading into ptsd screening today. Im nervous, but I appreciate the information.

[@SureshBadaMath]

All the best

[@SurajKumar-ps8qf]

Thank you so very much sir, it's so informative for all the practicing psychiatrist.. Kindly make many such Vedios sir...

[@SureshBadaMath]

Welcome. Thank you very much for your feedback

[@assumptaanakwenze8908]

Thank you Prof. Please what are the possible factors that influence ptsd assessment?

[@calista2006]

Thanks for sharing. Would you consider poor financial behavior as a form of PTSD?

[@MrAftab2009]

Sir why can't u conduct a CBT course..your knowledge can help therapist.I am ACT therapist..but want to have hands on CBT too.

[@SureshBadaMath]

Thank you very much for your feedback and suggestions. I will plan for training program

[@04021ee30]

Sir PTSD is comes under disability as per RPWD ACT 2016

[@SureshBadaMath]

Yes

[@SunilPatil-rr1cz]

👌👌👌👍👍👍

[@harshgupta5176]

Please read the order of Delhi High court . The Parliament granted reservation, inter alia, to PwD - who suffer from mental illness (which does not include retardation, as taken note of hereinabove), so that such persons get an opportunity to lead a normal life with encouragement and dignity. Merely because they may need medication and treatment throughout their lives, or may suffer setbacks from time to time, cannot be a reason to deny them equal opportunity to assimilate in the society, make their contribution and have a life of dignity. Such persons have a fully developed mind like any normal human being. They may suffer from substantial disorder of thinking, mood, perception, orientation or memory that may grossly impair judgment, behaviour, capacity to recognise reality or ability to meet the ordinary demands of life, but with medication and treatment such manifestations can be kept at bay. The mere apprehension that the respondent has - that the petitioner may not be able to handle the responsibility and stress which a Judicial Officer faces, cannot be a reason to declare him medically “unfit”, or to say that he is not entitled to claim reservation. As can be inferred, the court held that one cannot discriminate against any person with disability in any matter relating to employment. By denying employment and by believing that the petitioner will not be able to carry out duties as a judicial officer, the court noted, that the petitioner had been discriminated against under the provisions of RPWD Act. The court directed that the petitioner be selected to the Delhi Judicial Service without any further delay and also directed that he be given notional seniority along with his other batchmates, backwages were however not included in court-awarded reliefs. Mentally ill disabled become (make) Justice/Judge why not IAS through UPSC but UPSC not giving reservation to mentally ill people. Kindly help .

[@SureshBadaMath]

Only way to get justice is to approach Court