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Contents
PTSD.
Wat is PTSD?.
‘Symptoms PTSD.
‘Types PTSS.
Important to know
Trauma therapy.
Methods
EMDR.
Imaginaire Exposure
NET...
PTSD
Wat is PTSD?
PTSD stands for "post-traumatic stress disorder," a set of emotional problems that can occur
after someone has experienced a terrible, stressful event.
PTSD means post traumatic stress disorder
after trauma stress/anxiety reaction
Symptoms PTSD
1. You have survived a trauma: an event beyond your control, in which you have experienced
or witnessed a physical threat (sexual abuse, physical violence, acts of war, seeing someone
being killed, experiencing a hurricane, a car accident).
2. Your response to the trauma consisted of intense helplessness, fear, or horror (ar, when
you were a child at the time of the trauma, agitated or disorganized behavior),
3. After the trauma, you had one of the following problems for more than a month:
- re-experiences ~ the trauma comes up in your mind, even if you don't want to, for example
in nightmares, flashbacks or images;
= denial - you are ‘numb’, you feel ‘detached’, you avoid memories of the trauma;
~ arousal ~ you feel stimulated (quickly hit, sleep problems, anger);
~ impaired functioning - you have problems in relationships, work, or other important
matters in life.Types PTSS
There are two types of PTSD. 'Simple PTSD’ occurs after a single event (such as a car accident
or a tornado). "Complex PTSD" is caused by repeated events, such as domestic violence or
abuse at a very young age. This form has more symptoms, including problems of
automutilation, suicide, dissociation (the loss of sense of time), relationships, memory,
sexuality, health, anger, shame, guilt, numbness, loss of trust and hope, and feeling
damaged.
Important to know
~ Your symptoms of PTSD are normal after what you've experienced. You're not crazy, limp,
or bad. That is why PTSD is also called: 'a normal reaction to abnormal events'.
PTSD is considered an anxiety disorder because it is characterized by an overwhelming
feeling of anxiety during or after the trauma. It is a psychiatric illness, but it is certainly
possible to cure it.
Preventing PTSD: 61% of men go through a traumatic experience during their lifetime, with
5% developing PTSD. 51% of women go through a traumatic experience, with 10%
developing PTSD. Why do some people develop PTSD after trauma and others don't? This is
not fully known, but some risk factors include severe trauma, repeated trauma and/or
previous trauma, poverty, parents who had PTSD and stress in general.
~ Itis possible to recover from PTSD. A few celebrities have also succeeded, including Oprah
(TV personality}, Melanie Griffith (actress) and Maya Angelou (writer).Trauma therapy
The therapist will ask you to think back to the event, including the associated images,
thoughts, and feelings. First this is done to gather more information about the traumatic
experience. After that, the processing process is started. The therapist will ask to recall the
event.
Methods
EMDR
EMDR is a first-choice treatment to help you get rid of these complaints. Recalling the event
now happens in combination with a distracting stimulus. In many cases, this is the hand of
the therapist or through sounds that are offered alternately left and right by means of,
headphones. We work with ‘sets’ (= series) of stimuli
After each set, a break is taken. The therapist will ask the client what comes up in his mind.
The EMR procedure usually triggers a stream of thoughts and images, but sometimes also
feelings and physical sensations. Often something changes. After each set, the client is asked
to focus on the most noticeable change, after which a new set follows.
Securities
EMDR can also be an intensive therapy. Therefore, the therapist will not only tell what he is
going to do and why, but also discuss extensively how the client can stay in control of his
emotions as well as possible.
EMDR usually works quickly. The sets will gradually cause the memory to lose its power and
emotional charge. So it becomes easier and easier to think back to the original event. In
many cases, the memory images themselves also change and become blurrier or smaller, for
example. But it may also be that less unpleasant aspects of the same situation come to the
fore. Another possibility is that new thoughts or insights arise spontaneously that give a
different, less threatening, meaning to the event. These effects contribute to the fact that
the shocking experience increasingly finds a place in the person's life history.
How come it works
One explanation for the efficacy of EMDR is that remembering a bad memory in combination
with making eye movements ensures that the natural processing system is stimulated.
Because a traumatic memory when taken into mind is both vivid and intense, it takes up a
relatively large amount of memory capacity. But following the therapist's fingers as quickly
as possible, as happens with EMDR, also costs memory capacity. Due to this competition of
working memory tasks, there is little room for the liveliness and the nastyness of the
memory. This gives the patient the opportunity to give a different meaning to the event.Imaginaire Exposure
‘At Imaginaire Exposure, you discuss the whole story of the shocking event in detail and
possibly write it down. On the basis of this story, the therapist initially exposes you to these
memories repeatedly and for a long time. In most cases, the therapist makes a sound
recording of each meeting that you have to listen to daily.
urities
After three to four sessions you notice that the severity of the anxiety is less high at the
beginning of the session and decreases further during the session.
After five to six sessions you notice that the severity of the fear decreases faster.
On average, 10 sessions are enough to permanently reduce anxiety to an acceptable level.
How come it works
By describing your traumatic event over and over again, you will avoid the memory less. This
way there is room for processing. By telling repeatedly, you get used to the fear and it
gradually decreases.
NET
A variant of exposure therapy is narrative exposure therapy. The difference with Imaginary
Exposure is that NET also talks about pleasant and beautiful events in your life history.
We always start with laying a lifeline with stones (difficult memories) and flowers (good
memories). In the following sessions, ‘exposure! is used, just like with Imaginaire Exposure.
Securities
The duration of therapy depends on the number of unpleasant events you have
experienced, but does not exceed 16 to 20 sessions.
How come it works
In addition to the effect described in Imaginaire Exposure, an effect occurs by speaking
about pleasant and beautiful events in your life. This costs this relatively large amount of
memory capacity, just like speaking about the traumatic experiences. This competition of
working memory tasks reduces the place for the vibrancy of a group of memories. Usually
this concerns the group of traumatic memories. When you're happy, feelings of anger,
sadness, and fear usually subside or fade into the background.