“Posttraumatic Stress Disorder”

Roadmap/Outline for Today’s Talk

  • PTSD incidence, symptoms, etiology
  • Prevalence, risk factors and medical considerations in patients with PTSD
  • Risk factors and patterns of comorbidity relevant when caring for patients with PTSD
  • Recognizing and understanding PTSD symptoms and the possible effect of surgery on the severity of PTSD symptoms
  • Clinical Guidelines for working with this population PTSD Treatment

PTSD Symptom Overview: DSM5(2013)

  • Trauma Exposure
  • Re-experiencing Symptom(s)
  • Avoidance Symptom(s)
  • Negative Cognitions/Mood Symptoms
  • Hyperarousal Symptoms
  • Duration of more than one month
  • Significant distress or functional impairment
  • Not due to substance(s) or a medical condition

Flight, Fight, Freeze – Trama 

  • Defining moments shape our lives, our relationships, and our world
    • Natural Disasters
    • Accidents
    • Abuse/Assault (e.g., physical, sexual)
    • Comba
  • Trauma exposure is fairly common over the course of a lifetime.
    • However, the lifetime risk of developing PTSD is 8.7% (DSM5, 2013).
    • Prevalence rate of 3.5% within a 12-month period (DSM5, 2013).

  • In short, trauma exposure, while necessary, is certainly not sufficient for a diagnosis of PTSD.

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