BB H 432 Lecture Notes - Lecture 7: Railway Spine, Posttraumatic Stress Disorder, Hypervigilance
Document Summary
Pts: general pete chiarelli wants to drop the d from ptsd because it suggest that the ailment is pre-existing; when really it is a predictable reaction to combat stress. When veterans returned from wwi, they experienced various ptsd symptoms. Unlike shock, ptsd can occur months after a trauma. Early theories (cid:3247)shell shock(cid:3248): physically being close to an exploding shell thought that this caused brain problems railway spine spine issues. Can have a combination of ptsd and tbi (subtle brain injury) most at risk in terms of suicide. Learning about traumatic event or unexpected death of friend/family member. Experiencing repeated or extreme exposure to aversive details of traumatic events. Could be acting/feeling event is happening again. At least 2 alterations in arousal and reactivity. At least 2 negative alterations in cognitions and mood. A lot of comorbidity associated with ptsd. Prolonged exposure: confront situations you have been avoiding.
