Critical Incident Debriefing

He discusses the effectiveness of this method and even that it has been proven to completely cure PTSD in some patients, mainly veterans which are my target patient of discussion. This article is credible because it was written by a good psychologist and was published in a credible medical journal.

PTSD could possibly be treated with a combination of treatments that consist of pharmaco-therapy, psychotherapy, or a combination of the two. In addition, PTSD can be treated with various psychotropic medications that helps reduce the symptoms. The researchers identified the most effective evidence-based treatment are classified as trauma-focused treatments. Examples of trauma-focused treatments consist of prolonged exposure (PE) therapy, and cognitive processing therapy (CPT) ( (Mcintyre-Smith, St Cyr, & Roth, 2013, p. 197).

I agree the biggest issue with dealing with mental health is people are unwilling to accept or even acknowledge that they need assistance. As you stated changing the perception of receiving mental assistance is the key to increasing the amount of first responders accepting help. Changing the stigma of the strong sucks it up and the weak can’t take it, has to be implemented by people in the position of authority. Making it mandatory with first responders and even in the military that critical incident stress debriefing (CISD) should be initiated within 24-48 hour after experiences any traumatic event may reduce any long-term impact.

PTSD is increasing with expanding population today while the decreasing levels of mental healthcare services is making the mismatch more problematic for affected individuals and for the society as a

However, the veterans understand that it’s a day-to-day process and their willingness to change brings them closer to their sanity. According to Haluk and Lawrence (2014), efforts to introducing evidence-based practices (EBP) in treatment settings are more successful when members of an organization are “ready to change”(p.73). This is to be true, members of the PTSD group understand that their mental illness has affected them in some shape or form. Therefore, their motivation to attend group and seek help promotes a positive implementation of EBPs. In addition, staff training is a paramount requirement for successful EBP implementation and sustainment (Haluk & Lawrence, 2014). The VA has highly qualified, licensed practitioners that are capable to implement EBPs. VA staff undergoes supervision, monitoring of performance, and booster trainings sessions to better prepare and successfully operate an

I find it troubling that our Soldier’s Post Traumatic Stress Disorder symptoms are being discredited by the medical community. It appears as though there has been a shift in our commitment to the health of the men and women who served this nation. These ideas connect to the overall ideas of the unit because it provides greater insight on challenges that patients and medical professionals experience when coping with cognitive health concerns. I do not have any personal experience associated with PTSD; however, the problem that I find in this article is that it suggests the effects of trauma which causes PTSD can be measured by a universal criteria. For example, I believe this research should consider that each individual has a unique level of tolerance to trauma which may cause them to respond in varying degrees of severity. Additionally, a patient’s inability to accurately express their symptoms may play a major factor which is causing this disparity. I recommend that further research should be conducted to

This treatment approach is based on cognitive and learning theories, tackling-misleading beliefs related to the traumatic events of acknowledgments related to the abuse and provides a supportive environment of which individuals are encouraged to talk about their traumatic experience. A numerous amount of research has been carried out to investigate into how effective CBT really can be for PTSD. (Resick et al, 2002) carried out an investigation comparing CBT with strong cognitive restructuring focus and CBT with a strong exposure focus and to a waiting-list control of rape survivors. Prior to this experiment approximately 80% of patients who completed either form of CBT no longer met the criteria for PTSD. Once this investigation was complete a follow up treatment took place of which it was noted 2% of the waiting list group had lost the PTSD diagnoses. Only a year after this investigation Bryant, Moulds, Guthrie, Dang & Nixon, (2003) restructured the experiment comparing exposure alone, exposure plus cognitive restructuring, and supportive counselling in civilians with PTSD resulting from various traumatic events. At this particular follow up 65-80% of participants who either completed either form of CBT were now clear of PTSD diagnosis, compared to less than 40% of those who completed supportive counselling.

According to Goulston’s book, Post-Traumatic Stress Disorder for Dummies, PTSD, when first being treated, was not a priority taken by doctors. PTSD was perceived as a weakness before. Doctors were not taking this epidemic serious with soldiers, nor doing anything about it, only labeling them with PTSD. Towards the end of the 1900s, PTSD was being looked at seriously because soldiers fought hard to get the world to do so (Goulston 11). Goulston demonstrates that doctors recognized that anyone can obtain PTSD after a trauma. This disorder was obscured when first seen. Doctors took minimal ations to none to help the soldiers that were suffering. During the Vietnam War era, PTSD was finally being looked into because there was a large case of soldiers that obtained this disorder during this time. Soldiers themselves were fighting for PTSD recognition because of the dangers and symptoms it can have during war. Matthew J. Friedman’s research describes how PTSD diagnosis’ were created due to the exposure of traumatic experiences from a number of social

The prevention of PTSD is a tricky area, because the trauma is not always assessed and treatment is not provided immediately after the event occurs. Research is continually examining methods and programs to prevent PTSD symptoms. A experimental program from NCIRE (Veterans Health Research Institute) goal was to prevent a pilot program to prevent PTSD symptoms from initially developing (Neylan, McCaslin-Rodrigo, & Choucroun, 2010). The Deployment Anxiety Reduction Training (DART) is one of the main focal point of reducing the initial stress reaction related to combat trauma, though stress is the normal reaction individuals have to life threatening situations and combat (Neylan et.al. 2010). PTSD symptoms are formed from the extreme stress of

The studies that have been completed on the treatment effectiveness of combat related PTSD were done on already discharged veterans and the effect sizes have been significant lower than those of civilian studies. There are many different reasons as to why there are differences between the studies on civilians and combat veterans. The first is that combat trauma is unique and more difficult to treat compared to civilian trauma. The second reason that could potentially explain the difference is that in the studies currently the treatment was for veterans who were exposed to the combat trauma decades before that. The third reason is that there are often significant comorbid conditions among veterans (Peterson et al.,

Over the last 6 years I worked with Veterans that have been diagnosed with PTSD. I have seen symptoms of this diagnosis play out in a variety ways. This experience has only fueled my passion to want to become more educated and experienced on the topic so that I can better service to Veterans. I also believe that becoming better educated on the topic will allow me to dispel some of the myths associated with PTSD. As discussed in class, before the accept into the DSM-3 in 1980 service member that experienced symptoms of PTSD were seen as unfit to handle the psychological casualties that came with the War. They were often viewed as weak and were forced back on the battlefield despite showing clear indicators that the fatigue that comes along with battle had begun to affect their daily lives. After the mainstream acceptance of PTSD in 1980 many active duty service members and Veterans still had a hard time proving to the VSA that they were indeed suffering from PTSD. Over time there has been a mainstream acceptance that many Veterans as well as other populations may suffer from PTSD. The mainstream acceptance of PTSD has the ability to offer hope to those that are affected by the

Today, hundreds of thousands of service men and women and recent military veterans have seen combat. Many have been shot at, seen their buddies killed, or witnessed death up close. These are types of events that can lead to Post- Traumatic Stress Disorder ("Post Traumatic Stress Disorder PTSD: A Growing Epidemic. “) Anyone that has gone through a traumatic event can be diagnosed with PTSD but research shows, military men and women are more susceptible to having PTSD (PTSD: A Growing Epidemic.) And, with little help from the US, many Veterans do not get the help they need or get treated for PTSD. Military men and women begin to

PTSD or Post-Traumatic Stress Disorder is an increasing problem in our country. PTSD has its roots in the military, but the entire populace is subject to its effects. I served my country for the past 21 years and have seen the before and after of the effects of combat, so any discussions about PTSD, diagnosis, treatments, and cures is likely to catch my eye. In this paper, we will discuss the basics on PTSD, current rates in society, and list the possible cures and or treatments that are currently in use. The prevalence in society should show that all people should be familiar with the signs and systems, as well as knowing some of the basic treatments to assist afflicted individuals. The goal of this paper is to provide just that for the reader.

If veterans do struggle with PTSD after they return from combat the Department of Veterans Affairs, a governmental agency that helps struggling veterans recover, offers two treatments. Studies have been done to see if one of the therapies is more effective than the other. There is not yet evidence that one therapy is better than the other. Cognitive processing therapy, CPT, helps by giving the vet a new way to deal with the maladaptive thoughts that come with PTSD. It also comforts them in gaining a new understanding of the traumatic events that happened to them. One of the other benefits of CPT is that it assists the person in learning how these disturbing events change the way they look at everything in life and helps them cope with that (“PTSD: National”). The second newer option of the two is prolonged exposure therapy, which is repeated exposure to these thoughts, feelings, and situations (“Most PTSD”). This type of therapy is now a central piece in the VA’s war on PTSD. “The problem with prolonged exposure is that it also has made a number of veterans violent, suicidal, and depressed, and it has a dropout rate that some researchers put at more than 50 percent, the highest dropout rate of any PTSD therapy that has been widely studied so far,”(“Trauma Post”). Both of the therapies are proven to reduce the symptoms but both have extremely high drop out rates and low follow through. It

Approximately twenty-five to thirty percent of those who have experienced a traumatic event will proceed to develop post-traumatic stress disorder (Fry, 2016). Those who have experienced a traumatic event and developed PTSD continue reliving it to an extent in which it interferes with their lives. The symptoms of the disorder affect the person’s life by interfering with daily activities and personal relationships with friends and family. There is