A Closer Look at PTSD

One of the areas of work I feel particularly passionate about in my practice is facilitating recovery after a traumatic incident. Last week, I began a discussion of trauma and PTSD, or posttraumatic stress disorder, one of my areas of specialty.

We often think of veterans when we think of PTSD. In large part, much of what we do know about trauma and PTSD is a result of the experiences of Vietnam veterans. Prior to that, while trauma responses existed, there had not been a whole lot of focus on understanding traumatic reactions. Although PTSD tends to be the issue that most often comes to mind when we consider trauma, there are a number of other responses to trauma, including things such as depression, anxiety, substance abuse, and difficulties in relationships. We will address some of these elements but, in our multi-episode Looking at Trauma series, we will mostly focus on PTSD. Most of these other issues are embedded within the constellation of PTSD and will make more sense as we understand PTSD.

To begin with, it’s important to understand what exactly a trauma is…

If we think about the definition of a trauma, it’s generally defined by dictionaries as a deeply distressing or disturbing occurrence. Often, in medical contexts, it’s described as a disruption. Different experts and different fields describe trauma in different ways, which can be confusing and even intimidate if we are looking to do our research.

However, there are some common elements in thinking about what a trauma specifically is. From the lens of mental health or psychology, trauma, as described by the American Psychological Association, is typically an emotional and somatic response to a terrible, overwhelming, situation.

According to the International Society for Traumatic Stress Studies, traumatic events are shocking and emotionally overwhelming situations that may involve actual or threatened death, serious injury, or threat to physical integrity. While the World Health Organization describes trauma as more of an emergent/disaster based situation.

There are a number of different events that can be traumatic. Some examples of these situations that may immediately come to mind include a serious and potentially life-threatening accident, assault, natural disaster, or combat. Other types of experiences can be traumatic as well such as surviving or witnessing a crime or physical, verbal, emotional, and sexual abuse, as well as bullying or even a big move. Sometimes, trauma responses can follow any major change or disruption in a person’s life.

Many people are exposed to traumatic events. In the time immediately following a trauma, most people will have the experiences of PTSD that we will talk about. However, over time, for many people, those experiences naturally decrease, and they are not diagnosed with PTSD. In other words, they naturally recover from the traumatic event. There are some people who do not recover and are later diagnosed with PTSD. Based on that, it is helpful to think of PTSD as a problem in recovery. Something got in the way of you having that natural process of recovery, and the work of therapy is to determine what got in the way and to change it so that you can recover from what happened. You and your therapist will be working to get you ̳unstuck.

Let’s look at this in more depth…

Because we know that PTSD experiences are nearly universal immediately following very serious traumatic stressors and that recovery takes a few months under normal circumstances, it may be best to think about diagnosable PTSD as a disruption or stalling out of a normal recovery process, rather than the development of a unique psychopathology. A therapist needs to determine what has interfered with normal recovery. In one case, it may be that someone believes that they will be overwhelmed by the amount of emotional reactivity that will emerge if he stops avoiding and numbing himself. Perhaps s/he was taught as a child that emotions are bad, that s/he should just get over it.‖ In another case, someone may have refused to talk about what happened with anyone because s/he blames herself for ―letting‖ the event happen and she is so shamed and humiliated that s/he is convinced that others will blame her, too. In a third case, a person may have seen something so horrifying that every time s/he falls asleep and dreams about it, s/he wakes up in a cold sweat. So, in order to sleep, s/he drinks heavily. Yet another person may be so convinced that s/he will be victimized again that s/he refuses to go out anymore and has greatly restricted his/her activities and relationships. In still another case, in which other people were killed, a person may have survivor guilt and obsesses over why s/he was spared when others were killed. S/he feels unworthy and experiences guilt whenever s/he laughs or finds himself enjoying something. In all these instances, thoughts or avoidance behaviors are interfering with emotional processing and reshaping our beliefs. There are as many individual examples of things that can block a smooth recovery as there are individuals with PTSD.

There are several categories of experiences that tend to follow a traumatic event. Last week, we more closely examined each of the categories.

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What Does a Typical Group Look Like?

You may have heard the buzz about my upcoming Mindfulness Matters group and might find yourself wondering what a typical group is like. I thought I would give you some details so that you can see how this might help serve you in learning to more deeply connect with what you want in your life, create more satisfying relationships, and improve your sense of self-worth and love!

I start by doing an activity for the members to get to know each other so we can keep building our skills together over the course of the 12 weeks. I then begin introducing a new skill each week and using an activity or handout to help the particpants get a clearer understanding of that skill and make it applicable to them in their daily lives.

Then, I open it up to the members to:

1) provide feedback on the skill being taught that week

2) give an example of how they had successfully used a skill previously learned during the week

3) talk about a time during the week when they were unable to implement a skill and get feedback from myself and/or other group members on how they could have handled themselves/their emotions differently

4) receive feedback from the group on any other pressing issue that came up during the week and is causing distress so we can troubleshoot together and come up with ways to help them cope

Want even more information? Check out the details here!

P.S. Groups are an amazing way to lean how to express oursevles and understand that we are not alone. The Mindfulness Matters Group will run on Tuesdays from 5:30pm to 6:30pm beginning on July 11th and running through September 26th.

If this group looks like a good fit for you, contact me for more details. 

Ready to talk more about how the Mindfulness Matters group can bring you greater focus, deeper confidence, and finally quiet that inner critic? Get access HERE!

Curious what I can offer you to help build the life you love? Get in touch!

Get access to more valuable content weekly here!

 

The Vicious Cycle of Trauma and PTSD

As a Good Therapy Topic Expert, it is important to me to share information about the impact PTSD. In particular, with June the month of PTSD awareness, it is crucial to help provide accurate information about the struggles with this challenging experience.

Posttraumatic stress is characterized by intrusion, arousal, avoidance, and cognitive shifts—a cyclical experience that impedes the natural recovery process. You can read more about these experiences in my Good Therapy article here.

What did you learn in reading this? I’d love to hear your reactions and realizations – hit reply and let me know!

Curious what I can offer you to help build the life you love? Get in touch!

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An Introduction to CPT for PTSD

Last week, I shared an overview of PTSD with a brief video. In the coming weeks, I will be exploring a bit more specific information about each cluster of what comprises PTSD. As we move forward in the next several weeks with this examination, I wanted to share an article I recently wrote for Natural Awakenings magazine wherein I take a closer look at one of the gold standard treatments for PTSD, Cognitive Processing Therapy (CPT). 

This short-term approach for PTSD issues has been documented to provide long-standing relief in a number of scientifically robust studies. I have also seen it transform the lives of many people grappling with the challenges brought on by living with haunting trauma symptoms. It has been meaningful for me to be one of the few in NY state to offer this highly effective programs.

What areas of PTSD do you or a loved one struggle with?? Send me a quick email to let me know – that way, I can support you with information that can be helpful.

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Connect with me to see what support I can offer!

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“Beyond the Couch” Explores the Benefits of Group Therapy!

The newest episode of the “Beyond the Couch” podcast is here!

Today, we look at the benefits of group therapy, different formats of group therapy, and how we can gain the most benefit from group therapy. You can listen to the episode here!

Don’t forget: If you missed the first few episodes, they are always available via iTunes, on my website, SoundCloud, Stitcher, and YouTube.

If you’ve found these episodes helpful in some way, please be sure to read a rating and review so that 1.) I know what helps you and 2.) so that others in the same boat can find what they need.

Enjoy these first few episodes before the next one on Thursday – we’ll be focusing on Mindfulness!

“Beyond the Couch” Is Live!

It’s here!

Today, the “Beyond the Couch” podcast is live! I have been waiting with so much excitement to share this with you and the day has arrived!

You can listen to the first few episodes directly here or on my website. You can also listen on SoundCloud, Stitcher, and YouTube:

Be on the lookout for special announcement about how to listen, subscribe, rate, and review in iTunes in the coming days!

In the meantime, tune in to these episodes and get ready for the next on one on Thursday!

 

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Exciting News!

I am making an announcement today that I am very excited to share with you. I have been working on a new project to help share valuable resources, tips, information, and content for many people across the world to more effectively redefine their lives, get rid of pain and fear that holds them back, and create a life they look forward to celebrating.

Recently, I was invited to speak as a guest on a local radio show. Following that, I received an outpouring of questions and contact requests from a large number of people. It was then that I realized I could contribute to the efforts of a greater number of people looking to transform their lives with the help of technology.

Over the last few months, I have worked hard to set up a foundation for a podcast with the theme of redefining ourselves and recreating our lives. Along the way, we will look at effective tools, practical tips, accessible resources, community supports, and eye-opening insights to help cultivate the life that we want to live and celebrate.

I will be broadcasting on Mondays and Thursdays for the first few months to help spread the word to anyone who can benefit. After this initial  In addition, I will be interviewing a number of guests as well as looking at other resources to share the best, most accessible, and most effective tools for listeners along their journey of transformation.

The most exciting part of this announcement for me is that this will all begin very soon! I am scheduled to launch on March 20th! I would love to help get the word out over the next few weeks to make sure people have access to this information.

If you’d like to join me in this endeavor, I’d love to have you! You can easily jump onboard here! Sign on and let’s get you to the front of the line in access!

I look forward to getting started on this journey together!