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Post Traumatic Stress Disorder
United States Army Medical
Command
Chaplain Joe Hughes
PTSD
“When my best friend died, I wouldn’t cry because if I started crying for him, I’d wind up crying for all my friends who died and I would never stop crying.”
-Anonymous Viet Nam Veteran
PTSD
Community based studies show prevalence for PTSD ranges from 1% to 14%. BUT among combat vets it’s 5%-58%.
PTSD
WHAT CAUSES PTSD-
- Exposure to extreme traumatic stress that involves actual or perceived threat to life and personal safety.
CAUSES
-Event(s) that drive home the fact
that the world is not a safe place.
-Proximity to and intensity of the
event.
INDICATORS
Indicators fall into three
categories – all not present
before the traumatic events.
INDICATORS
1. Persistent re-experience of the event(s) to include one or more of the following.
-uncontrolled recurring and intrusive memories-recurring dreams
INDICATORS
-acting or feeling as if the eventwere recurring, i.e., sense of reliving the experience, hallucinations, and flashbacks -to include when intoxicated
INDICATORS
-mental distress when exposed
to internal or external cues that
resemble or remind the person
about the event.
INDICATORS
-physiological reactions (increased heart rate and respirations, sick to stomach,etc.) when exposed to internalor external cues
INDICATORS
2. Persistent avoidance of things associated with the event and numbing of responsiveness. To include one or more of the following.
INDICATORS
-attempts to avoid thoughts, feelings, or conversations associated with the events-efforts to avoid activities, places and people associated with the event
INDICATORS
-inability to recall an importantpart of the event-markedly reduced interest orparticipation in important events
INDICATORS
-feelings of detachment orestrangement from others-restricted range of emotions (e.g. unable to have loving Feelings)
INDICATORS
-sense of foreshortened future,
no expectations for a normal
life…no career, no marriage,
no children, no normal life span
INDICATORS
3. Persistent symptoms of
increased arousal in two or
more of the following.
INDICATORS
-difficulty in falling or staying asleep-irritability or outbursts of anger -difficulty in concentrating
INDICATORS
-hyper vigilance
-exaggerated startle response
OUR TASK
Treatment is usually
combination of meds and
therapy. But we do have a role
to play.
OUR TASK
The theological question is,
first, the age old one of why
does God allow bad things to
happen to people of faith.
OUR TASK
Second, what does that say
about the nature of God and
His love towards His people.
OUR TASK
THE QUESTIONS TO DETERMINE
1. Where have you lost control in your life?2. What are reasonable and consistent demands from Supervisors?3. Have you lost respect from/to colleagues and co-workers?4. Do you feel cared for, appreciated by co-workers, Supervisors?5. Do you feel competent, reliable, dependable?6. Has your work have purpose, meaning, and value?7. How thankful are you for your work?8. Are you busy and/or over-committed outside work?9. Do you have a time each day to rest, relax, and replete?10. What are you doing to stay healthy?
OUR TASK
THE QUESTIONS TO DETERMINE
11. How are you coping with your pain, suffering, loss?12. How are you dealing with death of those we grow close to?13. Are you able to laugh, cry, and yell at something?14. Do you know that you have something to give?15. Are you loving and caring for yourself?16. Are you spending time with friends?17. Are you spending time with family?18. Do you have balance in your life?19. Do you have time away from work?20. Do you share care-giving experiences (good and bad)?21. Do you need to forgive co-workers/supervisors and receiveforgiveness?
OUR TASK
THE QUESTIONS TO DETERMINE
22. Do you still have your sense of calling?23. Are you still in the ministry?24. Do you feel loved, cared for, accepted by God?25. Do you accept and receive spiritual repletion?26. Do you have time alone to pray and worship?27. Do you have time alone for inspirational reading?28. Do you have time alone to listen to inspirational music?29. Do you have a time with others to pray, worship, sing, relate?30. Do you pray for your co-workers/supervisors/soldiers/families?31. Have you lost your sense of discipline and sacrifice?
IS
RECOVERY
POSSIBLE?
THE ANSWER?
RETURN TO “NORMAL IS NOT POSSIBLE
WE DON’T KNOW
YES
QUESTIONS?