scholarly journals Collision Every Night: Treating Nightmares with Trauma-focused Methods: Case Report

2021 ◽  
Author(s):  
József Szabó ◽  
Szilvia Tóth
Keyword(s):  
Stress Disorder ◽  
Acute Stress ◽  
Road Traffic ◽  
Psychological Trauma ◽  
Acute Stress Disorder ◽  
Symptomatic Improvement ◽  
Post Traumatic Stress ◽  
Comprehensive Therapy ◽  
Medicinal Treatment ◽  
Trauma Processing

Abstract Introduction We would like to present the case of a young patient with acute stress disorder and recurrent nightmares following the psychological trauma caused by a severe road traffic accident. The comprehensive therapy carried out at the Department of Traumatology included medication, trauma processing and a psychological method whose aim is to cease the development of nightmares. Case Presentation Psychiatric assessment and treatment was asked for a polytraumatised female patient at the Intensive Care Unit after she had undergone a neurosurgical intervention. Her medicinal treatment was continued at the Department of Traumatology. Besides the antidepressant venlafaxine she was treated in accordance with the EMDR protocol for acute stress disorder, and we also applied imagery rescripting to prevent her from having recurrent (daily) nightmares. As a result of the therapy, her symptoms were fast relieved, the nightmares stopped almost instantly, her mood improved, rumination and anxiety decreased significantly. Conclusions In view of the fast and significant symptomatic improvement, we can expect that the EMDR therapy and its protocol for acute stress disorder have successfully reactivated information processing, and besides the subjective relief we have managed to prevent a mental crisis that could lead to a suicide risk as well as the development of post-traumatic stress disorder. We also hope that the improvement will be long-lasting.

scholarly journals Treating adults with acute stress disorder and post‐traumatic stress disorder in general practice: a clinical update

2007 ◽  
Vol 187 (2) ◽  
pp. 120-123 ◽  
Author(s):  
David Forbes ◽  
Mark C Creamer ◽  
Andrea J Phelps ◽  
Anne‐Laure Couineau ◽  
John A Cooper ◽  
...  
Keyword(s):  
General Practice ◽  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Acute Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

Psychological consequences of road traffic accidents for children and their mothers

2004 ◽  
Vol 34 (2) ◽  
pp. 335-346 ◽  
Author(s):  
B. BRYANT ◽  
R. MAYOU ◽  
L. WIGGS ◽  
A. EHLERS ◽  
G. STORES
Keyword(s):  
Traffic Accidents ◽  
Stress Disorder ◽  
Acute Stress ◽  
Road Traffic ◽  
Clinical Care ◽  
Self Report ◽  
Road Traffic Accidents ◽  
Post Traumatic Stress ◽  
Psychological Outcome ◽  
Post Traumatic

Background. Little is known about the psychological and behavioural consequences of road traffic accidents for children. The study aimed to determine the outcome of road traffic accidents on children and their mothers.Method. A 1-year cohort study of consecutive child attenders aged 5–16 years at an Accident and Emergency Department. Data were extracted from medical notes and from interview and self-report at baseline, 3 months and 6 months.Results. The children had an excellent physical outcome. Fifteen per cent suffered acute stress disorder; 25% suffered post-traumatic stress disorder at 3 months and 18% at 6 months. Travel anxiety was frequent. Post-traumatic consequences for mothers were common.Conclusion. Psychological outcome was poor for a minority of children and associated with disability, especially for travel. There were significant family consequences. There is a need for changes in clinical care to prevent, identify and treat distressing and disabling problems.

scholarly journals Prevalence of acute stress disorder among road traffic accident survivors: a meta-analysis

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Wenjie Dai ◽  
Aizhong Liu ◽  
Atipatsa C. Kaminga ◽  
Jing Deng ◽  
Zhiwei Lai ◽  
...  
Keyword(s):  
Road Traffic Accident ◽  
Traffic Accident ◽  
Stress Disorder ◽  
Acute Stress ◽  
Road Traffic ◽  
Meta Analysis ◽  
Acute Stress Disorder

Katastrophenpsychiatrie

2005 ◽  
Vol 24 (09) ◽  
pp. 779-782
Author(s):  
T. Bronisch
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Acute Stress Disorder ◽  
Post Traumatic Stress ◽  
Post Traumatic

ZusammenfassungKatastrophenpsychiatrie meint die psychiatrisch-psychologische Betreuung von Opfern, deren Angehörigen und den Helfern im Rahmen von Naturkatastrophen und durch Menschen verursachte Katastrophen (Krieg oder Terroranschlag). Diese Betreuung basiert auf dem Diagnose- und Behandlungskonzept der Posttraumatischen Belastungsstörung – Post-traumatic Stress Disorder (PTSD) und der Akuten Stress Reaktion – Acute Stress Disorder (ASD). Während die PTSD eine gut validierte und mit effektiven Behandlungskonzepten ausgestattete Diagnose ist, fehlen diese Voraussetzungen bisher bei der ASD. Konsequenzen für das Konzept der Katastrophenpsychiatrie, Therapie und Prävention von Betroffenen und Helfern werden dargelegt.

Acute stress disorder, adjustment disorders, and post-traumatic stress disorder

2020 ◽  
pp. 6506-6509
Author(s):  
Jonathan I. Bisson
Keyword(s):  
Post Traumatic Stress Disorder ◽  
Traumatic Stress ◽  
Stress Disorder ◽  
Acute Stress ◽  
Traumatic Event ◽  
Acute Stress Disorder ◽  
Emotional Reaction ◽  
Adjustment Disorders ◽  
Post Traumatic Stress ◽  
Post Traumatic

Acute stress disorder, adjustment disorders, and post-traumatic stress disorder are all psychiatric consequences of traumatic experiences. Because trauma is so common in medical practice, in the form of accidents, severe illness, and sometimes medical and surgical treatments, these disorders are commonly seen by physicians. An initial severe reaction to a traumatic event such as severe accident is an acute stress disorder and is commonly characterized by dissociation. A more long-lasting emotional reaction to ongoing stress such as a new diagnosis of life-threatening illness is termed an adjustment disorder. An often longer-lasting and more severe psychological reaction associated with repeated mental re-experiencing of the traumatic event is called post-traumatic stress disorder. These trauma-related disorders are not only an important cause of suffering but may also complicate medical care, hence they require recognition and appropriate treatment.

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