A Case of Delayed Post-traumatic Stress Disorder with ‘Organic Memories’ Accompanying Therapy

1993 ◽  
Vol 163 (6) ◽  
pp. 828-830 ◽  
Author(s):  
Andrew C. Briggs

A case of post-traumatic stress disorder (PTSD) following a road traffic accident in which the onset of symptoms was delayed for 18 months until a widely reported major disaster occurred is described. A severe major depressive episode was precipitated, requiring treatment in its own right. During psychotherapy sessions, extreme emotions, heightened sensations, and ‘organic memories’ relating to the original accident were experienced.

2019 ◽  
Vol 10 ◽  
Author(s):  
Wubalem Fekadu ◽  
Tesfa Mekonen ◽  
Habte Belete ◽  
Amsalu Belete ◽  
Kalkidan Yohannes

2010 ◽  
Vol 2 (1) ◽  
pp. 32-42 ◽  
Author(s):  
Andrew R. Thompson ◽  
Eamonn Wilde ◽  
Katherine Boon

AbstractIndividually focused CBT for road traffic accident (RTA)-related post-traumatic stress disorder (PTSD) involving exposure and cognitive restructuring has been shown to be effective. Group CBT interventions provide an opportunity for treatment to be delivered in a cost-effective fashion and may also be ‘normalizing’ for patients, but few evaluations have been published. Many elements of CBT lend themselves well to group presentation, although implementing exposure presents a specific problem. The development and preliminary evaluation of a group (n = 6) targeting RTA-related PTSD is described here. Pre- and post-questionnaire evaluation is accompanied by assessment of patient satisfaction. Four of the group no longer met diagnostic criteria and the remaining two showed clinically significant change in both the number and severity of symptoms. In addition symptoms of depression decreased from the severe to the mild range within the group and there were high levels of participant satisfaction reported. Further research is required to evaluate this and similar packages before group treatment can be advocated as an alternative to individual CBT for PTSD.


1991 ◽  
Vol 159 (3) ◽  
pp. 431-433 ◽  
Author(s):  
T. M. McMillan

Post-traumatic stress disorder (PTSD) is described following a road traffic accident in which the patient suffered a severe head injury. The stress reaction was associated with intrusive thoughts and avoidance of cognitive and physical events associated with consequences of the accident. The condition was successfuly treated by behavioural intervention. It seems clear that PTSD can occur even where there is loss of consciousness and organic amnesia for the event and its immediate sequelae.


2011 ◽  
Vol 43 (1) ◽  
pp. 471-477 ◽  
Author(s):  
Laetitia Chossegros ◽  
Martine Hours ◽  
Pierrette Charnay ◽  
Marlène Bernard ◽  
Emmanuel Fort ◽  
...  

1993 ◽  
Vol 163 (1) ◽  
pp. 106-108 ◽  
Author(s):  
John Spector ◽  
Mark Huthwaite

A new treatment using a saccadic eye-movement desensitisation (EMD) procedure has recently been introduced to treat post-traumatic stress disorder, a disorder that has been difficult to treat in the past. The treatment is claimed to be very rapid and successful. This paper reports the treatment of a woman with post-traumatic stress disorder following a horrific road traffic accident using the EMD procedure.British Journal of Psychiatry (1993), 163, 106–108


2002 ◽  
Vol 180 (4) ◽  
pp. 363-368 ◽  
Author(s):  
James Murray ◽  
Anke Ehlers ◽  
Richard A. Mayou

BackgroundDissociative symptoms during trauma predict post-traumatic stress disorder (PTSD), but they are often transient. It is controversial whether they predict chronic PTSD over and above what can be predicted from other post-trauma symptoms.AimsTo investigate prospectively the relationship between dissociative symptoms before, during and after a trauma and other psychological predictors, and chronic PTSD.MethodTwo samples of 27 and 176 road traffic accident survivors were recruited. Patients were assessed shortly after the accident and followed at intervals over the next 6 months. Assessments included measures of dissociation, memory fragmentation, data-driven processing, rumination and PTSD symptoms.ResultsAll measures of dissociation, particularly persistent dissociation 4 weeks after the accident, predicted chronic PTSD severity at 6 months. Dissociative symptoms predicted subsequent PTSD over and above the other PTSD symptom clusters. Memory fragmentation and data-driven processing also predicted PTSD. Rumination about the accident was among the strongest predictors of subsequent PTSD symptoms.ConclusionsPersistent dissociation and rumination 4 weeks after trauma are more useful in identifying those patients who are likely to develop chronic PTSD than initial reactions.


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