Trauma Management Therapy for First Responders

Author(s):  
Madeline Marks ◽  
Annelise Cunningham ◽  
Clint Bowers ◽  
Deborah C. Beidel

Mental health professionals are only recently beginning to understand the risks for stress-related disorders experienced by first responders. For example, it is clear that first responders are at increased risk for Post-Traumatic Stress Disorder. Unfortunately, clinicians currently have a limited repertoire with which to treat these disorders. Treatments for PTSD have been developed for use with military patients, for the most part. It is not clear that these treatments are appropriate, and effective, for first responders. In this chapter, the authors describe a pilot study designed to evaluate whether one specific treatment approach creates similar clinical outcomes for first responders as have been observed for a military sample. The results indicate that clinical outcomes for first responders were nearly identical as those obtained with military personnel. The results are discussed in terms of future directions for research in this area.

2020 ◽  
pp. 003022282093301
Author(s):  
Rosalie S. Aldrich ◽  
Julie Cerel

The purpose of the current study was to examine the relationship of suicide exposure with depression, anxiety, and post-traumatic stress disorder across three occupational groups likely to be exposed to suicide (i.e., first responders, crisis workers, mental health professionals). An online survey was completed by 1,048 participants. Results indicated that first responders, mental health professionals, and crisis workers were all exposed to suicide in the routine course of their occupation. Exposure to suicide significantly impacted mental health, specifically on depression, anxiety, and PTSD symptoms. The level of exposure to suicide was associated with higher levels of depression, anxiety, and PTSD.


2021 ◽  
pp. 089826432110641
Author(s):  
Kaipeng Wang ◽  
Anao Zhang ◽  
Adolfo G. Cuevas ◽  
Carson M. De Fries ◽  
Ladson Hinton ◽  
...  

Objectives To examine the association between post-traumatic stress and depression and whether such an association differs by level of loneliness among older Puerto Ricans. Methods Data were collected from 304 Puerto Ricans aged 60 and above living in the Greater Boston area who responded to questionnaires. We used ordinary least squares regression to examine the association between post-traumatic stress, loneliness, and depressive symptoms. Results Post-traumatic stress was significantly associated with higher levels of depression. The association between post-traumatic stress and depression was stronger for those experiencing a higher degree of loneliness. Discussion In working with older Puerto Ricans experiencing post-traumatic stress, it is important for mental health professionals to incorporate the assessment of loneliness and to prevent and reduce comorbid depression by addressing loneliness through improving social skills, enhancing social support, and reducing maladaptive social cognition.


Criminologie ◽  
2005 ◽  
Vol 23 (2) ◽  
pp. 5-22 ◽  
Author(s):  
Frema Engel

Victims of crime suffer tremendous psychological damage as a result of the trauma that they experience. The effects can be totally debilitating and can destroy their lives. The author discusses the reactions, symptoms of acute stress and stages of recovery of crime victims. She also discusses post-traumatic stress syndrome (PTSD), and the kind of help victims need to recover from their injuries. Finally, she suggests how mental health professionals in particular and society in general could better respond to crime victims.


Author(s):  
Dora Black ◽  
David Trickey

Bereavement in childhood, particularly the loss of a parent, represents a significant adversity, although the majority of bereaved children do not develop anything other than transient symptoms. Nevertheless, there is evidence that a brief preventive intervention can reduce subsequent morbidity. Children, who lose a parent through suicide, homicide, accident, or disaster, especially if they have witnessed the death, are at high risk of developing post-traumatic stress disorder and other psychiatric disorders and their treatment needs should be assessed by mental health professionals.


2013 ◽  
Vol 25 (3) ◽  
pp. 295-299 ◽  
Author(s):  
Yuriy Dobry ◽  
María Dolores Braquehais ◽  
Leo Sher

Abstract Bullying is a highly prevalent behavior which carries a significant social, medical and financial cost for its victims and perpetrators, with powerful and long-lasting psychological and social impact. Bullying has been defined as a specific form of intentional, repeated aggression, that involves a disparity of power between the victim(s) and perpetrator(s). The aggression can take physical, verbal or gestural forms. The behavior of bullying crosses sociodemographic categories of age, gender, ethnicity, level of academic achievement and professional environment. It has been abundantly observed by teachers and parents in elementary schools, but has also shown its negative presence in corporate boardrooms. The direst outcome of bullying, for both victims and perpetrators, is an increased risk of psychiatric disorders including depression, post-traumatic stress disorder, anxiety disorders, substance abuse and suicidal behavior. Cruelty (and bullying, as one of its manifestations) breaks the basis of morality. Mental health professionals usually treat the victims of those actions unfortunately long after they have been exposed to the harm. The evidence does not support the idea that the majority of cruel actions are intrinsically “pathological”, in the sense of being motivated by “mental disorders”. Therefore, only moral rules and legal actions – but not psychiatric or psychological interventions – may dissuade humans from this form of cruelty.


2017 ◽  
Vol 14 (1) ◽  
pp. 21-23 ◽  
Author(s):  
Sukran Altun ◽  
Melanie Abas ◽  
Cathy Zimmerman ◽  
Louise M. Howard ◽  
Sian Oram

Mental health professionals have opportunities to intervene and provide care for trafficked people. Research shows that mental health problems – including depression, anxiety and post-traumatic stress disorder – are prevalent among trafficked people, and that at least some trafficked people come into contact with secondary mental health services in England.


2012 ◽  
Vol 29 (2) ◽  
pp. 102-106
Author(s):  
Muhammad Tahir Khalily ◽  
Anna Paulina Wota ◽  
Brian Hallahan

AbstractObjective: This study explores unrecognised symptoms related to post-traumatic stress disorder (PTSD) in individuals with a range of psychiatric disorders in the absence of traumatic events. We also examine the association between PTSD symptoms, social interaction with peers and therapeutic alliance with mental health professionals.Method: A purposive sample of 120 adults consecutively referred to the psychology department from September 2008 to September 2010 was included in this study. We used the Minnesota Multiphasic Personality Inventory 2 (MMPI-2) to ascertain the presence of PTSD symptoms, social interaction levels and treatment alliance with health professionals.Results: Individuals previously undiagnosed with PTSD, referred without any noted traumatic event had high levels of symptoms related to PTSD, as measured by the PK scale of the MMPI-2. The PK scale was significantly correlated with several MMPI-2 clinical scales, the Social Introversion Scale (Si) and the Treatment Alliance Scale (TRT) (p < 0.001).Conclusion: This study demonstrated the presence of symptoms related to PTSD in individuals with a range of psychiatric disorders despite the absence of reported trauma. The presence of symptoms related to PTSD may be associated with an indirect negative impact on social contacts and a poorer therapeutic alliance with mental health professionals. Investigating symptoms of PTSD during a psychological assessment even when trauma is not the presenting complaint is merited in most cases.


Healthcare ◽  
2021 ◽  
Vol 9 (6) ◽  
pp. 635
Author(s):  
Isabella Giulia Franzoi ◽  
Antonella Granieri ◽  
Maria Domenica Sauta ◽  
Monica Agnesone ◽  
Marco Gonella ◽  
...  

The psychological impact of the pandemic on healthcare workers has been assessed worldwide, but there are limited data on how mental health professionals (MHPs) have been affected. Thus, this paper aims to investigate anxiety, post-traumatic stress, and burnout in a sample of MHPs. We conducted a descriptive, cross-sectional study on 167 participants: 56 MHPs, 57 physicians working closely with COVID-19 patients, and 54 physicians not working closely with such patients. MHPs reported good overall mental health. Most MHPs reported no post-traumatic stress, and their scores were significantly lower compared to HPs working closely with COVID-19 patients. MHPs’ hyperarousal scores were also significantly lower compared to HPs working closely with COVID-19 patients, while their intrusion scores were statistically significantly lower than those of all other professionals. Multivariable logistic regressions showed that MHPs had lower odds of exhibiting state anxiety and low personal accomplishment compared to HPs not working closely with COVID-19 patients. In sum, MHPs seem to show almost preserved mental health. Thus, given the high mental healthcare demand during a pandemic, it would be useful to rely on these professionals, especially for structuring interventions to improve and support the mental health of the general population and other healthcare workers.


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