1. POST TRAUMATIC STRESS DISORDER Working with Trauma Clients in the Shelter System Developed under contractual agreement between New York State Office of Temporary and Disability Assistance and Brookdale Center for Healthy Aging & Longevity of Hunter College 2007

15. COPING MECHANISMS

17. Understanding the difference between Simple and Complex PTSD (continued) Combat Stress Acute Stress Disorder Acute PTSD Chronic PTSD TRAUMA 2 Days 1 Month 3 Months Acute Stress Disorder- symptoms develop after a few days or weeks after traumatic event Acute PTSD- Symptoms have been present for less than 3 months PTSD - symptoms persist for a period of time or occurs at least 6 months after event occurred ( delayed onset) Chronic PTSD- Symptoms have lasted longer than 6 months

18. Trauma Bubbles DEFENSE memory EMOTION BEHAVIOR despair shame terror helplessness shame terror helplessness horror rage grief

20. PTSD and Diversity

27. Healing, Recovery, and Growth Traumatic Event PTSD Healing Recovery Growth

30. Stages Leading to Burnout STAGE 1- Early Warning Signs Vague anxiety Fatigue Feelings of depression Apathy Moderate social isolation STAGE 2- Mild Burnout Lowered emotional control Increased anxiety Sleep disturbance Headaches Diffuse physical symptoms irritability STAGE 3- Moderate Burnout Skin rashes Generalized physical weakness Strong feelings of depression Increased blood pressure Emotional outbursts Development of irrational fears Difficulty with relationships Stage 4- Serious Burnout Serious medical conditions Severe withdrawal Accident proneness Severe depression Suicidal thoughts/actions Serious psychiatric disorders