Post traumatic stress disorder (PTSD) is a stress related disorder (DSM5) is characterized by inability to adjust or recover after witnessing or experiencing a traumatic or life threatening event.

1. PRESENTED BY: Ms Mamta Bisht
Lecturer
(Psychiatric Nursing)
POST TRAUMATIC STRESS
DISORDER (PTSD)

3. POST TRAUMATIC STRESS
DISORDER (PTSD)
Definition:
Post traumatic disorder is a reaction to
an extreme trauma , which causes
pervasive distress to the individual.
The traumatic events may include,
disasters (natural or man made), combat,
war, rape, torture, terrorism, or other
crimes.

4. ETIOLOGY FOR PTSD
Traumatic experience
• Exposure to actual or threatened death
• Experiencing serious injury, or sexual
violence.
• Witnessing life
threatening events
like crime,murder
or disaster.

5. RISK FACTORS FOR PTSD
The impact of a trauma and severity of
symptoms depends on the temperament
of the individual and environmental
factors
Traumatic experience
• Severity and duration of the stressor
• Anticipatory preparation for the event
• Exposure to death

6. RISK FACTORS FOR PTSD
The individual
• Poor ego strength
• Inffective coping resources
• Pre existing psychopathology
• Behavior or temperament

7. Recovery environment
• Lack of social support
• Inadequate family system (lack of
protectiveness)
• Cultural and subcultural influences
RISK FACTORS FOR PTSD

8. CLINICAL FEATURES OF PTSD
1.Intrusive memories of the traumatic
event
• Recurrent,unwanted and
distressing memories
of the event
• Flashbacks and nightmare

9. CLINICAL FEATURES OF PTSD
2.Avoidance
• Avoiding places and activities or
peoples that remind of the traumatic
event.
• Keeping excessively busy to avoid
thinking about the traumatic event.

10. CLINICAL FEATURES OF PTSD
3.Negative thoughts and
beliefs about self ,
people or world:
• Hopelessness
• worthlessness
• Loss of interest in once important and
positive activities.
• Being jumpy

11. CLINICAL FEATURES OF PTSD
4.Changes in physical and emotional
reaction:
• Difficulty maintaining close
relationships
• Detached from family and friends
• Easily frightened
• Self destructive behavior
• Trouble sleeping
• Irritability, anger outbursts

12. MANAGEMENT OF PTSD
1. psychosocial therapies
• Cognitive behavior therapy
• Systematic Desensitization
• Thought stopping

13. MANAGEMENT OF PTSD
2.Stress management
• Relaxation training and hypnotherapy
• Assertiveness training (promoting
positive thinking)
3.Supportive therapy

14. MANAGEMENT OF PTSD
4.pharmacological treatment
• SSRIs (First line treatment)-Paroxetine
• MAOIs - Phenelzine
• TCAs – Amitryptyline
• Benzodiazepines