PTSD-post traumatic stress disorder

jillio said:
How exactly, does distraction deal with the emotional issues underlying the reaction?

Are you a behaviorist in your theroetical perspective?
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As I was explaining in answer to another post, it's not like something to distract you when the trigger comes along; like it's been said, there's no time. It's more like it separates the emotion from the memory there in the therapy session. If you can relax and deal with the issue calmly, you have no problem realizing that what happened in the past can't hurt you now, but the problem is usually that any cognitive therapy involves reliving the trauma, and it's more likely to trigger an episode than work through it.

I'm not a behaviorist. I'm taking counseling courses, and I've read a great deal in the psychological journals. More than that, I've seen the results first-hand. A woman who had been sexually assaulted as a child was able to realize that what happened was not her fault, and she could finally stop blaming herself. Things aren't "all better" even yet, but EMDR was enough to let her finally look at this objectively instead of emotionally.
 
HearingHubby said:
It's not really like that. It's not a constant distraction, but more a means of distraction during the therapy session. It's not a gimmick, but a means of releasing the tension. Think of it more like if you have a tight muscle in your back keeping your spine out of alignment. A chiropractor might put things back, but without the muscle relaxing, it won't really stay that way. That's why he'll probably try a massage or something to get you relaxed first, and then he can work on the other problems. Studies have shown greater results from this than Cognitive Therapy; as good as that is, it can't really take a deep effect without relaxing the "emotion" on it first.
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Can you refer me to some good sources for research?

Cognitive restructuring is not a theroretic perspective. It is a technique used with many forms of therapies. Cognitive Therapy is based on a specific theroretical perspective.

I personally believe that pointing out the physical tension that accompanies mental/emotional anxiety allows the client to become more aware of the body/mind connection and the ways in which they use physical compensation to prevent concentration on the mental and emotional issues that need to be dealt.
 
jillio said:
Can you refer me to some good sources for research?

Cognitive restructuring is not a theroretic perspective. It is a technique used with many forms of therapies. Cognitive Therapy is based on a specific theroretical perspective.

I personally believe that pointing out the physical tension that accompanies mental/emotional anxiety allows the client to become more aware of the body/mind connection and the ways in which they use physical compensation to prevent concentration on the mental and emotional issues that need to be dealt.
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I know that Cognitive Therapy is not theoretical; I hope I didn't say something to imply that. That's my perspective on most aspects of counseling; this particular technique just works better on PTSD.

I point out that tension, also. I'm not against pointing it out, but this particular counseling technique has proven more effective in comparison studies.

You sound like you are a therapist. Do you have access to any kind of psychological journals or a professional database? It would make a difference as to the sources I could show you.
 
HearingHubby said:
I know that Cognitive Therapy is not theoretical; I hope I didn't say something to imply that. That's my perspective on most aspects of counseling; this particular technique just works better on PTSD.

I point out that tension, also. I'm not against pointing it out, but this particular counseling technique has proven more effective in comparison studies.

You sound like you are a therapist. Do you have access to any kind of psychological journals or a professional database? It would make a difference as to the sources I could show you.
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Actually, Cognitive Therapy is based on a specific theroretical perspective. It is cognitive restructuring that is incorporated into various other theroretical bases.

Yes I am, and yes I do. Only in the state in which I reside, we use the term counselor, as a counselor had to be licensed and a "therapist" can be anyone who decides to hang out a shingle.
 
jillio said:
Actually, Cognitive Therapy is based on a specific theroretical perspective. It is cognitive restructuring that is incorporated into various other theroretical bases.

Yes I am, and yes I do. Only in the state in which I reside, we use the term counselor, as a counselor had to be licensed and a "therapist" can be anyone who decides to hang out a shingle.
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Okay, I'm a little confused now. In one post, you said Cognitive Therapy is not theoretical, and now you say it is. I'm not sure if your definition changed or what. Anyway, I agree that it is a great technique, and I use it also.

Since you can get to those professional journals, take a look at:

Psychotherapy Volume 29/Winter 1992/Number 4

CASE STUDIES OF EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR) WITH CHRONIC POST-TRAUMATIC STRESS DISORDER
HOWARD J. LIPKE
ALLAN L. BOTKIN


Psychotherapy and Psychosomatics 2006;75:290–297

Eye Movement Desensitization and Reprocessing for Posttraumatic Stress Disorder: A Pilot Blinded, Randomized Study of Stimulation Type
David Servan-Schreiber
Jonathan Schooler
Mary Amanda Dew
Cameron Carter
Patricia Bartone


These are just what I can lay my hands on at this moment.
 
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deafbajagal said:
My dad STILL suffers from PTSD from the Vietnam War, which was years and years ago. For example, any time a loud pop or sound happens (such as a car backfiring or a firework going off) he would jump and automatically dive under something and start yelling for the radio, etc. Then he would start shaking, etc. So sad.
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yea... my best friend too... he has some PTSD from Afghanistan War and other classified wars but not as bad as your dad. war's ugly :| He spent a year or so with a therapist. He's doing great.
 
HearingHubby said:
As I was explaining in answer to another post, it's not like something to distract you when the trigger comes along; like it's been said, there's no time. It's more like it separates the emotion from the memory there in the therapy session. If you can relax and deal with the issue calmly, you have no problem realizing that what happened in the past can't hurt you now, but the problem is usually that any cognitive therapy involves reliving the trauma, and it's more likely to trigger an episode than work through it.

I'm not a behaviorist. I'm taking counseling courses, and I've read a great deal in the psychological journals. More than that, I've seen the results first-hand. A woman who had been sexually assaulted as a child was able to realize that what happened was not her fault, and she could finally stop blaming herself. Things aren't "all better" even yet, but EMDR was enough to let her finally look at this objectively instead of emotionally.
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I work with sexual assault victims and victims of domestic violence. Cognitive restructuring and addressing distorted thought processes does the trick.

Reliving the incident in the counselor's office is cathartic and beneficial. It is a safe environment in which to expose the intense emotions and reactions that go along with PTSD. But developing the trust necessary to permit a client to be comfortable exploring the pain and the fear takes quite a bit of time. The trust is not something that is achieved quickly. DBT and Gestalt are extemely effective in assisting individuals with traumatic issues.

You mentioned earlier that EMDR was the preferred method of the VA. Might I suggest that could be because the VA is infamous for treat and close the case as soon as possible?
 
HearingHubby said:
Okay, I'm a little confused now. In one post, you said Cognitive Therapy is not theoretical, and now you say it is. I'm not sure if your definition changed or what. Anyway, I agree that it is a great technique, and I use it also.

Since you can get to those professional journals, take a look at:

Psychotherapy Volume 29/Winter 1992/Number 4

CASE STUDIES OF EYE MOVEMENT DESENSITIZATION AND REPROCESSING (EMDR) WITH CHRONIC POST-TRAUMATIC STRESS DISORDER
HOWARD J. LIPKE
ALLAN L. BOTKIN


Psychotherapy and Psychosomatics 2006;75:290–297

Eye Movement Desensitization and Reprocessing for Posttraumatic Stress Disorder: A Pilot Blinded, Randomized Study of Stimulation Type
David Servan-Schreiber
Jonathan Schooler
Mary Amanda Dew
Cameron Carter
Patricia Bartone


These are just what I can lay my hands on at this moment.
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No that isn't what I said. Check my post again. I said that cognitive re-structuring was a tecnique incorporated into many theroretical perspectives, and thaT Cognitive Therapy is a theroretical perspective. It is based on congnitive theory. Theory and technique are two separate constructs. Cognitive restructuring and Cognitive Therapy are not one and the same.

I'll check the articles back and get back to you on them.
 
jillio said:
DBT and Gestalt are extemely effective in assisting individuals with traumatic issues.
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so in english....? :confused::confused::confused: I know some of us would like to know more. Jillio and HearingHubby - please don't make this thread a war between what methods work better. Every experts have their own opinions on certain methods and some may work better on handful of people but it doesn't mean it's the best option. As long as ALL options (both unpopular and popular) are available, that's fine. Sometimes an ineffective method which does not work on majority of people may work on a few people. So let's just leave at that.
 
jiro123 said:
so in english....? :confused::confused::confused: I know some of us would like to know more. Jillio and HearingHubby - please don't make this thread a war between what methods work better. Every experts have their own opinions on certain methods and some may work better on handful of people but it doesn't mean it's the best option. As long as ALL options (both unpopular and popular) are available, that's fine. Sometimes an ineffective method which does not work on majority of people may work on a few people. So let's just leave at that.
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Its not a war at all. Its a discussion of technique and theory, and the applicability and effacy of each as applied to a diagnosis of PTSD.

And I have already provided in depth explanations to a member via PM. Same in the OCD thread. If a member wants additional information or an in depth explanation as it applies to their case, I will be happy to provide such, and have done so on more than one occasion. And have been thanked for my efforts. Trust me, what I've posted here is bare bones.
 
There are PTSD diagnoses that are related to natural disasters. This discussion has been, slightly, amusing while tugging too close for comfort.

Gestalt? Jillio, you're a handful!
 
I wish I can understand PTSD, I have had relationship with one person who claims to have PTSD, from what? I don't know. This person refused to tell me what cause her to have PTSD, and said it is NORMAL! I believe something happened to her in her family, yet it is mystery anyway. If I know ahead, I would have given this person extra respect.

I hate to say this, hurts me so much so that I will never want another relationship with person that got PTSD. Not worth going though, glad this person never contact me back. I actually made this person so mad enough that they won't ever contact me... What this person have done toward to me is just too much for me.

Funny thing, if had not for this PTSD person, I may not be where I am! Nor have this decent job, nor have my beloved son. This may have happened for good reason.
 
Wokamuka said:
There are PTSD diagnoses that are related to natural disasters. This discussion has been, slightly, amusing while tugging too close for comfort.

Gestalt? Jillio, you're a handful!
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Yeah, Gestalt. Wanna clarify your question?
 
As someone within the psychology field, which approach/theory/method do you favor most (and why) and which approach/theory/method do you not appreciate (and why)?

They say that certain approaches are more favorable for d/Deaf persons while others would be hazardous to the process.

Asking about psychology from psychological folks (HA!) is like asking everyone to give an opinion.

I'm verklempt. Talk amongst yourselves.
 
Wokamuka said:
As someone within the psychology field, which approach/theory/method do you favor most (and why) and which approach/theory/method do you not appreciate (and why)?

They say that certain approaches are more favorable for d/Deaf persons while others would be hazardous to the process.

Asking about psychology from psychological folks (HA!) is like asking everyone to give an opinion.

I'm verklempt. Talk amongst yourselves.
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I am stongly Gestalt in theoretical approach, and tend to incorporate some DBT, the empowerment techniques from Feminist Theory when appropriate (across gender), and also some Reality Therapy. I am least appreciative of the behaviorist school of thought, as I believe it is far too simplified and does not give consideration to higher cognitive processes. It reduces the client to an animal status. I stongly believe in developing client self awareness as a route to empowerment.
 
I...... have no idea what's Gestalt. Wikipedia is not helping much for me.
 
jiro123 said:
I...... have no idea what's Gestalt. Wikipedia is not helping much for me.
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Google Gestalt Therapy. Or check out a couple of books written by Fritz Perlz, who is the originator of the the theory. If you are still having problems after that, let me know.
 
jillio said:
Google Gestalt Therapy. Or check out a couple of books written by Fritz Perlz, who is the originator of the the theory. If you are still having problems after that, let me know.
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I was hoping you can give me a simple explanation in 1-2 sentences. :whistle:
 
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