A Strengths Based Biopsychosocial Approach to Treatment of PTSD

Dr. Dawn-Elise Snipes is a Licensed Professional Counselor and Qualified Clinical Supervisor. She received her PhD in Mental Health Counseling from the University of Florida in 2002. In addition to being a practicing clinician, she has provided training to counselors, social workers, nurses and case managers internationally since 2006 through AllCEUs.com AllCEUs provides counseling education and CEs for LPCs, LMHCs, LMFTs and LCSWs as well as addiction counselor precertification training and continuing education.
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0:00 Introduction
0:10 A Strengths Based Cognitive Behavioral Therapy Approach to PTSD
1:10 Humans and animals experience reactions to prompt behavior Anger/Fight Fear/Flight Reactions are responses designed to Protect life Achieve a reward/avoid punishment
2:43 Military Crime Victims Gradual Onset PTSD: repeated exposure to horrific or threatening events causing a sense of helplessness Law Enforcement Military Child Abuse/Neglect
6:21 Exposure to a horrifying event in which there was a sense of helplessness For each symptom that follows, we will identify The function What triggers that symptom or exacerbates it How the person deals with/mitigates that symptom Other things he or she could do
7:57 Re-experiencing the traumatic event Intrusive, upsetting memories of the event Flashbacks (acting/feeling like the event is happening again) Nightmares Feelings of intense distress when reminded Intense physical (panic) reactions to reminders
14:08 PTSD symptoms of avoidance and emotional numbing Avoiding reminders of the trauma Inability to remember important aspects of the trauma Loss of interest in activities and life in general - Feeling detached from others or emotionally numb Sense of a limited future
29:25 Similarity to the victim (or being the victim) Proximity to your safe zones (home, work) Social support after the trauma History of mental health problems Number of stressors in the past 6 months
33:01 If you were not the victim, how were you similar to the victim? How are people around you similar to the perpetrators? What was (or would have been) helpful for people to do after the trauma? Who can you rely on to do those things now?
34:03 Creating Safety What can you do to take back your safe zones How can your protect yourself from this in the future? How did the experience change
36:32 Function Balances neurochemicals Helps reduce cortisol May improve adrenal fatigue Safety Environmental (Feng Shui) Common sense
47:00 Social Support Nonjudgmental people Available 24/7 Empathetic Help to meet health and safety needs Handle the details • People in shock/traumatized cannot remember
48:38 Acknowledge the event Be kind to yourself Recognize the value of the startle response Identify times when your startle response might be greater (i.e. library vs. restaurant) Identify ways to mitigate your startle response
56:10 Grief Resolution What losses did you experience as a result of the trauma For each loss • What about this makes you angry? How can you deal with this anger healthfully? Anger protects you and pushes people away. What do you
57:15 Summary PTSD can be from a single event or multiple, ongoing stressors Traumatic Events can change people's beliefs about the world in an extreme way For some people understanding the function of the symptoms can help them

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