The Ontario government announced it will invest almost $200,000 to help create a new workplace health and safety standard specific to paramedics. The announcement was made at the Beaver Barraks Paramedic Station on Aug. 10.
Substance use disorders (SUDs) are highly comorbid with posttraumatic stress disor- der (PTSD). The relationship between substance abuse and trauma is complex and bidirectional, with shared social risk factors and biological pathways. Youth with cooc- curring PTSD and SUD often have more severe challenges than teens with either dis- order alone, with treatment needs that may involve multiple community systems. Integrated treatment principles and recommendations are discussed. Two clinical cases are reviewed to illustrate these treatment principles.
When a dear colleague goes down with a traumatic stress injury, the whole squad suffers. And sadly, those instances of trouble are too common and PTSD has become a familiar acronym for those working as paramedics, police and firefighters.
Posttraumatic stress disorder (PTSD) is defined as a psychiatric disorder; however, PTSD co-occurs with multiple somatic manifestations. People living with PTSD commonly manifest dysregulations in the systems that regulate the stress response, including the hypothalamic-pituitary-adrenal (HPA) axis, and development of a pro-inflammatory state. Additionally, somatic autoimmune and inflammatory diseases and disorders have a high rate of co-morbidity with PTSD. Recognition and understanding of the compounding effect that these disease states can have on each other, evidenced from poorer treatment outcomes and accelerated disease progression in patients suffering from co-morbid PTSD and/or other autoimmune and inflammatory diseases, has the potential to lead to additional treatment opportunities.
Although biological systems have evolved to promote stress-resilience, there is variation in stress-responses. Understanding the biological basis of such individual differences has implications for understanding Posttraumatic Stress Disorder (PTSD) etiology, which is a maladaptive response to trauma occurring only in a subset of vulnerable individuals.
The Encyclopedia of Mental Disorders defines posttraumatic stress disorder (PTSD) as “a complex disorder in which a person’s memory, emotional responses, intellectual processes, and nervous system have been disrupted by one or more traumatic experiences.” PTSD is classified in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a “trauma and stressor-related disorder” and is the only psychiatric diagnosis (along with acute stress disorder) that depends on a factor outside the person—namely, a traumatic stressor that is outside the range of usual experience.
Salloum and colleagues have presented data in support of a novel and cost-effective approach to the treatment of PTSD in young children. In this commentary I outline an argument for why their stepped-care model may be an important change to how psychological therapies for trauma- exposed youth are delivered, and propose further caveats that need to be addressed in future research.
This chapter gives an insight in the possibilities and limitations of the prevention of Posttraumatic Stress Disorder (PTSD). An elaboration upon the diagnosis, criteria, onset and prevalence demonstrates the enormous impact of PTSD. Prevalence rates vary between countries and with the intensity of missions, but are lower in non-US Western countries. The risk factors for PTSD are well documented, as well as relationships between PTSD and an individual’s psychological, biological, and social functioning.
Previous findings on the impact of co-occurring posttraumatic stress disorder (PTSD) in patients with borderline personality disorder (BPD) have revealed inconsistencies, which may have been related to small sample sizes or differences in the presence of childhood sexual abuse (CSA). In this study, the potentially aggravating impact of PTSD and the role of CSA were examined in a large cohort of BPD patients.
Humber College School of Health Sciences has partnered with Toronto-based charity the Tema Conter Memorial Trust to offer MANERS Psychological First Aid. MANERS is an innovative two-day workshop designed for anyone that deals with trauma or crises.