Presentation Example: Posttraumatic Stress Disorder (PTSD)
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- Опубликовано: 20 авг 2019
- This video answers the question: Can I analyze a presentation example featuring posttraumatic stress disorder (PTSD) origin and course of treatment?
The definition of posttraumatic stress disorder contains a qualifying trauma section. There are four types of traumatic experiences listed: directly experiencing a traumatic event, witnessing a traumatic event in person occurring to others, learning about a traumatic event that occurs to a family member or close friend, or repeated exposure to aversive details of a traumatic event.
The four other categories of symptom criteria for PTSD include: intrusion (e.g. intrusive memories or flashbacks), avoidance (e.g. avoids thoughts or reminders of the trauma), negative mood (e.g. anger and guilt), and arousal (e.g. hypervigilance and difficulty sleeping). These symptoms have to be present for more than a month and they have to cause clinically significant distress.
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Goodall, B. B. G. cam. ac. u., Chadwick, I., McKinnon, A., Werner, S. A., Meiser, S. R., Smith, P., & Dalgleish, T. (2017). Translating the Cognitive Model of PTSD to the Treatment of Very Young Children: A Single Case Study of an 8-Year-Old Motor Vehicle Accident Survivor. Journal of Clinical Psychology, 73(5), 511-523.
Hull, A. M., Corrigan, F. M., & Curran, S. A. (2016). Identifying patients with complex PTSD. Practitioner, 260(1795), 31-37.
poor kid probably thought he would lose his other parent, guy threatening them like that.
Could you please talk about a case study of avoidant PD?
Dr. Grande is the first person that can explain things in a way that I can actually understand. Truly appreciate each and every upload 😊
As someone who has been diagnosed with PTSD and later CPTSD this is very helpful! Your case studies are very easy to identify with, even if one hasn't had the same experience. I think the worst thing for sufferers of trauma is when other people, including the clinical community, minimize the suffers' experience. Nobody with (C)PTSD wants to have this condition, and I assure you that it is not an attention-seeking condition, since sufferers often experience immense amounts of guilt and shame. Humanizing this condition is something that greatly needs attention! So thank you Dr. Grande, and I hope you continue to put out more content on trauma and (C)PTSD. I would also implore you to talk about CPTSD that is brought about my relational trauma from a Cluster-B personaity disordered person in either an intimate relationship or the workplace. I think that most people conceptualize CPTSD as something only acquired in childhood, but there are many adults who develop this. There's a lot of talk about "narcissistic abuse," but this doesn't capture the nature of the trauma that occurs to the target or victim of a malignant narcissist or psychopath. And if there aren't any case studies out there published, then I'd gladly offer myself as a subject for your assessment!
I have CPTSD, too, and I've been called a faker and an attention-seeker by my 'mom' (the Narc-enabling cunt she is). She kept telling me what I went through 'wasn't that bad'. Ironically, that's what I'd been telling myself prior to treatment BECAUSE SHE'D ALWAYS SAID SO. It's bad enough when the general populace doesn't understand, having those distrusting habits reinforced by those one lives with is really not good. This video was really helpful for me, too, because it helps tune out the cunt's manipulation.
I've experienced that type of manipulation, victimization trauma.
I've experienced trauma most people label as "self inflicted" like addiction and sex trafficking.
I've experienced first hand violent death twice.
I would personally validate all those things as traumatic in the way it influences your world perception.
But it's still a very different type of trauma. I think it needs a bunch of different categories like maybe victim inflicted, self inflicted, circumstance inflicted. Maybe something like that...
The victim, self inflicted circumstances are much easier to turn into your strength, because you survived that shit.
The circumstance inflicted thing is different... Because you survived that shit.. but for reasons you can never understand someone else didn't 🤔
Sorry, more comments.... one thing I want to point out as a common feature of all post-traumatic stress is the experience that the sufferer feels utterly helpless, unsafe, and/or fearful for his/her life - whether or not the sufferer were "actually in danger". One could totally understand how the experience relayed in this case study could be perceived by Joe as very scary (especially in light of losing the safety of the mother). Aggression, regardless of whether it results in physical trauma will cause psychological trauma. Perception is reality.
@The Rockall Times I'm sorry to hear. Having spent too much of my life in a hyperadrenalized state, driven by constant fear, I'm also in the same boat. It somehow feels impossible to break free because you just can't "turn it off".
I’ve learned so much from these videos; I now better communicate with family and friends after gaining a better understanding of their personal/ mental struggles while creating healthy boundaries so that I don’t fall into their rhythm. I also have an incredible sounding board (offline) and one other clinician online that I enjoy viewing. Thank you Dr. Grande!
Oh I’m usually not one of the people that write this but:
I never clicked so fast
mo fo I dunno lol
I suffered from PTSD due to the abuse from one of my parents a year and a half ago. It exacerbated my panic disorder and somehow my panic disorder brought on health anxiety that I struggled for, for a year. It would be FABULOUS if you could do a video regarding health anxiety and/or hypochondria. Much appreciated. Love your videos like always! :-)
I really enjoyed this case study, Dr. Grande. This is probably my favorite addition to the programming on your channel. Thank you for all you do 🙏
Thank you so much for these videos, it really helps me understand what I'm thinking and feeling.
Wow, this shows how helpful it is when you have support, particularly at the time of the trauma. I have always believed that the right support from loved ones is one of the most critical elements to healing from trauma. Thank you, Dr. Grande for talking about this and all of the subjects you have touched on. You're amazing!
Thanks for providing a case study to highlight the disorder. I always find these very helpful.
Thank you so much for this. I really appreciate the story of this 8 year old having suffered PTSD from a single seemingly insignificant event.
We are still living this horror of sons unintegrated Traumatic experience 35 years later.
Son walked off the school yard in grade 5 and walked home. He was bullied. The bullying seemed average, clothes intact, son wasn't disheveled, no scratches, bruises. Son never returned to the school as I didn't feel the teachers were prepared to address it in any meaningful way.
His immediate reaction to Mom asking what happened was RAGE. We backed off. Let the kid process it, well approach the subject gently at bed time.
Stroking his head, speaking in a calm soothing voice I asked him to share with Mama what happened. Result VOLATILE RAGE.
We backed off. Maybe he'll be able to talk about it in a week or so.
Next morning I walked past his partially open bedroom door and heard a growl coming from the room. He was growling at Mom.
We proceeded to do damage control to restore his sense of safety, and well being.. Tai Kwon Do lessons.
Well to make a long story short. He developed full blown PTSD. I was blown away. How could one insignificant incident cause PTSD. Everyone was bullied in school and somehow we processed it. Well HE didn't. The anger, the rages, the AVOIDANCE of all memories to do with the school and curriculum, hiding knives under his pillow, withdrawing from friends. In addition the AVOIDANCE of Mom who had unwittingly attached herself to the trauma by association simply by asking him what happened.
He appeared to have developed OCD or the Pure O form of OCD which manifested itself as " I HATE my mother".
Today, he suffers Anxiety Attacks, Panic Attacks" as unintegrated trauma will cause the person to experience "perceived traumas". He has been diagnosed with Complex PTSD.
Unemployed, unemployable, single father of 2 boys who he's hiding from parents due to shame issues. He knocked up his girlfriend and was unable face us.
His anger and occasional bouts of Rage turned to BULLYING his Mom. "Projection"
We had been trying to gain access to our grandsons and made application for Grandparental visitation while trying to use gradual exposure to counter his irrational fear of Parents. Exposure was sending Birthday cards, sending our grandchildren Christmas presents, offering him financial aid so he could undergo CBT. All of which he labelled "HARASSMENT.
For every card, every Christmas Present, every attempt at communication, he would call the Police. Finally, he had us charged with Criminal Harassment. We are now fighting Criminal charges, that threaten to wipe out our retirement funds with a full trial coming up.
Unbelievable. Not only am I angry at the Police for stepping into our familys medical problems and ENABLING our sons "PHOBIA", but I'm at risk for PTSD.
This is one of the best, if not the best, post incident ( yea even from the narcissist ) explanations of why you become a different person, why it's natural to perceive a new situational awareness & establish defenses. My take is to keep it isolated, not expect the same result from a similar incident. Stay out of the rabbit hole of sterotyping expected reactions. Definitely playing this again. TY. Dr. G.
Fascinating presentation Dr Grande. Thank you.
Poor Joe, the events after the accident must have been the straw that broke the camel's back!
Poor, traumatized 8 year-old... SMH. I hate to hear about someone so young suffering like that. It sounds like he was probably already going through it internally due to having an absent mother and the accident and subsequent altercation was the straw that broke the camel's back. It's good to hear that he has a caring, devoted father and a treatment team who took his treatment seriously. I hope the kid's prognosis remains positive.
This is such an uplifting case study.
It leaves someone with a positive outlook.
It brings hope that traumas are treatable.
And it normalizes seeking therapy, even for a little boy.
Intervention happened just in time, preventing PTSD from evolving into something more complicated.
Great example!
I really appreciate this information. It is a classic example of how traumatic events at a young age can affect us. Thank you.
I can just listen to Dr Grande talk all day
Great clinical study and an example of how trauma as a child can affect so many aspects of their life. Seemingly little things (as adults) can happen that kids can not process completely.
If left untreated, missed diagnosed with ineffective treatment, he could have spirolled out of control with more serious consiquenences.
Thank you again for your case studies, the are a great help.
This presentation example really touched my heart. I'm delighted the dad got help for his son right away and so pleased the therapeutic staff did a fantastic job, overall. Thank you SO much for your priceless videos, Dr. Grande, I watch every one of them. 🤗🤓
I’m really enjoying these case study videos! You do a great job presenting the information in a way that is both interesting and informative to a lay person!
Very interesting case and an excellent analysis. Appreciate your sensitivity about not stigmatizing this young child based on this trauma incident. Another excellent video Dr Grande. Thank you and keep up the great work!
Dr. Grande thank you for doing these videos I find they help me supplement the learning I am doing in masters program .
Thank you for this very interesting example, Dr Grande!
& I believe, you're on point with your suspicion, that there're lots of various diagnosis put onto this boy's mental health list.
That's exactly what I was initially really baffled about (the longer the list got the more my jaw hit the floor so to speak) and I've thought the same as well tbh, specially bc e.g. depressions/major depressions aren't unusual in cases of PTSD.
What a sweet child. He was worried about his dad. I bet my retirement fund that their bond is and will forever be unbreakable.
what's complex PTSD ? can you do a video on that? thank you
There was one recently from Dr Grande.. 😊
He has one. Just look up his name and CPTSD
Already has
I enjoyed your presentation and you did a great job of explaining things.
From personal experience, it's encouraging to see someone suggesting the multiple diagnoses might just spell PTSD. Which as the story goes, mine might not have developed into if the only way I found out my employer was treating me for it prior to laying me off hadn't been by making a criminal injuries claim for the incident two years prior after taken for a psychiatric assessment and then feeling threatened by the police. Thank-you very much for making this video.
Really enjoy your videos Dr. Grande. Learn a lot etc. Would love to see you cover Substance abuse disorder more thoroughly, particularly alcohol dependency, overthinking/restlessness & how that mindset relates to anxiety & adhd. I've been personally struggling with these issues lately.
Such an interesting case; thank you for sharing!😊
Thank you this video was very insightful.
I mostly use EMDR therapy but I now see the helpfulness and logic behind TF-CBT. This video has inspired me to branch out.
CBT and the other modalities make me panic and want to run.
@@sr2291 lol!
@@julhowechannel203 Why is that funny?
Mmj has done miracles for my PTSD hubby. He used to be so angry and violent....but now he stopped hurting me.
Thanks Dr. G. Another very helpful video.
😉
Excellent presentation, learned a lot
I have several videos to watch to get caught up... In other words... My weekend is now planned!
wow a great video. i have been diagnosed with c ptsd and came to this video to decide whether or not to apply for a grant under the disabled category, but i stayed for the nuanced and wonderful breakdown.
I'd love to hear more about cognitive distortions.
Great video, as always!
This one was so intriguing! I miss these case study videos of yours, in my opinion they were very interesting to watch. Maybe you should bring them back.
Thanks Dr Grande. Made me question about half the stuff I believe. I mean, I’ve already realised a lot of my ideas are off tap, but this added to that suspicion.
This has been extremely helpful to me. Thank you so much... ❤ I like you again.
Case studies are really great. i'm enjoying these.
APD would be really interesting for me too.
Eventually, covering each disorder and what they are will run out. Case studies is a source of continued material for future videos. It's a nice transition that works for channel as well as the audience =]
Really great analysis!
Hi Mr. Grande, can you please bring us a case with NPD and BPD that occur at the same time.
Love your videos
Thanks Again irene
Great job pointing out it's the perception and environmental factors (plus all that other stuff you mentioned)
Your own experience leads to your perception. If you are traumatized, it's a valid feeling.
I've experienced things like traumatic, violent death. Im over it for the most part. The smell of burning plastic or rubber doesn't bring me to my knees anymore
Even though I facilitated my own sex trafficking, I'm still much more effected by that. It influences the way I perceive every man in every situation, every day. I doubt that will ever change.
Would you be able to look into hyperacusis and whether it tends to occur more often in those with PTSD or C-PTSD or if any correlation is coincidental?
Thank you for your informative and interesting videos, Dr. Grande. Could you please make a video discussing EMDR therapy for PTSD (methodology, efficacy, breakdown of potential benefits vs negatives, comparison to other treatment options)?
Dr. Grande I have a question that I want your point of view on; this isn't "mental health" related and im not suggesting a video on this. I just want your point of view on the topic of listening to binaural beats while asleep and if they work? Also would it be considered a psuedo science?
Not expecting an answer really and i know that its not related but this is a question I can't seem to find an answer too & I am very curious.
Btw love your videos!
I believe it helps too but wouldn't advise if you have epilepsy, it may trigger seizures, good question though, interested in hearing Dr Grandes thoughts on them.
@N Silva Exactly, I don't think it is a placebo effect but even if it is, it doesn't matter, I don't think it's a good idea to listen for too many hours in the day/night but I think a couple of hours is very beneficial.
MongoVision I know I’m no Dr. Like Mr. Grande, but what I will say is that I find any sort of continuous predictable noise that can be associated with sleep to be peaceful (eg. binaural beats and ambient noises). I find the delta beats to be the most helpful for falling asleep. I love the low frequency in it. 💆🏻♀️
Damn that's a lot of diagnoses for an 8 yr old kid.
Schrøedinger Bingo! That’s exactly what I thought!🤔 And I can say this Bc whilst I am a DR/Pharmacist, I am NOT psychD or PhD or MD psychiatrist: This provider seemed a little too “dx-happy”, in my small opinion. How that many diagnoses pop up on a kid that formerly only have 1 is a bit shocking. Nonetheless, Grande cannot discredit his colleague.
Thanks Dr.G =)
Great presentation. Definitely gives me more perspective knowledge, especially regarding PTSD. I would be curious if more patient history were collected and if this information might contribute to the little boy's reaction and perception?
Oh, interesting topic! Really enjoyed this one, not that I don't thoroughly enjoy every video. 😉😉
Hi Dr. Grande, I'm writing my thesis and I'm desperate. Do you know of anywhere I can find a source for Lacan's concept of "the third"? Anything would help. Turns out he was quite the complicated fella!
Love the vids.
I have often thought to myself how it is someones perception of an event that largely affects any lasting feelings or opinions they have about the event, and how a person's perception of something can sometimes differ, or even be completely at odds with the reality of an event, but ultimately it will be only how they perceived it that impacts their feelings regarding it.
This has especially occurred to me when seeing things such as videos of pranksters, where people come up with, often increasingly wild ideas to trick, confuse or sometimes scare another person. You sometimes see very elaborate pranks set up where a person can be tricked into believing something terrible is or is about to happen to them, such as being abducted, and thrown into a vehicle and driven away, before it is revealed that the 'abductors' are just silly pranksters and everything is fine, and the person's reaction to the whole event and the reveal is basically the entertainment.
I really question whether things like this are at real risk of traumatizing the person at the recieving end, since the initial fear they might have felt would be very real. Even once the prank is revealed and they know they are safe, is there not a danger that this only serves to further invalidate how they think they should feel Vs how they might actually feel? They are on camera, expected to show some humour and laugh it off perhaps?
Im not sure, but I worry things like this can have long term effects on people, far more frequently than people might realize.
Dr. Grande it would be interesting to investigate the PTSD of the Turpin children. 😍
How would a new clinician best avoid misdiagnosing or the premature/ double diagnosing that you described?
I have a question about PTSD and age of military enlistment. Has there been any research about age of enlistment and PTSD development? I was wondering if there is a negative correlation between the two. Is there any articles that you can direct me to? Thank you so much and I really enjoy your videos.
@N Silva Some do go in slightly later in young adulthood. The brain is not done developing until around the age 25, so a year or two can make a big difference.
In keeping on the PTSD subject can you discuss pics a little for me. My daughter got h1n1 in jan spent several months in the hospital and 43 days in ICU with 27 in a coma on life support. Physically she has healed well but the pics is wrecking havoc on her. There is so little known about it I would be very grateful if you were able to share any knowledge you have
Can you please make a video about c ptsd? Like a case study?
Is there a method to explain this without getting reminded of my own ptsd?
Could you talk about how insurance companies are forcing counselors to use specific modalities to treat mental illnesses?
My stove has cookies in it but it smells like something is burning should I go check it but I dont feel like it and also look out for a white 2016 Toyota corolla
Do you think if someone forgets information for 13+ years with ptsd, is it also disassociative amnesia?
Hi Dr.
I don't know if he talks about this since I just started the video, but as someone who wanted to understand my PTSD. My therapist talked about suppression. He said that suppression is when you want to not think about bad events because of the trauma and emotional pain that it causes when thinking about it. I have that avoidant type of PTSD. So I obviously don't want to think about something that gives me anxiety. But I want to avoid the school that I went to because if I look at where I had my PTSD then I'm thinking about it (because that is where alot of my trauma came from, I used to cry alot in high school as well I think cause of my Generalized Anxiety Disorder). So when I'm looking at the school, the thought I don't want think about comes out and I get very panicked.
Could you do a video on the associated characteristics of Borderline Personality Disorder? Similar to the one you did on associated characteristics of NPD?
This was an interesting case, alright. It's often fascinating how a child's mind works. Who would have thought that seeing an ambulance twice would carry such an impact?
What does 62-80 in PTSD form anyone know? Is it servere or moderate....
I have ptsd. Sometimes i feel i am
healing and sometimes! pum! something unexpectedly triggers me! It sucks! I feel hopeless! I feel so sad and I feel guilt, and also worst! I said sometimes why? Why this has to happen to me? I have feelings of resentment and unworthiness.I am going to a therapist. After one year of this. Seems like the symptoms that Joe went or is going through are so similar to mine in a different case scenario.
you are correct Dr Grande.. diagnosing a child with Conduct disorder so early might make parents reluctant to take their children to therapy :(
Is the mother leaving symbolic of the accident? Perhaps feeling that the father had been injured by her leaving and the entire family injured by leaving? I wonder if there was some emotional chasing and harmful or threatening interaction prior to the the full separation? Perhaps the accident went deeper because of the psst and the behaviour of outbursts represents his anxiety to do with mother leaving or the way she left? The child Interpreting the ambulance as evidence that they were injured was needed for the child to acknowledge real emotional hurt that he could then transfer to the accident? .... just ideas I wonder if some of them could relate.
How much does naivete or low IQ play into vulnerability to PTSD, at least when it is due to a cognitive distortion like in this case?
Almost an identical scenario happened with myself and my older 2 kids. We were leaving soccer practice just like in this case study (eerie!). I was driving home usual route. It’s a weird intersection but I have the right of way her entire time, but another road comes in at sort of like an X intersection. That road has a stop sign and should have yielded to us, but they did not (big truck vs my ford sedan). This caused me to T bone them. We came swirling to a stop and i immediate ask if my kids are ok they said yes. Next thing a large man is charging towards us. I could only assume he was coming to check on us, seeing as how he just caused this accident. Well, evidently he had no idea he had a stop sign and thought I was at fault. I realized at the last second this man was coming to hurt us and I screamed, rolled up my window, locked the doors. He can clearly see my 2 small children with me in the car but it didn’t matter. He began punching my front passenger window repeatedly as if he were trying to break the window, and Presumably beat the shit out of me?? I was screaming, my car wouldn’t start, smoke was pouring from my hood. Neighbors ran over and had a scuffle with the man to put him in his place. Police came, I sobbed to the police and told them how much the man terrified us and this female state trooper REFUSED to take a report. I was MORTIFIED! Anyway if I could have witnessed this man get his citation for causing the accident. What a fool this man was! But yes my children both were being treated for PTSD…not from the crash, but from the man trying to hurt us. I’m pretty sure I could have been diagnosed as well, had I gone to counseling. My kids were the priority. But absolutely terrifying experience.
P.S. my car was totaled and it was a pretty new vehicle. A lot of damage. I still have neck issues but aside from that we are physically ok!! My brother died in a car accident. I forgot to add that this likely contributed to the PTSD bc the accident was traumatic, but crazy man more memorable of the two events.
My brothers death was when my older two were 8 weeks old and almost 4. At the time of our crash they were 4 & 8. They are now 12 & 16. My daughter has her temporary learning permit but we’re taking things as slow as she needs bc she is still scarred from that accident. Such a shame. What a big oaf of a man…
Please talk about Transgenerational Trauma... please 🙏
Can someone get ptsd from a non life threatening experience? I.e. another parent kidnapping a shared child? Or non violent sexual abuse? I was diagnosed with ptsd but havent had any life threatening traumas.
Also, a DPD case study would be so cool. If there isnt any, i volunteer as tribute.
Good grief! That’s a BIG bunch of diagnoses plus spider 🕷 phobia (half of female population has this!😉)!! I hope🤞this child got a secondary diagnosis (es)/opinion!
Re: piling on diagnoses:
Therapist had “Pad the Bill” or “heavy student debt disorder.”
Another great example of mental health professionals confusing everyone with endless diagnoses while having no useful treatment
Hey wassup Doc, what does it look like when one with Borderline PD is near the end of their patience. When he/she embraces the great disliking of ppl. I hate ppl now, like truly, I don't like ppl. My mother is exempt tho
That amount of diagnoses for an eight year old is simply ridiculous.
When I was a foster parent, a therapist once told us that she didn't like to give too many labels (diagnoses) to a kid too soon because then you end up with alphabet soup and the kid can become stigmatized and branded by the system for life. I thought it was an interesting way of looking at it. It even inspired me to write a short poem about it: marandarussell.com/2018/08/19/mental-illness-labels-alphabet-soup-poem/
Hard to believe what kind of person would threaten and pursue a dad who has his kid in the car with him.
I don’t think it is as simple as others in the comments seem to believe that it was „just“ his fear to loose his dad also. Of course I think this is part of that but I believe it was even “worse” for the kid to see how his father was threatened and went away from the situation. Of course that was the right thing to do, the only right thing but as a kid you believe your parents, especially the father, have everything under control, always and they blindly believe in that even if they’re old enough to know better. Kids don’t understand that walking away is a way to keep things under control. Fathers are heroes in kids‘ eyes [if the father/child relationship is healthy] and nobody would dare to threaten them seriously, especially if the kids are also involved and in danger [or just feel like that]. And that is the part you can’t argue against. I mean, of course you can’t argue any trauma away anyway but this kid didn’t just become aware that accidents can happen, that his father can also die any day, but he realised that his father can’t protect him from everything only by being there. Of course every kid realises that one day but added to this boy’s history and to the circumstances it was a traumatic experience for this one.
My psychologist had a lot of problems accepting death by a thousand cuts as a cause. That's narcissistic abuse. Nothing specific happened. Also:I was murdered a little bit (I immediately detected the sabotage of my breaks). My eyes were only almost poked out. My ears were only a little damaged. My nose was put kinda straight again. I've still got the teeth that were kicked out of my mouth. Nothing to see here...
No2! 🤓
i know that cognitive distortion feeling. its like as if your brain turns into a massive tangle
Rumination and brooding is PTSD, in my unprofessional option.
Joe's father sounds like a nob to me.......all of that could have been avoided if the father had handled the initial situation properly. Anyway, very interesting thanks Dr G.
It sounds like Joe maybe destined to be a journalist: (~”…a lot of blanks in terms of what happened, filled in those blanks with the worst case scenario”.)
Miss E.:C
poor child
How about stop discriminating anyone as having MENTAL DISORDER and find new creative ways on individual basis. I don’t think Joe will fully heal until his dad and him get joe to get back on the road and have a changed positive experience