Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical...
-
Upload
veronica-cottman -
Category
Documents
-
view
219 -
download
0
Transcript of Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical...
![Page 1: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/1.jpg)
Jessica Duffel, Psy.D.
Clinical Psychologist
Family Mental Health Program
Oklahoma City VA Medical Center
Surviving Trauma: The Impact on Individuals,
Families, and In the Classroom
![Page 2: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/2.jpg)
Review the signs and symptoms of PTSD
Review of protective and risk factors associated with posttraumatic stress
Describe the impact of posttraumatic stress in the school setting for children and adults
Objectives
![Page 3: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/3.jpg)
What is Trauma?
![Page 4: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/4.jpg)
Exposure to death, threatened death, actual or threatened serious injury, or actual or threatened sexual violence Direct exposure or witnessing
Indirect exposure
Repeated or extreme indirect exposure to gruesome details of the event(s), usually in the course of professional duties
Trauma Defined
![Page 5: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/5.jpg)
Sexual abuse, physical abuse, domestic violence
Violent crimes
War
Natural or man-made disasters
Community violence
Transportation accidents
Examples of Traumatic Stressors
![Page 6: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/6.jpg)
R e-experiencing
A voidance
I ncreased arousal
N egative thoughts and feelings
Signs and Symptoms: RAIN
![Page 7: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/7.jpg)
Symptoms persist for at least one month
Negatively impact important areas of life
There may be delay in appearance of symptoms
Additional Considerations
![Page 8: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/8.jpg)
Other Possible Effects of Trauma
Fear
Worry
Sadness
Anger
Feeling alone
Low self-esteem
Difficulty trusting
Aggression
Self-harmAlcohol or drug
misuse
![Page 9: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/9.jpg)
Not everyone who experiences trauma develops PTSD
Posttraumatic reactions vary by person and age
Important Points
![Page 10: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/10.jpg)
The Impact of Trauma on Families
![Page 11: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/11.jpg)
May feel that their parent does not care about or love them
May worry their parent cannot take care of them
May worry about their parent’s well-being
May show similar symptoms as parent
May take on the adult role
May not learn how to manage their feelings
Children of Parents with PTSD
![Page 12: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/12.jpg)
Help children learn what it means for a parent to have PTSD
Share information, but do not overshare the details of the parent’s trauma (depends on age and maturity of child)
Help the child understand it is not his/her fault
Individual therapy for parent and childFamily therapy is a good optionBe aware of possible violence in the home
Helping Children Who Have a Parent with PTSD
![Page 13: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/13.jpg)
How severe was the trauma?How close was the trauma?Did the trauma involve interpersonal
violence?Were there repeated traumas?
For Children:How did the parents react to the trauma?Does the child have a preexisting mental
health condition?Are there parental mental health concerns?
Risk Factors for Developing PTSD
![Page 14: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/14.jpg)
Family and Social Support
Distance from the trauma
For children, parents are less upset after trauma
Protective Factors
![Page 15: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/15.jpg)
Family and Social Support
Distance from the trauma
For children, parents less upset after trauma
Protective Factors
![Page 16: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/16.jpg)
In the Classroom
![Page 17: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/17.jpg)
Difficulty paying attention
Impaired processing of information
Learning and memory difficulties
Difficulty with problem-solving, planning, organization
Negative attitudes toward school
The Effects of Trauma In the Classroom
![Page 18: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/18.jpg)
Extra time on in-class exams or out-of-class assignments
Additional reminders for due datesAllow for audio recording of class
lessons/lecturesGive seating optionsAlternative seating arrangements Breaks during class
Possible Accommodations
![Page 19: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/19.jpg)
Allow to stand in back of class for brief periods
When possible, use of break out groupsTutoringExcused absence procedures for medical
and/or mental health appointmentsCommunicate directly to educators about
student being a trauma-survivor (if known) and suggestions for accommodations to help the student succeed
Possible Accommodations
![Page 20: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/20.jpg)
Speak calmly and gently, yet firmRespectful languageEven tone of voice, not shoutingApproach from the frontMinimize sudden movements Avoid touching the individualMinimize loud, sudden noisesFirmly ask the individual to leave the setting
if being disruptive
Communication with Trauma Survivors
![Page 21: Jessica Duffel, Psy.D. Clinical Psychologist Family Mental Health Program Oklahoma City VA Medical Center.](https://reader035.fdocuments.us/reader035/viewer/2022062304/56649c905503460f9494a18b/html5/thumbnails/21.jpg)
OKC VA Med Center Family Mental Health Program:
405-456-5183 405-456-2392 National Center for PTSD:
http://www.ptsd.va.gov/National Child Traumatic Stress Network,
Psychological First Aid, Appendix E: http://www.nctsn.org/sites/default/files/pfa/english/appendix_e.pdf
Vet Parenting Toolkit http://www.ouhsc.edu/VetParenting
American Psychiatric Association, DSM 5
Resources