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Critical incidents are traumatic events capable of causing powerful emotional reactions in people who are exposed to those events. The most stressful of these are often seen as being line of duty deaths, co-worker suicide , multiple event incidents, delayed intervention and multi-casualty incidents. [ 4 ]
[7] [8] [9] Avoiding a trauma trigger, and therefore the potentially extreme reaction it provokes, is a common behavioral symptom of posttraumatic stress disorder (PTSD) and post-traumatic embitterment disorder (PTED), a treatable and usually temporary condition in which people sometimes experience overwhelming emotional or physical symptoms ...
Evidence-based, trauma-focused psychotherapy is the first-line treatment for PTSD. [1] [2] [3] Psychotherapy is defined as a treatment where a therapist and patient build a therapeutic relationship and focus on the patient's thoughts, attitudes, affect, behavior, and social development to lessen the patient's psychopathologies and functional impairment.
In extreme cases, reaction may invoke suicidal tendencies. The term "delayed grief" is also used to describe a pattern in which symptoms of distress, seeking, yearning (etc.), are occurring at a much later time period than is typical. [2] Delayed grief refers to any reaction that occurs later than usual, as a delayed onset of symptoms. [3]
Psychological trauma (also known as mental trauma, psychiatric trauma, emotional damage, or psychotrauma) is an emotional response caused by severe distressing events, such as bodily injury, sexual violence, or other threats to the life of the subject or their loved ones; indirect exposure, such as from watching television news, may be extremely distressing and can produce an involuntary and ...
According to the DSM-5, acute stress disorder requires the exposure to actual or threatened death, serious injury, or sexual violation by either directly experiencing it, witnessing it in person, learning it occurred to a close family or friend, or experiencing repeated exposure to aversive details of a traumatic event. [4]
There was a significant mechanism of injury (for example, a high-speed car accident, falls >20 ft); OR; The patient has an altered mental status; OR; The medical responder suspects that the patient has multi-systems trauma; If NONE of these criteria are met, the medical provider may go through a slower or more focused trauma assessment. [3]
Prefacing trauma questions with brief normalizing statements, such as "That is a common reaction" might facilitate deeper discussions about trauma. Asking for details about the experience may be traumatizing for the client. In situations where detail disclosure is necessary, such as law enforcement or litigation, certain approaches may be ...