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Critical incident stress management (CISM) is a system of support for individuals and groups who have been exposed to trauma. It is a form of psychological first aid. It includes pre-incident preparedness and acute crisis management through post-crisis follow-up.
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.
[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 ...
Complex post-traumatic stress disorder (CPTSD, cPTSD, or hyphenated C-PTSD) is a stress-related mental and behavioral disorder generally occurring in response to complex traumas [1] (i.e., commonly prolonged or repetitive exposures to a series of traumatic events, from which one sees little or no chance to escape).
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 ...