Treatment lecture Flashcards

1
Q

Debriefing

A

Brief intervention conducted after traumatic event (secondary intervention). Clear risk factor and its a human response to want to help people, which is why its had a lot of attention

The interventions vary in;
- Content
- Form
- Target population

About 2 hrs, first individual than groups.

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2
Q

Phases of debriefing

A

Introduction
Facts (what happened, complete reconstruction from everybody’s perspective)
Thoughts
Feelings
Symptoms
Education
Closure

Aims are: prevention of PTSD, providing support and educating on typical normative/non-normative responsses

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3
Q

Guidelines (NICE)

A

Advice against debriefing. inconsistent findings and strong focus on emotion. Not only inactive but can even worsen symptoms.

Findings of the study;
Not significant, but from another point of view CISD intervention could hinder recovery (included 0 in CI)

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4
Q

Possible explanation ineffectivity of CISD

A

Disturbs natural prcessing/oscillation of reexperiencing vs. avoidance (It switches between needs)

Discourages using social support (I’ve had help so I should move on)

Sensitization instead of habituation ( group sessions, so might not be able to habituate)

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5
Q

Guidelines on treatment

A
  1. Diagnosis
  2. First choice treatment:
    - Imaginal/prolonged exposure
    - Cognitive therapy/ CPT
    - EMDR
    - TF-CBT

Brief eclectic psychotherapy
Narrative exposure therapy
Writing therapy
Imaginal rescripting

  1. Try other first choice treatment
  2. Intesified care (condensed treatment, pharmacotherapy)
  3. Alternative/complementary treatment
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6
Q
A
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