post traumatic stress disorder

bull Classified as an anxiety disorder

bull After trauma exposes the victim to actual or threatened

death or serious injury 3 dimensions of PTSD unfold

(1) reexperiencing the event with distressing

recollections dreams flashbacks andor psychologic

and physical distress

(2) persistent avoidance of stimuli that might invite

memories or experiences of the trauma and

(3) increased arousal(Vieweg et al 2006)

Post traumatic stress disorder

1


2

bull Research into the pathophysiology of PTSD has

focussed on areas of the brain associated with

fear processing and memory

- Amygdala Hippocampus Medial prefrontal

cortex

bull There is still uncertainty over the patho-

physiology of PTSD

bull Hypothesised that PTSD represents a failure of

the prefrontal-anterior networks to regulate the

amygdala ndash resulting in hyper-reactivity to

threat

Pathophysiology of PTSD

3

bull Where would you see the physiotherapists role

in helping people with PTSD

QUESTION

4

1) genetic factors and gene by environment

interactions

2) developmentalchildhood factors

3) neurobiological risk and resilience factors

4) psychological risk and resilience factors (eg

coping style personality)

5) cognitivebehavioral risk and resilience factors

(eg processing information and appraisal of

information)

6) social factors

Pathophysiology ndash only one part

of the picture

5

Through this session you have

bull Considered and practically utilised relevant outcome measures to identify common mental health conditions

bull Gained a brief overview of the pathophysiology of common mental health conditions

bull Discussed the practical application of this knowledge to physiotherapy practice

bull Considered other influences on individuals mental and emotional health

Overview

6

Vieweg WV Julius DA Fernandez A Beatty-Brooks M Hettema JM

Pandurangi AK (2006) Posttraumatic stress disorder clinical features

pathophysiology and treatment American Journal of Medicine 119 5

383-390

Hasler G (2010) Pathophysiology of depression do we have any solid

evidence of interest to clinicians World Psychiatry 9 3 155ndash161

NIMH (2013) Signs and symptoms of depression accessed 18022013

1130 am httpwwwnimhnihgovhealthpublicationsdepressionwhat-are-

the-signs-and-symptoms-of-depressionshtml

CNS Forum accessed 18022013 1000am httpwwwcnsforumcom

References

7


2





cortex


physiology of PTSD




threat


3



QUESTION

4


interactions







information)

6) social factors


of the picture

5






Overview

6




383-390







References

7





cortex


physiology of PTSD




threat


3



QUESTION

4


interactions







information)

6) social factors


of the picture

5






Overview

6




383-390







References

7



QUESTION

4


interactions







information)

6) social factors


of the picture

5






Overview

6




383-390







References

7


interactions







information)

6) social factors


of the picture

5






Overview

6




383-390







References

7






Overview

6




383-390







References

7




383-390







References

7

post traumatic stress disorder

Education