Introducing
Your new presentation assistant.
Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.
Trending searches
Client will utilize therapeutic interventions to reduce hyperarousal resulting in an increased ability to engage in community activities.
Client will meet with a counselor at the VA to complete a Davidson Scale or other appropriate assessment to determine current anxiety/hypervigilance level
Cognitive Behavioral Therapy (CBT) and prolonged exposure therapy are the two first-line treatments supported by the Veteran’s Health administration. Both have shown reduction in overall symptoms of PTSD in veterans, however, improvements for hyperarousal have not been consistently observed (Staples, Hamilton, Uddo 2013)
Client will pick a trigger location in the community, visit 3x a week for 30 minutes with a coach CHANGE TO: Pick 3 activities the client enjoys doing all 3 in one week
Client will meet with his primary care giver to link mental health concerns to determine if pharmacological interventions are appropriate
Hyperarousal may lead to varied health problems including:
1) neuroimmunoendocrine system alter-ations (changes in cortisol, insulin, and glucose levels; elevations in cytokines and enzymes) resulting in inflamation and compromised immune functioning
2) correlation with thyroid level
3) impairment of health due to risk behaviors
(Pérez, Abrams, López-Martínez, & Asmundson 2012)
DSM V section E. of PTSD
Marked alterations in arousal and reactivity associated with the traumatic event(s), beginning or worsening after the traumatic event(s) occurred, as evidenced by 2 (or more) of the following:
(American Psychiatric Association, 2013)
American Psychiatric Association. (2013). Diagnostic and statistical
manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Pérez, L., Abrams, M. P., López-Martínez, A. E., & Asmundson, G. G.
(2012). Trauma Exposure and Health: The Role of Depressive and Hyperarousal Symptoms. Journal Of Traumatic Stress, 25(6), 641-648. doi:10.1002/jts.21762
Staples, J. K., Hamilton, M. F., & Uddo, M. (2013). A Yoga Program for the
Symptoms of Post-Traumatic Stress Disorder in Veterans. Military Medicine, 178(8), 854-860. doi:10.7205/MILMED-D-12-00536
Feinstein, D. (2012). Acupoint stimulation in treating psychological
disorders: Evidence of efficacy. Review Of General Psychology, 16(4), 364-380. doi:10.1037/a0028602
http://www.nature.com/nrn/journal/v14/n7/box/nrn3524_BX5.html