Post-traumatic stress disorder is a mental change as a result of one or more exposures to situations defined as "traumatic experiences".
For example, a significant decline in morale, sleep disturbance, irritability, overreacting to events, being in fear at all times, to name a few. Most of the time, a healthy adult can overcome this condition within a period of weeks. However, for some people, the deterioration in their psychological state is permanent and they develop the condition known as PTSD. Being exposed to one or more of the following situations, hearing that a family member or close friend has been exposed, or witnessing others being exposed can lead to PTSD.
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Post-traumatic stress disorder can be caused by the following situations;
- Disasters; earthquake, flood, landslide, avalanche,
- Drowning hazard, fire
- Violence; war, armed attack, torture, rape, extortion, kidnapping
- Occupational homicides (cave-ins in mines, falls from construction sites)
- Traffic / maritime / airplane accident
- Fatal allergic reaction
Treatment Options
There are various treatment options for post-traumatic stress disorder. These treatments usually provide successful results for people with post-traumatic stress disorder. Post-traumatic stress disorder shows its effect in a short time thanks to these treatments.
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EMDR
EMDR (Eye Movement Desensitization and Reprocessing in Turkish) is a powerful psychotherapy approach for post-traumatic stress disorder. Information such as emotions, thoughts, sensations, images, sounds and smells are processed and integrated into associated memory networks. Thus, learning about that experience takes place. In post-traumatic stress disorder, this system seems to be disrupted when traumatic or very disturbing events are experienced. New information is not processed and integrated into the existing memory network. In addition to major traumas such as natural disasters, major accidents, losses, war, harassment, rape, all kinds of traumatic experiences at any age, especially in childhood; negative events in family, school, work environment in daily life, exposure to violence, humiliation, rejection, neglect and failures can be among the unprocessed memories.
In post-traumatic stress disorder, EMDR is a physiologically based therapy that enables the processing of such isolated memories. It enables the brain to do what it could not do in time. It is possible to establish a relationship between the locked memory and other memory networks, to provide learning and to store information in an adaptive way. The client is no longer disturbed and sees the memory from a new and healthy perspective.
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With EMDR therapy, not only the symptoms disappear. The positive beliefs and positive emotions gained from the new perspective also change the person's view of himself/herself, his/her relationships and the world in a positive way and provide personal development.
Cognitive Behavioral Therapies
Cognitive Behavioral Treatment (CBT) for PTSD involves exposure to the trauma and targets cognitive and behavioral avoidance related to PTSD. CBT is a structured treatment that includes components such as anxiety coping (e.g. relaxation), psycho-education and cognitive restructuring techniques, in addition to focusing on the traumatizing events. One of the CBT methods applied to PTSD patients is Prolonged Exposure (PE), which primarily focuses on confronting frightening stimuli (visual and internal) related to the trauma until the anxiety subsides. Another method is Cognitive Process Therapy (CPT), which aims to identify problematic cognitive processes related to the trauma and replace them with more adaptive cognitive processes.
In PTSD, trauma-focused CBT (TF-CBT) has been shown to be clinically effective on all PTSD criteria when compared to untreated patients.
Schema Therapy
In PTSD, this method is the provision of corrective emotional experience to heal both past and present traumas through the individual's early traumas. It allows the individual to release the blocked emotion of "sadness suffocation" related to the trauma experience and provides comfort and protection by restoring the "healthy adult" to the individual.
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Medication Therapy
In post-traumatic stress disorder (PTSD), serotonergic or other groups of medications can relieve symptoms within weeks. It has been proven by many studies that the best treatment method is combined treatment, i.e. medication and psychotherapy. When the patient, the treatment team (doctor and psychologist) and the patient's relatives (social support) cooperate, successful and lasting results are obtained in a much shorter time.