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General Reactions. A rise in emotional energy, turmoil, and confusionDisturbance in thinking and reasoningDisturbance in how one perceives the environment. Reactions To Crisis. IrritabilityAngerLoss of appetiteInability to sleepNightmaresSadness. HeadachesNauseaHyperactivityLack of Concen
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1. General Crisis Reactions Reactions To Crisis
Stages of Crisis
2. General Reactions A rise in emotional energy, turmoil, and confusion
Disturbance in thinking and reasoning
Disturbance in how one perceives the environment
3. Reactions To Crisis Irritability
Anger
Loss of appetite
Inability to sleep
Nightmares
Sadness
Headaches
Nausea
Hyperactivity
Lack of Concentration
Increased chemical consumption
4. Stage 1Shortly After Trauma Rapid heartbeat
Trouble breathing
Nausea
Trembling
Excessive Sweating
Ringing in ears
Physical numbness Feelings of helplessness
Fear and anxiety
Guilt
Anger / rage
detachment
5. More Stage 1 Outbursts of anger
Rumination
Hyper-vigilance
Nightmares
Flashbacks
Poor Concentration Withdrawal
Sleep disturbance
Loss of appetite
Self-medication
6. Stage 2Within 6 months of incident and last less than 6 months Increased anxiety
Avoidance of places / situations
Signs of depression
Disinterest in friends
Disinterest in activities
Constant thoughts about incident or death
Strain on relationships
Inability to concentrate
Ongoing weakness/ fatigue
7. Stages After a Trauma(From APS Crisis Handbook) Stage 1: Shortly After Trauma
Stage 2: up to 6 months after trauma
Stage 3: After 6 months after Trauma
8. More Stage 2 Flashbacks
Obsessive seeking for answers Eating binges or loss of appetite
9. Stage 3May persist more than 6 months Chronic depression
Preoccupation with disability or pain
Low self-esteem Sensation seeking
Dependency on alcohol or drugs
Everything is a crisis
10. Posttraumatic Stress DisorderFrom DSM-IV Anxiety Disorder (309.81)
Exposed to traumatic event
Persistent re-experiencing trauma
Persistent avoidance
Persistent increased arousal
Duration more than 1 month
Significant impairment
11. PTSD Can be acute
Can be chronic
Onset can be delayed
12. PTSD in ChildrenMAY be expressed by: Disorganized or agitated behavior
Repetitive play with themes or aspects of the trauma
Frightening dreams without recognizable content
Trauma-specific reenactment