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May 02, 2006

Post-traumatic stress disorder (PTSD): Does Hypnosis Treatment Helps?

by SirGan

SteadyHealth.com - Health Topics Forum Index -> Articles archive

Post-traumatic Stress Disorder, or simply PTSD, is a psychiatric disorder that can occur following the experience or witnessing of life-threatening events such. Such events could be military combat, natural disasters, terrorist incidents, serious accidents, or violent personal assaults like raping, child abuse and similar. Most of the people who experienced these things can return to the normal life within some given time, but great amount of people develop one serious stress reaction disorder that, not only will not go away on its own, but may even get worse over time.
 

Many people say they are literally haunted by the memories of traumatic experiences which disrupt their everyday activities.

The primary symptoms of PTSD are:
  • Intrusion - a reliving of the trauma causing event on a fairly persistent basis such as:
    • Recurring and disturbing memories of the event,
    • Distressing dreams of the event,  
    • Feeling of re-experiencing the event itself, such as illusions, hallucinations and flashbacks,  
    • An intense fear during exposure to events that could resemble the past traumatic event
  • Avoidance – This is very common mechanism in which, the individual attempts to avoid situations which are associated with the trauma
  • Hyperarousal – when the individual has problems with feelings of increased arousal or vigilance that were not present before the trauma:
    • Difficulty with sleep,  
    • Intense irritability and angry outbursts,  
    • Difficulty with concentration,  
    • Hypervigilance,
    • An over-exaggerated startle response when surprised,
Signs of increased panic and stress response, such as rapid breathing, higher heart rate, sweating etc. when exposed to situations that resemble the earlier trauma
Other symptoms that could occur months or even years after the original trauma and may include the following:
  • amnesia, forgetfulness, inability to concentrate
  • panic attacks
  • obsession - the experience takes over your life
  •  feelings of nervousness and anxiety and fear
  • depression and avoidance behavior
  • excessive shame, embarrassment or guilt
  • emotional numbness or detachment
  • Lack of motivation
  • Poor concentration

Statistical data1

An estimated 7.8 percent of Americans will experience PTSD at some point in their lives. Women (10.4%) are affected almost twice as likely as men (5%). About 3.6 percent of U.S. adults aged 18 to 54 have PTSD during the course of a given year.
 
War is also one important risk factor because it is proven that, about 30 percent of the men and women who have spent time in war zones experience PTSD. More than half of all male Vietnam veterans and almost half of all female Vietnam veterans have experienced PTSD.
 

What causes PTSD?

Normally, during or fallowing the traumatic event, person's perceptions change and serve to somehow divide the person from the extreme circumstance.
This is completely natural mechanism. It helps a person cope with the situation and provides self-protection. When person is diagnosed with PTSD, these thought processes continue to occur later in life. This is considered to be the consequence of a response to any trigger that brings back thoughts of the trauma.
 
Biochemically, several researches done in the past showed that this may be related to persistent elevations of a substance called glutamate in the brain. What is the role of this glutamate?
 
Glutamate generally rises in response to stress and returns to normal following the event.
 

Who is most likely to develop PTSD?

Target population that is most likely to develop this psychiatric disorder are:
Those who experience greater intensity of stress situations, especially if those situations are unpredictable and uncontrollable! 
Those with vulnerability factors such as
  • genetics,
  • early age of onset and
  • longer-lasting childhood trauma,
  • lack of functional social support, and
  • Concurrent stressful life events.
Those who experience threat or danger, suffering, upset, terror, and horror or fear
Those which social environment produces feeling of shame, guilt, stigmatization, or self-hatred

What are the consequences associated with PTSD?

It is proven that PTSD is associated with a number of distinctive neurobiological and physiological changes. People diagnosed with PTSD may experience several neurobiological alterations in the
  • Central nervous system and
  • Autonomic nervous systems
Many experts believe that the main problem is that, people with PTSD tend to have abnormal levels of key hormones involved in the body's response to stress:
  • Cortisol levels in those with PTSD are lower than normal
  • Norepinephrine levels are higher than normal.
PTSD patients also develop problems over-active thyroid gland! When the diagnosis of PTSD is set early in childhood, those children have greater chances to develop some other psychiatric disorders.
 
Most common disorder found in people with PTSD are:
 

MAN

  • alcohol abuse or dependence (51.9 percent),
  • major depressive episodes (47.9 percent),
  • conduct disorders (43.3 percent), and
  • Drug abuse and dependence (34.5 percent).

WOMEN

  • major depressive disorders (48.5 percent),
  • simple phobias (29 percent),
  • social phobias (28.4 percent), and
  • Alcohol abuse/dependence (27.9 percent).
Even some other, non-psychiatric disorders could also occur. Some of those are headaches, gastrointestinal complaints, immune system problems, dizziness, chest pain, and discomfort in other parts of the body.

Treatment of PTSD

There are several forms of PTSD therapy and most of them showed beneficial results. The most common are:

MEDICATIONS

Doctors often prescribe some antidepressants such as
  • selective serotonin re-uptake inhibitors -Sertraline, Fluoxetine, Fluvoxamine, or Paroxetine or
  • monoamine oxidase inhibitors - such as Phenelzine
  • Medications for anxiety may be helpful as well.

PSYCHO-THERAPY

Behavioral therapy
This is one procedure which involves specific processes that involve mental imagery of the traumatic event combined with relaxation techniques
 
Cognitive therapy
This involves learning of some coping skills change the thought process about the past traumatic event
 
Psychodynamic therapy
This includes one very effective supportive therapy that is made to help an individual to gain insight into his reactions to the event and learns to battle with occurrence of the trauma.

HYPNOSIS

Hypnosis is a very normal and natural altered state of consciousness or awareness. Although many people think about hypnosis as some “zombie-like” method, the fact is that, after a hypnosis session, most of the people ask if they have really been hypnotized. This is because it feels like such a normal state, although they were expecting something very strange.
 
Hypnotherapy has long been used to treat war-related post-traumatic conditions. These last couple of years it has been used also in cases of sexual assault, car accidents and other traumatic events.
 
The principle of hypnosis is to induce a deep state of relaxation in patient, which may help cope with PTSD, causing
  • Feelings of safer and less anxious environment,
  • decrease intrusive thoughts, and
  • Become re-involved in daily activities.

How does it work?

It is important to know that our minds work on two levels, the conscious and the unconscious. This conscious part we use when we make decisions, think and act. Part of the unconscious mind's responsibility is to run any habitual behaviors. Communication directly with the unconscious mind is very possible and it is called hypnosis. This enables the doctors to quick and easy change habits of a lifetime.
 
Many people are confused because they’ve heard that hypnosis can't work for all. Well, they are partially right, because, it works only with people that have IQ bigger then 70. This means that it works with the majority of people.
 
It is also very important thing to know that the hypnosis is completely safe.
Patients should know that hypnosis is not sleep, nor they can get "stuck" in a state of hypnosis, as many believe! You cannot be made to do anything against your will, or against your moral code. In severe cases, anti-anxiety and antidepressant drugs are also part of the treatment along with the hypno-therapy!
 
However, not every patient can sent to hypnotherapy. Some criteria should be meet, such as: 
  • Proper diagnosis of PTSD
  • The hypno-therapist should be aware whether he are dealing with a single, or multiple, incidents of trauma.
  • Client should understand the concept of PTSD and hypnotherapy goals
  • Everything must be voluntarily! Where any doubt exists they should be excluded.
Hypnosis isn't being used only in treatment of Post-traumatic Stress Disorder, but many other conditions such as:
  • Smoking cessation    
  • Weight control
  • Eliminate stress
  • Remove anxiety       
  • Cure fear or phobia
  • Eliminate claustrophobia and agoraphobia
  • Improve confidence
  • Enhance exam concentration     
  • Eliminate exam nerves       
  • Solve stuttering and stammering       
  • Stop nail biting and other habits
  • Improve sports performance       
  • Manage pain   
  • Alter addictions   
  • Reduce sadness     
  • Enhance sexual performance       
  • Eliminate performance anxiety
  • Develop speed reading       
  • Improve relaxation

Prevention

Bad thing about this disorder is that, practically, there is no prevention for PTSD. This is because traumatic events are often unpredictable and random. Some researches have proven that certain blood pressure medications, if given immediately can cause mild lowering of the symptoms intensity. 
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    Article sources
    • www.ncptsd.org
    • www.umm.edu