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Скачать или смотреть Understanding Trauma and PTSD, Diagnosis and Dissociation | Psychofarm Podcast

  • Psychofarm
  • 2025-04-15
  • 1395
Understanding Trauma and PTSD, Diagnosis and Dissociation | Psychofarm Podcast
PTSDTraumaPost Traumatic Stress DisorderMental HealthDSM 5 CriteriaPTSD SymptomsDissociationComplex TraumaCPTSDClinical PsychologyPTSD DiagnosisMental IllnessAnxiety SymptomsDepression SymptomsHypervigilanceFlashbacksAvoidanceNegative BeliefsLearned HelplessnessTherapyTrust IssuesCopingStress ResponseDoctors ExplainPsychology PodcastPsychiatry InsightsTrauma RecoveryMental Wellness
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Описание к видео Understanding Trauma and PTSD, Diagnosis and Dissociation | Psychofarm Podcast

Doctors explain PTSD and Trauma, detailing DSM-5 Criteria, PTSD Symptoms like dissociation and hypervigilance, challenges in PTSD Diagnosis, and building trust for coping and recovery in mental health.
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00:00 - Intro: What Is Trauma, Really?
00:50 - Big T vs. Little t Trauma Explained
02:10 - Why Criterion A Matters in PTSD Diagnosis
05:00 - The Subjective Experience of Trauma
07:00 - PTSD from Psychosis or Being a Perpetrator?
09:00 - What Trauma Does to the Brain and Body
11:30 - Why Most Trauma Doesn't Lead to PTSD
13:00 - Learned Helplessness and Feeling Trapped
15:00 - How PTSD Mimics Depression and Anxiety
19:00 - DSM-5 Criteria A–E: A Walkthrough
23:00 - Shame, Guilt, and Internalized Blame
26:00 - Psychodynamic vs. CBT Perspectives on Trauma
28:00 - Hyperarousal, Sleep, and Anger Explained
31:00 - Dissociation: How Trauma Fractures Memory
36:00 - Diagnosing PTSD: Pitfalls and Missed Cases
43:00 - Trust, Rapport, and Trauma-Informed Interviewing


In this essential Mental Health discussion, two doctors provide a comprehensive overview of Trauma and Post Traumatic Stress Disorder (PTSD), focusing on accurate understanding and diagnosis from a Clinical Psychology and Psychiatry perspective.

We start by defining trauma, distinguishing between "Big T" traumas that meet DSM 5 Criteria (specifically Criterion A involving threats to life/safety) and "little t" traumas. Understand how subjective experience plays a role alongside objective events in the development of PTSD Symptoms.

The core of the episode breaks down the specific PTSD Symptoms required for a PTSD Diagnosis:

Intrusion: Covering flashbacks, nightmares, and intrusive memories.
Avoidance: Discussing efforts to avoid internal thoughts/feelings and external reminders.
Negative Alterations: Exploring negative beliefs about self/world, distorted blame, persistent negative emotions (fear, guilt, shame - sometimes mimicking Depression Symptoms), detachment, and the concept of Learned Helplessness.
Arousal/Reactivity: Detailing hypervigilance, exaggerated startle response, irritability, concentration issues, sleep problems (often presenting like Anxiety Symptoms), and the underlying Stress Response.
A key focus is placed on Dissociation – what it is (a disconnection in normally integrated functions), how it manifests in Trauma survivors (amnesia, depersonalization/derealization), and why it's crucial to understand for assessment, including cautions about interviewing. We touch upon related concepts like Complex Trauma and CPTSD.

Gain insights into the challenges of PTSD Diagnosis, including differential diagnosis to rule out other Mental Illness conditions and the importance of establishing a temporal link to the trauma. We address why PTSD is often missed or misdiagnosed.

Crucially, the conversation emphasizes the foundational role of Trust Issues in Trauma survivors and the need for clinicians to earn trust through careful, validating engagement during Therapy and assessment. Practical interviewing techniques for sensitive topics are shared.

Understanding these elements is vital for effective Coping and Trauma Recovery. This episode is valuable for anyone seeking deeper knowledge about PTSD, including individuals affected, students, and Mental Health professionals seeking Therapy Insights. Learn why accurate diagnosis provides a pathway to hope and targeted treatment.

Stay tuned for future episodes discussing treatment approaches! Like, subscribe, and share if you found this valuable.

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