Survey
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
* Your assessment is very important for improving the workof artificial intelligence, which forms the content of this project
Neurology and Trauma Impact and Treatment Implications Damien Dowd & Jocelyn Proulx HPA - Axis Hypothalamus Corticotropin-releasing hormone Pituitary gland Beta-endorphins – pain suppression Adrenocorticotropic hormone Adrenal gland Cortisol Effects of Beta Endorphins Avoiding stimuli reminiscent of the event Emotional numbing Loss of interest in daily activities Detachment from others Effects of Cortisol Dysregulation of cortisol levels Low levels interfere with ability to process the event into long term memory leading to flashbacks and intrusive memories High levels can lead to hypersensitivity to psychologically threatening stimuli Hippocampus Formation of memories Stress regulation Medial Prefrontal Cortex Decisions about appropriate or required cognitive, emotional or behavioural responses Suppresses or modified emotional responses generated by the amygdala Filtering of information Genetic Markers Family mental health Cortical dysfunction Smaller hippocampus Larger cavum septum pellucidum Serotonin and dopamine systems Treatment Approaches Drug Therapies Serotonin re-uptake inhibitors Drugs reducing corticotropin-releasing hormone Antidepressants Cognitive Behaviour Therapies Exposure therapy Imagery rehearsal Stress inoculation therapy Narrative therapy Emotion focused therapy EMDR Eye movement desensitization and reprocessing MBSR Mindfulness based stress reduction Meditation Evidence and Recommendations Eclectic approach Therapeutic relationship Need for evaluative research