Episode 27: Intended for professionals who want to know more about how to treat PTSD.

The Warrior Class isn't just for Veterans.

In this online PTSD course for professionals, you'll learn about the following topics:

 

 

 

About the Book: The Warrior Class

The Warrior Class represents a group of people that had a different mindset at the onset of a trauma than might ordinarily be associated with victims. They intended to fight back and had received training to overcome extreme stress and continue to function. Examples include military veterans, law enforcement officers, fire fighters, EMT’s and paramedics, and other groups that fit this broad definition.

 

A warrior is simply someone who has stepped forward,

taking on personal risk to make the world safer and more secure.

 

The first five chapters were written in 2014 to help me organize my thoughts during training in PTSD therapy. Clinical experiences that influenced this protocol include the Outpatient PTSD Clinic at the VA Temple, TX, the VA PTSD Inpatient Program in Waco, TX, and doing individual therapy with patients at Baylor Scott & White Hospital in Temple, TX. These first five chapters were originally part of the text of Combat PTSD in America: Toward a Permanent Solution, available at Lulu.com (book number: 22601787). In response to the guidance of my editors, these chapters were separated from that book because they are specific for therapists and other healthcare givers for patients with PTSD, while the Combat PTSD in America text will appeal to the general public.

Chapters six and seven contain an educational and psychotherapy protocol for treating Posttraumatic Stress Disorder (PTSD). It is based on Cognitive Processing Therapy developed by staff in the U.S. Department of Veteran’s Affairs and was heavily influenced by my experiences in working with Lt. Col. David Tharp, Psy.D. The organization of the therapy content mirrors that of The Combat PTSD Reintegration Workbook for military-specific PTSD, available at www.CombatPTSD.org.

This heavy influence of combat-related PTSD is the reason for the emphasis on the military population in this book. However, the research and statistics are often generalizable to other groups due to the high degree of overlap with respect to risk factors. For example, 60% of female new recruits in the Army have been shown to have had abuse within the previous 12 months. In some areas of the country, 45% of law enforcement officers are made up of military veterans. Over 11% percent of military recruits have convictions of crime, and countless more join the military to flee their dangerous lives in the drug- and gang-infested inner cities of America. And I personally represent the many children of veterans who, though never having seen combat, can attest to the traumatic nature of life in a post-war family.

Finally, and probably most importantly, more there are more than five times the number of civilians with PTSD than veterans in the U.S. Civilians, especially the children, have always suffered the most in war – and in the war after the war. This book is dedicated to them.

 

The Warrior Class Curriculum includes the following:

About the Book. 4

Chapter 1: Overview of Treatment 5

Communicating with Veterans: A Skill to be Learned. 6

Treatment Goals and Emotional Fitness. 7

Setting Expectations. 8

Improving Quality of Life. 9

Safety Considerations. 9

Suicide as a Crisis of Hope. 10

Suicide Risk and Protective Factors. 10

Medicolegal Issues. 13

Chapter 2: Acute Phase Treatment of Post-Traumatic Stress. 14

Symptoms of Acute Post-Traumatic Stress. 14

What Not to Do. 15

Traumatic Event Management 16

How to Process a Group Trauma. 16

Psychotherapies for Acute Post-Traumatic Stress. 17

Nonviolent Crisis Intervention (NCI) 18

Medication Therapy for Acute Post-Traumatic Stress. 19

Chapter 3: Chronic Phase Treatment of PTSD.. 21

Psychotherapies That Work. 21

Psychoeducation: Timing is Everything. 22

Roadmap to Choosing Psychotherapy Approaches. 23

Level 1: Not Ready to Participate in PTSD Therapy. 23

Level 2: Only Thinking about Participating in PTSD Therapy. 24

Level 3: Just Starting to Participate in PTSD Therapy. 25

Level 4: Actively Participating in PTSD Therapy. 27

Cognitive Processing Therapy. 30

Prolonged Exposure Therapy (PE) 34

Medication Therapy for Chronic PTSD.. 36

Chapter 4: Life After PTSD Treatment 39

Can PTSD Be Cured?. 39

When Symptoms Are Tied to Compensation. 40

The Gift 41

Chapter 5: Problems with Recovery. 43

Motivation. 43

Capacity. 44

Opportunity. 44

Chapter 6: Handouts for Phase 1, Inpatient Stabilization. 46

Extinction Burst 46

Biology of PTSD.. 47

Insomnia and Nightmares. 48

Normal Reactions to Trauma. 49

Cognitive Distortions. 50

Guilt and Shame. 51

Moral Injury. 52

Physical Health and Nutrition. 53

Avoidance. 54

Blind Spots in Communication. 55

Introduction to Trauma Work. 56

End State. 57

Chapter 7: Handouts for Phase 2, Outpatient Trauma Work. 58

Stuck Point Log. 58

Trauma Worksheet 61

Peer Affirmation Forms. 62

Aftercare Planner 64

References  65

 

By Doctor Dan

[veteran, physician, psychiatrist]

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