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					          P.T.S.D. at Work
PTSD stands for Post Traumatic Stress Disorder. PTSD
   is an anxiety disorder that can develop after an
  individual has experienced or witnessed a major
                       trauma.
 The Essential Guide to Regain Control of Your Life
              Seeking Psychological First Aid
             It is not just a
police/fire/medical/armed forces issue
• Most people associate PTSD with battle-scarred soldiers—and
  military combat is the most common cause in men—but any
  overwhelming life experience can trigger PTSD, especially if the
  event feels unpredictable and uncontrollable.
• Post-traumatic stress disorder (PTSD) can affect those who
  personally experience the catastrophe, those who witness it, and
  those who pick up the pieces afterwards, including emergency
  workers and law enforcement officers. It can even occur in the
  friends or family members of those who went through the actual
  trauma.
• PTSD develops differently from person to person. While the
  symptoms of PTSD most commonly develop in the hours or days
  following the traumatic event, it can sometimes take weeks, months,
  or even years before they appear.
               What did you see
What is emotional and psychological trauma?
• Emotional and psychological trauma is the result of
  extraordinarily stressful events that shatter your sense of
  security, making you feel helpless and vulnerable in a
  dangerous world.
• Traumatic experiences often involve a threat to life or
  safety, but any situation that leaves you feeling
  overwhelmed and alone can be traumatic, even if it
  doesn’t involve physical harm. It’s not the objective facts
  that determine whether an event is traumatic, but your
  subjective emotional experience of the event. The more
  frightened and helpless you feel, the more likely you are to
  be traumatized.
             Am I – Could I have PTSD
          PTSD Checklist Worker Version
Circle the response that indicates how much you have been bothered by that problem in the
past month.
1. Repeated, disturbing memories, thoughts, or images of a stressful experience?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
2. Repeated, disturbing dreams of a stressful experience?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
3. Suddenly acting or feeling as if a stressful experience were happening again (as if you were
reliving it)?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
4. Feeling very upset when something reminded you of a stressful experience?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
5. Having physical reactions (e.g., heart pounding, trouble breathing, sweating) when something
reminded you of a stressful experience?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
6. Avoiding thinking about or talking about a stressful experience or avoiding having feelings
related to it?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
7. Avoiding activities or situations because they reminded you of a stressful experience?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
8. Trouble remembering important parts of a stressful experience?
  1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
                  Am I – Could I have PTSD
Circle the response that indicates how much you have been bothered by that
problem in the past month.
9. Loss of interest in activities that you used to enjoy?
   1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
10. Feeling distant or cut off from other people?
    1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
11. Feeling emotionally numb or being unable to have loving feelings for those close to you?
    1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
12. Feeling as if your future will somehow be cut short?
    1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
13. Trouble falling or staying asleep?
     1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
14. Feeling irritable or having angry outbursts?
    1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
15. Having difficulty concentrating?
    1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
16. Being "super-alert" or watchful or on guard?
    1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
17. Feeling jumpy or easily startled?
     1. Not at all 2. A little bit 3. Moderately 4. Quite a bit 5. Extremely
 It could be a now it is usually a latter
KEEP IN MIND: Although most people with PTSD
will develop symptoms within three months of
the traumatic event, some people don't notice
any symptoms until years after it occurred. A
major increase in stress, or exposure to a
reminder of the trauma, can trigger symptoms
to appear months or years later.
    Events are not always bullets
Causes of emotional or psychological trauma
Its about this Complex
                      Not all
Risk factors that increase your vulnerability to trauma
• Not all potentially traumatic events lead to lasting
  emotional and psychological damage. Some people
  rebound quickly from even the most tragic and
  shocking experiences. Others are devastated by
  experiences that, on the surface, appear to be less
  upsetting.
• A number of risk factors make people susceptible to
  emotional and psychological trauma. People are more
  likely to be traumatized by a stressful experience if
  they’re already under a heavy stress load or have
  recently suffered a series of losses.
Where your mind and the events take
        a turn left or right
A normal response to trauma becomes PTSD when
you become stuck
• After a traumatic experience, the mind and the
  body are in shock. But as you make sense of what
  happened and process your emotions, you come
  out of it. With post-traumatic stress disorder
  (PTSD), however, you remain in psychological
  shock. Your memory of what happened and your
  feelings about it are disconnected. In order to
  move on, it’s important to face and feel your
  memories and emotions.
       It Can live on if you let it
After a traumatic experience, it's normal to feel
frightened, sad, anxious, and disconnected. But
if the upset doesn't fade and you feel stuck with
a constant sense of danger and painful memories,
you may be suffering from post-traumatic stress
disorder (PTSD). It can seem like you'll never get
over what happened or feel normal again. But
by seeking treatment, reaching out for support,
and developing new
   It wasn’t their fault but it feels like
                    that
Many adults with PTSD have strong feelings of shame,
guilt, or despair about what happened. It is also not
uncommon to have increased feelings of hostility or anger,
this is sometimes directed towards entire groups of
people (for example, you might find yourself being very
angry and suspicious of men if you were raped, or you
might get extremely angry at drivers who speed if you
were in a serious car accident).
Because living through a trauma can be such a life-
changing experience, some adults with PTSD find that
their relationships with others are different after a
trauma.
       SYMPTOMS But not limited to;
Symptoms of reliving or "re-experiencing" the trauma
• Upsetting memories about the event. This usually involves having vivid images about the trauma
   come up again and again even when you do not want to have them. For example, if you were
   physically attacked, you might keep remembering your attacker's face. Or, if you were in a car
   accident, you might have strong memories about the sound of the crash or a vivid picture of blood
   all over yourself or someone else involved.
• Nightmares about the trauma. People with PTSD will often have very vivid nightmares of either
   the trauma or themes surrounding the trauma. For example, if you were in a car accident, you
   might have frequent nightmares about being in the accident yourself, or about other people being
   involved in accidents. Some people with PTSD who were assaulted will have nightmares of being
   chased, and the person chasing them in the dream might not be the person who assaulted them.
• Acting as if the trauma were happening again ("reliving the trauma"). This is also called
   "dissociation", where an individual loses touch with the present, and feels as if they are living
   through the trauma again. Some people with this symptom might speak and act as if they are
   physically in the traumatic situation, whereas others might appear to simply stare off into space for
   a period of time. Some people with PTSD will also have "flashbacks", which are very vivid images of
   the trauma they experienced. Flashbacks can seem very real, and some people describe it as a
   picture or movie that they can see clearly in their minds.
• Anxiety or distress when reminded of the trauma. Some people with PTSD become extremely
   upset or feel very anxious whenever they are confronted with a person, place, situation, or
   conversation that reminds them of the trauma. This can include becoming very upset when hearing
   tires squeal if you were in a car accident, or feeling anxious when watching violence on TV if you
   were assaulted.
              Try to steer clear of events
Symptoms of avoidance
•   Avoiding reminders of the trauma. Many people with PTSD will try very hard to avoid anything that is associated
    with, or reminds them of, the traumatic event they experienced. Reminders can include:
      –   Circumstances (e.g., the actual date of the event, clothes worn, place where the event occurred, etc.)
      –   Things associated with the trauma (e.g. being in a car if the trauma was a car accident)
      –   General signs of danger (e.g. TV shows about violence, news programs, police or fire department sirens, fire alarms, etc.)
•   Avoiding thoughts, feelings, or memories related to the trauma. Although many people with PTSD will avoid any
    reminders of their traumatic experience, it is also common for people to avoid even thinking about what happened.
    For example, you might avoid talking to anyone about the trauma, and if you have thoughts or memories about
    what happened, you might try to push them out of your head.
•   Not able to recall parts of the trauma. It is not uncommon for people who have lived through a trauma to have
    difficulty remembering parts of it, or the entire trauma, or to be confused about the timeline of events.
•   Reduced interest in previously enjoyed activities. For example, after a trauma, you might stop wanting to spend
    time with friends and family, or you might stop all activities that you used to enjoy (such as sports or hobbies).
•   Feeling detached/estranged from others. People with this symptom describe feeling cut off from others, even
    though they might have family and/or friends around them.
•   Feeling numb/unable to experience feelings. Some people with PTSD will say that they generally feel numb, and
    don't experience loving feelings anymore (such as love, joy, or happiness). People with this symptom might have a
    hard time even describing how they feel, and are not able to recognize when they are happy, sad, or angry.
•   Feeling of foreshortened future. It is not uncommon for people with PTSD to say that they have a feeling of
    "impending doom"; that is, they say that they don't expect to live long, that something bad is likely to happen
    again soon, or that they feel hopeless about the future.
      I don’t feel good, not sure why
Symptoms of PTSD: Re-experiencing the traumatic event
• Intrusive, upsetting memories of the event
• Flashbacks (acting or feeling like the event is happening again)
• Nightmares (either of the event or of other frightening things)
• Feelings of intense distress when reminded of the trauma
• Intense physical reactions to reminders of the event (e.g. pounding
  heart, rapid breathing, nausea, muscle tension, sweating)
Symptoms of PTSD: Increased anxiety and emotional arousal
• Difficulty falling or staying asleep
• Irritability or outbursts of anger
• Difficulty concentrating
• Hyper-vigilance (on constant “red alert”)
• Feeling jumpy and easily startled
              Kids are not exempt to
                 the events in life
Symptoms of PTSD in children and adolescents
• In children—especially those who are very young—the symptoms
  of PTSD can be different than the symptoms in adults. Symptoms in
  children include:
• Fear of being separated from parent
• Losing previously-acquired skills (such as toilet training)
• Sleep problems and nightmares without recognizable content
• Somber, compulsive play in which themes or aspects of the trauma
  are repeated
• New phobias and anxieties that seem unrelated to the trauma
  (such as a fear of monsters)
• Acting out the trauma through play, stories, or drawings
• Aches and pains with no apparent cause
• Irritability and aggression
          Twelve Steps of Hell
The formation of a Post Traumatic Stress
Disorder (PTSD) starts with the event developing.
The event(s) can be positive or negative in
content. The event may start out initially as a
traumatic occurrence, but this is not an absolute
requirement. The event may start out as
pleasant, but conclude as traumatic.
Twelve Steps of Hell
    Some times-just some times good
            medicine helps
Medications
• Benzodiazepines. These medications may be given to help people
  relax and sleep. People who take benzodiazepines may have
  memory problems or become dependent on the medication.
• Antipsychotics. These medications are usually given to people with
  other mental disorders, like schizophrenia. People who take
  antipsychotics may gain weight and have a higher chance of getting
  heart disease and diabetes.
• Other antidepressants. Like sertraline and paroxetine, the
  antidepressants fluoxetine (Prozac) and citalopram (Celexa) can
  help people with PTSD feel less tense or sad. For people with PTSD
  who also have other anxiety disorders or depression,
  antidepressants may be useful in reducing symptoms of these co-
  occurring illnesses
                   Ask – Tell - Seek
Early treatment is better. Symptoms of PTSD may get worse. Dealing
with them now might help stop them from getting worse in the future.
Finding out more about what treatments work, where to look for help,
and what kind of questions to ask can make it easier to get help and
lead to better outcomes.
• PTSD symptoms can change family life. PTSD symptoms can get in
   the way of your family life. You may find that you pull away from
   loved ones, are not able to get along with people, or that you are
   angry or even violent. Getting help for your PTSD can help improve
   your family life.
• PTSD can be related to other health problems. PTSD symptoms
   can make physical health problems worse. For example, studies
   have shown a relationship between PTSD and heart trouble. By
   getting help for your PTSD you could also improve your physical
   health.
      In treatment for PTSD, you’ll:

• Explore your thoughts and feelings about the
  trauma
• Work through feelings of guilt, self-blame, and
  mistrust
• Learn how to cope with and control intrusive
  memories
• Address problems PTSD has caused in your life
  and relationships
                Help a brother/sister/co-
                     worker/friend
•   Be patient and understanding. Getting better takes time, even when a person is
    committed to treatment for PTSD. Be patient with the pace of recovery and offer a
    sympathetic ear. A person with PTSD may need to talk about the traumatic event
    over and over again. This is part of the healing process, so avoid the temptation to
    tell your loved one to stop rehashing the past and move on.
•   Try to anticipate and prepare for PTSD triggers. Common triggers include
    anniversary dates; people or places associated with the trauma; and certain sights,
    sounds, or smells. If you are aware of what triggers may cause an upsetting
    reaction, you’ll be in a better position to offer your support and help your loved
    one calm down.
•   Don’t take the symptoms of PTSD personally. Common symptoms of post-
    traumatic stress disorder (PTSD) include emotional numbness, anger, and
    withdrawal. If your loved one seems distant, irritable, or closed off, remember
    that this may not have anything to do with you or your relationship.
•   Don’t pressure your loved one into talking. It is very difficult for people with PTSD
    to talk about their traumatic experiences. For some, it can even make things worse.
    Never try to force your loved one to open up. Let the
Not every thing is a fix, but talking is a
              great start
The Essential Guide to Regain Control of Your Life
Coping Strategies
• Mindfulness and Kindness - Inner Sources of
  Freedom and Happiness
• Qigong and Tai Chi Chuan
• Trauma and The Spiritual Path
• Healing Life's Traumas
• Why Do Yoga?
• Cushioning Hard Memories
Even Cellphone APP’s
Mobile App: PTSD Coach
• Download the mobile app
• Free PTSD Coach download from:
  iTunes (iOS)* and Google Play (Android)*
• Now available for Canada (in French) and
  other versions on iTunes.
• Also see PTSD Coach ONLINE: 17 tools to
  choose from available for desktop
    You Are Part of the Self 911 to Others
Those 10 Steps to Raise PTSD Awareness are:
1. Know more about PTSD
2. Challenge your beliefs about treatment
3. Explore the options for those with PTSD
4. Reach out. Make a difference
5. Know the facts
6. Expand your understanding
7. Share PTSD information
8. Meet people who have lived with PTSD
9. Take advantage of technology
10. Keep informed
You are Not Weak if you ask for Help




   Psychological First Aid

				
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Terry Penney Terry Penney Manager Company Owner
About Safety has become one of the main vehicles by which industry measures your performance in all departments. Preventing incidents with the potential of causing injuries and ill health •Acting in a safe and responsible manner •Leading by example and promoting trust Having taught and lectured worldwide, I have promoted and welcomed intervention from others. Encouraging and stopping any unsafe activity or where control is being lost. Always getting managers and supervisors to accept responsibility for our actions and achieving continual improvement. And always at all costs complying with all applicable legal and other requirement