NU 665 C Week 6

NU 665 C Week 6

1. What psychiatric symptoms and potential diagnoses may arise from the chronic dysregulation Dr. Perry refers to? How does developmental trauma impact psychiatric symptoms and diagnoses?

Dr. Perry’s theory of persistent dysregulation resulting from developmental trauma offers a crucial viewpoint on how it significantly impacts psychiatric symptoms and perhaps leads to psychiatric diagnoses in a person. The approach to promoting mental health may be enhanced by incorporating trauma-sensitive methods across different disciplines. This entails providing education and raising awareness among healthcare providers, including physicians, teachers, social workers, and other carers, as well as community officials. The goal is to enable them to identify cases or pupils who may have experienced trauma and to equip them with the necessary skills to effectively support and assist these individuals (Barnum & Perrone-McGovern, 2017). Communities can effectively combat the stigma surrounding mental health by establishing safe environments, promoting the utilisation of mental health services and experts, and empowering individuals who have endured traumatic events to embark on a healing journey.

Additionally, there is a correlation between major depressive illness and PTSS-IV, a type of mood disorder. Dysphoria and a sense of emptiness are two essential elements that should be taken into account when diagnosing a severe depressive disorder, and such a dysregulation of the emotional response is likely to produce these symptoms. Maladaptive schemas, such as those involving self-blame, self-hatred, worthlessness, helplessness, and mistrust of others, may also be impacted by child abuse or neglect. From the theories above, it may be concluded that these qualities, which include persistent melancholy, a loss of interest in once-enjoyable or appealing activities, and even suicidal thoughts, may aid in the explanation of depressed symptoms. Furthermore, the issue with regulating processes might result in emotional instability shown in the behaviours and impulsive characteristics of borderline personality disorder (BPD) (Bartlett et al., 2015). Their volatile self-perception, erratic and passionate interactions, and episodes of fury and persistent upheaval exemplify the impact of early trauma on personality stability.

2. How can you integrate information from What Happened to You? Into patient education? Provide written education to your patient newly diagnosed with PTSD.

Receiving a diagnosis of PTSD might first evoke overwhelming emotions, but it is crucial to see them not as defects but rather as entirely typical responses to one’s past experiences. In the latest instalment of the television series “Fresh Start,” Oprah Winfrey engages in an interview with Dr Bruce Perry on the programme titled “What Happened to You?” During the discussion, they explore the impact of life experiences on our cognitive processes, emotions, and behaviours (Winfrey & Perry, 2021). They undergo a behavioural transformation, shifting from a self-defeating approach that questions, “What is wrong with you?” to a strengths-based approach that inquires, “What happened to you?” recognising that PTSD is a typical reaction to stressful events.

Gaining an understanding of the brain may be beneficial while dealing with PTSD since it can provide valuable insights to assist in managing the disease. This resource offers insights into the mechanisms of trauma, neuroplasticity, and stress, as well as strategies to facilitate healing and foster beneficial transformations. The Neurosequential Model is a valuable therapeutic intervention model that informs therapies based on the brain’s natural healing process (Winfrey & Perry, 2021). Therefore, Cognitive Behavioural Therapy (CBT), Eye Movement Desensitisation and Reprocessing (EMDR), and Mindfulness treatments have been extensively researched and shown to be useful in regulating your nervous system and managing your symptoms.

3. How can concepts from What Happened to You? be used for mental health

promotion/population health? (1-2 paragraphs)

The ideas given in “What Happened to You?” offer valuable guidance for promoting mental health and the well-being of whole communities. These ideas emphasise the need to shift the focus towards trauma-informed therapy and resilience-enhancing approaches. This strategy begins by reclassifying mental health problems, shifting from the medical model to a developmental model approach. The contrasting responses of “What happened to you?” and “What is wrong with you?” emphasise the significant role of trauma in individuals’ overall well-being (Winfrey & Perry, 2021). This shift contributes to the eradication of stigma. It promotes empathy, as it encourages others to be compassionate and supportive towards others who have had similar situations, ensuring they are accepted and provided with assistance in their journey towards recovery.

The approach to promoting mental health may be enhanced by using trauma-sensitive approaches across different sectors. This entails instructing and raising awareness among healthcare providers, including physicians, teachers, social workers, and other carers, as well as community officials, to identify cases or students who may have experienced trauma and to possess the knowledge and skills necessary to effectively assist and provide support to them (Kiser et al., 2020). Communities can effectively combat the stigma surrounding mental health by establishing safe environments, promoting the utilisation of mental health services and experts, and empowering individuals who have endured traumatic events to embark on a journey of healing.

References

Barnum, E. L., & Perrone-McGovern, K. M. (2017). Attachment, self-esteem and subjective well-being among survivors of childhood sexual trauma. Journal of mental health counseling, 39(1), 39–55.

Bartlett, J. D., Barto, B., Griffin, J. L., Fraser, J. G., Hodgdon, H., & Bodian, R. (2015). Trauma-Informed Care in the Massachusetts Child Trauma Project. Child Maltreatment, pp. 1, 12.

Kiser, L. J., Miller, A. B., Mooney, M. A., Vivrette, R., & Davis, S. R. (2020). Integrating parents with trauma histories into child trauma treatment: Establishing core components. Practice Innovations, 5(1), 65-80.

Winfrey, O., & Perry, B. (2021). What happened to you? Conversations on trauma, resilience, and healing. Boxtree.

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NU 665 C Week 6

Please complete the Discussion below with four references. Three of the scholarly sources should be outside sources. That is, they were not provided in the week’s learning materials.  Please number the questions in the discussion as you answer it. Please, my professor doesn’t want students to use Artificial Intelligence. Please continue to provide Turnitin AI reports. Thanks

Week 6 Discussion 1: “What Happened to You?”

Value: 100 points

Grading Category: Discussions

Note: In this type of discussion, you will not see the responses of your classmates until after you have posted your own response to the following question.

Overview

When you are a psychiatric mental health provider, you will encounter difficult and uncomfortable situations where individuals have experienced different traumas. Experiences of childhood abuse and neglect are known antecedents to developing many mental health and substance use disorders. There is no real way to prepare or plan for exposure to these circumstances. This assignment will help you explain the role that trauma plays in psychiatric symptoms in a way that patients will understand.

Initial Post

On page 61, Dr. Perry writes, “So often when we ask, ‘What happened?’ we find a history of developmental trauma. Most people with ‘developmental adversity’ are chronically dysregulated – they tend to be wound up, anxious.” Dr. Perry addresses this impact of being chronically dysregulated in Chapter 2: Seeking Balance.

1. What psychiatric symptoms and potential diagnoses may arise from the chronic dysregulation Dr. Perry refers to? How are psychiatric symptoms and/or diagnoses impacted by developmental trauma? (1-2 paragraphs)
2. How can you integrate information from What Happened to You? into patient education? Provide written education to your patient newly diagnosed with PTSD. (1-2 paragraphs)
3. How can concepts from What Happened to You? be used for mental health promotion/population health? (1-2 paragraphs)

You will need to cite at least two research-based resources for this assignment.

Primary Care of the Psychiatric Mental Health Client II

Week 6: Learning Materials

Readings

Required

• Barnum, E.L., & Perrone-McGovern, K.M. (2017). Attachment, self-esteem and subjective well-being among survivors of childhood sexual trauma (PDF). Journal of Mental Health Counseling, 39(1), 39–55.
• Bartlett, J., Barto, B., Griffin, J., and Fraser, J., (2015). Trauma-Informed care in the Massachusetts Child Trauma Project. Child Maltreatment.
• Carlat, D.J. (2017). The psychiatric interview(4th ed.). Wolters Kluwer.
  • Topic: Family psychiatric history
  • Topic: Obtaining the social and development history
  • Topic: Assessing anxiety, obsessive and traumatic disorders
• Kiser, L. J., Miller, A. B., Mooney, M. A., Vivrette, R., & Davis, S. R. (2020). Integrating parents with trauma histories into child trauma treatment: Establishing core components (PDF). Practice Innovations, 5(1), 65–80.
• Wheeler, K. (2021). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice(3rd ed.). Springer.
  • Chapter 11: Trauma Resiliency Model Therapy
  • Chapter 17: Stabilization for Trauma and Dissociation
  • Chapter 20: Psychotherapy with Children
  • Chapter 21: Psychotherapeutic Approaches with Children and Adolescents
• Yearwood, E.L., Pearson, G.S., & Newland, J.A. (2012). Child and adolescent behavioral health. Wiley-Blackwell.
  • Chapter 21: Child and Adolescent Victims of Trauma

Video

• Invisible Child Abuse Video (56:19 minutes)
  • A transcript for Invisible Child Abuseis available on the website, if needed.

Resources

• Adverse Childhood Experiences (ACEs)
• SAMHSA—Trauma
• Screening for Adverse Childhood Experiences and Trauma (PDF)
• The Resilience Project
• National Trauma Child Stress Network
• Trauma Informed Care
• Injury Prevention & Control: Division of Violence Prevention