Chronic PTSD

PTSD is not just a short-term or acute response to significant trauma. For many individuals diagnosed with PTSD, the disorder becomes recurrent and/or chronic affecting the individual throughout their life. The negative effects of PTSD on the ability to f

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Post-Traumatic Stress Disorder

J. F. Pagel

Post-Traumatic Stress Disorder A Guide for Primary Care Clinicians and Therapists

J. F. Pagel University of Colorado System School of Medicine Arroyo Seco, NM USA

ISBN 978-3-030-55908-3    ISBN 978-3-030-55909-0 (eBook) https://doi.org/10.1007/978-3-030-55909-0 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Preface

PTSD has become a marker diagnosis for our species, denoting the limits of our capacity to function in the sometimes-extreme realities of the modern world. PTSD as a diagnosis develops at the border of our capacity to handle stress, marking the limits for both individuals and society, of our available compassion, and our capacity to adapt and change. PTSD is in no way an easy diagnosis for either the patient, the provider, or for the therapist. While few diagnostic deniers remain in the medical and therapeutic community, it persists as politically correct to emphasize malingering and positive therapeutic outcomes, thereby deemphasizing PTSD’s chronic nature and suppressing its associations with family disarray, social decompensation, substance abuse, and suicide.  Flexibility, patience, and almost endless compassion are often required of the therapist and the medical provider. PTSD develops at a site of cognitive disarray where mind sometimes no longer equals brain, where individual patient requirements can trump theory and belief. Much has changed in both diagnosis and treatment of PTSD. After a series of contentious changes in diagnostic criteria, PTSD diagnosis has become far more consistent, based on timeline protocols, and amenable to screening and questionnaire. This book is desig