| | June 20189Use of information technology has played an important role in terms of Hospital management software and its possible integrations which has a range of uses right from patient appointment scheduling to the management of his records· Recovery from a life-threatening illness (like cancer)· Witness to killing or serious injury (result of war or riot)· Natural disaster · Terrorist attacks· Being confined for long in a small space· Being a victim of childhood bullyingThe slightest stimulus can trigger an anxiety attack for a person with PTSD. They can relive the traumatic experience mentally and mimic simi-lar bodily sensations to the ones felt during the traumatic event. For exam-ple, a person was rescued from a build-ing which caught fire could easily get traumatized by seeing smoke coming out of a car's exhaust or even at home, by seeing steam coming-out of a pressure cooker.What is it like living with PTSD?People with PTSD tend to relive the event through recurring nightmares or other intrusive images (flashbacks) that occur at any time. People who suffer from PTSD also have extreme emotional or physical reactions, such as chills, heart palpitations, or pan-ic, when faced with reminders of the event. People with PTSD often have low self-esteem and face relationship prob-lems, or may seem disconnected from their lives. Psychological problems such as depression, anxiety (including panic disorder) often accompany other symptoms of PTSD. Being on guard or being hyper-aroused at all times, including feeling irritable or sudden anger, having difficulty sleeping or a lack of concentration, being overly alert or easily startled are common in people with PTSD.Physical complaints such as chronic pain, fatigue, stomach pains, respiratory problems, headaches, mus-cle cramps or aches, low back pain, or cardiovascular problems in people maybe due to a traumatic event that they have experienced.Avoiding reminders of the event including places, people, thoughts, or other activities associated with the trauma. PTSD sufferers may feel emotionally detached, withdraw from friends & family and lose interest in everyday activities. Self-destructive behavior, including alcohol or drug abuse, as well as suicidal tenden-cies are common amongst people with PTSD.It is not necessary for everyone who has been through a traumatic event to develop PTSD. Most people start showing signs of PTSD with-in subsequent weeks of the trauma. There are, however, people who may not experience any symptoms for months or even years. The delay in the onset of the symptoms of PTSD at times becomes challenging for men-tal health professionals to identify the link between current symptoms and past traumatic event.It is common for people with PTSD to avoid the place of the trau-matic event and even avoid going to any place similar to the one where the event had taken place. A person who might have been stuck in a lift for hours, for example, can develop an intense fear or phobia of lifts and of enclosed places. They might avoid go-ing to places where they need to use a lift and prefer to take the stairs instead.Psychotherapy & PTSDPsychotherapy has many modalities which can effectively treat symptoms of PTSD. One such modality is Mind-fulness Neuro Linguistic Program-ming (MNLP). The unique advantage of MNLP over some of the other mo-dalities, is that a person does not need to disclose the traumatic event to the therapist to receive treatment. They don't even need to relive the traumat-ic event inorder to free themselves of the residual negative effects of the Trauma. There are disassociation and double disassociation techniques in MNLP which can effectively treat symptoms of PTSD without subject-ing the client to relive the traumatic experience during therapy. Dr. Vihan Sanyal
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