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PTBS

An Evidence-Based Program to Effectively Treat Posttraumatic Stress Disorder June 17, 2008 Gunter Chasse, Oberstleutnant a.D. Alarik Arenander, PhD. PTBS. Re-experiencing phenomena Hyperarousal Avoidance behavior. PTBS. “Overwhelmed” Prefrontal shutdown. Brewin, Prog Brain Res , 2008.

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PTBS

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  1. An Evidence-BasedProgram to Effectively Treat Posttraumatic Stress DisorderJune 17, 2008Gunter Chasse, Oberstleutnant a.D.Alarik Arenander, PhD

  2. PTBS Re-experiencing phenomena Hyperarousal Avoidance behavior

  3. PTBS “Overwhelmed” Prefrontal shutdown Brewin, Prog Brain Res, 2008 3

  4. BRAIN DYSFUNCTION Hypoactivation of mPFC Hyperactivation of amygdala Hyperactivation of hippocampus? 4 Brewin, Prog Brain Res, 2008

  5. Key Components of PTBS Negative Correlation Liberzon & Sripada, Prog Brain Res, 2008

  6. PTBS Persistence of symptoms Adaptation & plasticity Complex pathways Case uniqueness 6

  7. 18.5%: PTSD or depression (300k) 19.5 %: TBI (330k) 50% seek help 50% get minimal care Evidence-based treatment lacking High economic & human loss Invisible WoundsAmerican Veterans Rand Center for Military Health Policy, MG-720-CCF, 2008 7

  8. Prefrontal Cortex Executive Control Center

  9. The brain is plastic

  10. Coherence uniquely supports rehabilitation

  11. Doing TM Being

  12. Post-Vietnam Rehabilitation Random assignment TM vs psychotherapy 18 Ss, voluntary Demographics, 33 yrs 9 dependent variables 3 month treatment Brooks & Scarano, J Couns Develop, 1985

  13. Measures PTSD symptoms Anxiety Depression S/A Insomnia Employment Family life Brooks & Scarano, J Couns Develop, 1985

  14. Post-Vietnam Rehabilitation Psychotherapy: no change TM: 8 variablesimproved TM: 7/10 no longer needed services of VAMC Brooks & Scarano, J Couns Develop, 1985

  15. Personal Experience “I feel after I meditate that I no longer have the same intensity of tension, rage, and guilt inside — it’s as if a huge burden has been lifted.” — Vietnam Vet Brooks & Scarano, J Couns Develop, 1985

  16. Brainwave Coherence TM

  17. Concept Learning Moral Reasoning Emotional Stability Creativity Decreased Neuroticism Inner Orientation Self- Development Intelligence Decreased Anxiety Computational Efficiency Neuromuscular Flexibility Self- Awareness Learning Ability Brainwave Coherence

  18. A Meta-analysis of Stress Reduction Programs: High Blood Pressure SM + RABF TM PMR SBF relaxation 5 4 3 2 1 * ** Change Scores Blood Pressure 0 -1 -2 -3 * p = .0002 ** p = .02 -4 -5 Rainforth M, Schneider R, Nidich S, et al: Current Hypertension Reports [9] 520-528, 2007

  19. Summary Upgrading Brain Integration to Improve Rehabilitation

  20. TM Improves Rehabilitation PTSD Corrections Substance abuse Traumatic brain injury

  21. Improved Rehab Brain Integration Brain Plasticity Coherence Experience

  22. Why use? • Evidence-based • Easy to implement, learn • Produces desired results • Changes rapid & holistic • High Compliance • Cost-effective • Complementary • Culture neutral

  23. ContactAlarik Arenander, PhD001 641-472-3443ebrainmatrix@aol.comGunter Chasse, Oberstleutnant a.D.0178-5388326gunter@chasse.de

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