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Walden University, ACCT MISC,486.docx,

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Running Head: WEEK 9 ASSIGNMENT 1




Posttraumatic Stress Disorder

Student Name:

Course: NRNP 6645: Psychotherapy with Multiple Modalities

Week 9: Assignment

Walden University




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, WEEK 9 ASSIGNMENT 2


Introduction

Posttraumatic stress disorders (PTSD) are the psychiatric disorders that are experienced

after a traumatic event, for example sudden death of a loved one, rape, war, terrorist act, serious

accident, sexual violence, natural disaster or a serious injury. The purpose of this paper is to

discuss the neurobiological basis for PTSD illness along with its DSM 5 criteria. The paper will

also analyze the provided case study and will determine the alignment of diagnoses with the case

presentation. The psychotherapy treatment option will also be discussed along with the

significance of gold standard treatment for psychiatric patients.

Posttraumatic Stress Disorder

Neurobiological Basis for PTSD Illness

The neurobiological basis for PTSD illness is related to the symptoms of PTSD. As the

symptoms of PTSD are observed after a traumatic event therefore the hypothesis has revealed

that certain changes in the hypothalamic-pituitary-adrenal axis occurs in the patients of PTSD

(Malejko, Abler, Plener & Straub, 2017). It is also evaluated that abnormal down regulation of

cortisol occurs and the levels of corticotrophin releasing hormone are increased. Increased levels

of adrenocorticotropic hormone causes the release of glucocorticoids in response. As a result the

hippocampal atrophy is promoted. This hypothesis was made on the basis of neuroimaging

studies that showed reduced hippocampal volumes in PTSD patients. Fewer studies have also

mentioned that these neurobiological changes are linked with the altered mechanisms of core

symptoms of PTSD, such as hyper-arousal and extinction, avoidance behavior and flashbacks of

traumatic events. The sudden flashbacks of the traumatic event can also trigger the conditioned

fear response which increases the intensity of the PTSD symptoms (Malejko, Abler, Plener &

Straub, 2017).




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