Transcript What Everyone Should Know About ADHD

An Evidence-Based
Program to Effectively Treat
Posttraumatic Stress Disorder
June 17, 2008
Gunter Chasse, Oberstleutnant a.D.
Alarik Arenander, PhD
PTBS
 Re-experiencing
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phenomena
Hyperarousal
Avoidance
behavior
PTBS
 “Overwhelmed”
 Prefrontal shutdown
Brewin, Prog Brain Res, 2008
3
BRAIN DYSFUNCTION
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Hypoactivation of
mPFC
Hyperactivation of
amygdala
Hyperactivation of
hippocampus?
Brewin, Prog Brain Res, 2008
4
Key Components of PTBS
Negative
Correlation
Liberzon & Sripada, Prog Brain Res, 2008
PTBS
 Persistence of
symptoms
 Adaptation &
plasticity
 Complex pathways
 Case uniqueness
6
Invisible Wounds
American Veterans
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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
Rand Center for Military Health Policy, MG-720-CCF, 2008
7
Executive
Control
Center
Prefrontal Cortex
The brain is
plastic
Coherence uniquely
supports rehabilitation
Doing
TM
Being
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
Measures
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PTSD symptoms
Anxiety
Depression
S/A
Insomnia
Employment
Family life
Brooks & Scarano, J Couns Develop, 1985
Post-Vietnam Rehabilitation
 Psychotherapy: no change
 TM: 8 variables improved
 TM: 7/10 no longer needed
services of VAMC
Brooks & Scarano, J Couns Develop, 1985
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
Brainwave Coherence
TM
Emotional
Stability
Concept
Learning
Moral
Reasoning
Creativity
Decreased
Neuroticism
Inner
Orientation
Brainwave
Coherence
Intelligence
SelfDevelopment
Decreased
Anxiety
Computational
Efficiency
Neuromuscular
Flexibility
SelfAwareness
Learning
Ability
Blood Pressure
Change Scores
A Meta-analysis of Stress Reduction Programs:
High Blood Pressure
5
4
3
2
1
0
-1
-2
-3
-4
-5
TM
PMR
SBF
SM +
RABF relaxation
* **
* p = .0002
** p = .02
Rainforth M, Schneider R, Nidich S, et al: Current Hypertension Reports [9] 520-528, 2007
Summary
Upgrading Brain Integration
to Improve Rehabilitation
TM Improves Rehabilitation
 PTSD
 Corrections
 Substance abuse
 Traumatic brain
injury
Improved Rehab
Brain Integration
Brain Plasticity
Coherence
Experience
Why use?
 Evidence-based
 Easy to implement, learn
 Produces desired results
 Changes rapid & holistic
 High Compliance
 Cost-effective
 Complementary
 Culture neutral
Contact
Alarik Arenander, PhD
001 641-472-3443
[email protected]
Gunter Chasse, Oberstleutnant a.D.
0178-5388326
[email protected]