These are my rough notes from this lecture which was very impressive indeed with an excellent case presentation that led to much audience participation.
Post Traumatic Stress Disorder: Psychiatric Comorbidity and Complicatios
The First Interdisciplinary Congress "Psychiatry and Related Sciences"
Chairs: I Reznick (Israel) , D. Papadatou (Greece)
Psychiatric Comordity in PTSD
Alevizopoulos (Greece)
PTSD - 80% have co morbidity -
-axis I - depression, substance abuse
axis 2 - Borderline Personality Disorder
Trauma doesn’t necessarily lead to ptsd
Case: PTSD, Borderline , Substance abuse and mood disorder nexus
-Oedipus suffered physical abuse and abandonment
-adopted
-developed substance abuse in adolescent
-cruelly killed 5 strangers in minor road incident- impulsivity/borderline/mani
-when crimes solved - attempted suicide - manipulative/borderline
Question and Answer
Borderline personality disorders and Bipolars are similiar in ways
Personality develops and trauma makes difference - don’t think ptsd leads to borderline or antisocial but can be anticedents - described production of cortisol as a factor in develpment after trauma
Discussion of sexual abuse and truama versus war trauma
differentiate brother sister versus mother son and subsequent development of psychopathology
Discussion of PTSD incidence based on different countries experience
Papadatou - offered that research on the ‘subjective experience’ of the trauma significant to development of trauma
Resilence offered as a consideration
I found this presenter to be incredibly experienced, informative, articulate, and at times amusing in that kindly way only a true clinician can be. Thoroughly delightful.
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