What is PTSD?
Post-traumatic stress disorder (PTSD) is a disorder that develops in some people after experiencing a traumatic event. It’s normal to feel fear during or after a traumatic event—that is part of our body’s nervous system response that helps us respond to danger. Most people recover from the fear and immediate symptoms without treatment within a few weeks to months. People who continue to have distressing, interfering symptoms over time might be experiencing PTSD.
Who develops PTSD after a traumatic event?
Anyone can develop PTSD at any age. According to the National Center for PTSD (www.ptsd.va.gov), about six out of every 100 people will experience PTSD at some point in their lives (approximately 6% of the population).
Research shows that women are more likely to develop PTSD than men. Not only are there biological and personal factors that can impact if a person gets PTSD, but what happens after the trauma experience is important as well.
Research shows that severe stress during/after an event can make PTSD more likely, whereas having positive social support can help buffer against traumatic stress.
Common Symptoms of PTSD
Usually, PTSD symptoms start right after experiencing a traumatic event. They may come and go throughout life and may re-occur in response to new stressors if not appropriately treated.
If the symptoms cause you great distress and interfere with your work and home life for more than four weeks, you might have PTSD. There are four types of PTSD symptoms [Adapted from The National Center for PTSD]:
- Reliving the event (also called re-experiencing symptoms). Intrusive, distressing memories of the traumatic event can come back at any time. They can feel as real as when the event originally happened and scary.
- Avoiding things that remind you of the event. You may try to avoid situations or people remind you of the trauma event. You may even avoid talking or thinking about the event.
- Having more negative thoughts and feelings than before the event. The way you think about yourself and others may become more negative because of the trauma.
- Feeling on edge or keyed up (also called hyperarousal). You may be jittery, or always alert and on the lookout for danger. You might suddenly become angry or irritable. These symptoms can impact sleep.
How do you assess PTSD in the Trauma Treatment Program?
Idaho Neuropsychology’s Trauma Treatment Program Director Melissa Kremer, PsyD has extensive training in assessment and diagnosis of PTSD. Your journey in the Trauma Treatment Program (TTP) begins with an in-depth intake evaluation to confirm diagnosis, help your clinician better understand how PTSD is affecting your life, and to begin crafting an individual treatment plan just for you. Your first appointment is 60-minutes and includes an interview and assessment measures sent out prior to the appointment.
Depending on the complexity of your case, Dr. Kremer may require a second intake evaluation appointment for more in-depth assessment before presenting a treatment plan. Learn about the distinction between complex PTSD and PTSD.
We also track your progress throughout treatment through periodic assessment of symptoms. We do this to ensure that we are on the right track to help you recover. This helps you see the positive changes and play a more active role in your treatment planning and direction!
Can I recover after experiencing a traumatic event? Will things ever be the same?
YES! One of the biggest myths surrounding PTSD is that you will be permanently “broken” or “damaged.”
Research studies indicate that up to 80% of adults with PTSD can recover if they receive appropriate treatment. Even better, most people experience continued recovery from PTSD long-term after treatment.
People often ask what “getting better” looks like. For many people, these treatments can get rid of symptoms altogether. Others find they have fewer symptoms or feel that their symptoms are less intense. Our goal is getting you to a point where symptoms don’t have to interfere with your everyday activities and relationships. Recovery also typically results in greater resilience for dealing with future stressors.
PTSD Treatment
PTSD is a treatable mental health condition. There are three main gold standard evidence-based treatments for PTSD that are shown by research to be effective for treating PTSD.
Dr. Melissa Kremer is trained in these evidence-based treatments:
- Cognitive Processing Therapy (CPT) where you learn skills to understand how trauma changed your thoughts and feelings. Changing how you think about the trauma can change how you feel.
- Eye Movement Desensitization and Reprocessing (EMDR), which involves focusing on sounds or hand movements while you talk about the trauma. This helps your brain work through the traumatic memories.
- Prolonged Exposure (PE) where you talk about your trauma repeatedly until memories are no longer upsetting. This will help you get more control over your thoughts and feelings about the trauma. You may be challenged to go places or do (safe) things that you have been staying away from because they remind you of the trauma.
Are there any cases where more testing is needed beyond the initial intake?
In cases with a lot of questions about diagnosis and/or complexity, a more in-depth assessment might be indicated (priced differently than the intake evaluations). These evaluations are rare and cannot be used in a legal or disability setting. If you have questions about medical/legal/disability evaluations, please see our forensics page.
How long does treatment usually last?
Our TTP program provides time-limited, evidence-based treatments that are focused on obtaining lasting symptom relief as quickly as possible. Most people see success in 12-20 sessions. PTSD treatment is appropriate for people who want change and recovery in their lives.
Do you provide long-term therapy or case management services?
No. Our TTP program provides time-limited, evidence-based treatments that are focused on obtaining lasting symptom relief as quickly as possible. Most people see success in 12-20 sessions.
If you require long-term psychotherapy lasting more than 6-12 months, we are likely going to recommend another clinic.
Do you offer telehealth (virtual) options?
Yes! Due to licensing laws, you must be physically located in the state of Idaho at the time of your appointments to participate.
When you schedule your intake appointment with Dr. Kremer you will given the choice whether to schedule an in-person evaluation or video evaluation. Our telehealth service uses Zoom, which is HIPAA compliant and secure.