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4- PSYCHOEDUCATION

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    PSYCHOEDUCATION

    Sohema Tahir

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    What is Psychoeducation

    Psychoeducation refers to the education offeredto people who live with a psychologicaldisturbance or any such condition. Frequentlypsychoeducational training involves patients aswell as Family members.

    A goal is for the patient to understand and bebetter able to deal with the presented illness orcondition.

    The patient's own strengths, resources andcoping skills are reinforced, in order to avoid

    relapse and contribute to their own health andwellness on a long-term basis.

    The theory is that, with better knowledge thepatient can better adjust and live with theircondition.

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    Defining Psychoeducation

    Psychoeducation could be explained as systematicallyused

    and structured forms of patient information, which aremeant

    for informing the patient and/or the family members about

    the following things:

    mental disorders

    characteristic symptoms and early signs of warning

    guidance for the introspection and appropriate

    perception of typical symptoms of the problem understanding of the disorder (what caused the

    problem?)

    how to act as a responsible person (what can I do?)

    Preventing relapses (protection from renewed

    occurrence)

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    Forms of Psychoeducation

    Psychoeducation can be offered indifferent

    forms:

    lectures

    psychoeducative groups

    single consultation

    counseling (brochures, books, videos,

    other media)

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    Important elements of

    Psychoeducation Transfer of information (symptomatology of the

    disturbance, causes, treatment concepts, etc.)

    Exchange of emotions(understanding topromote, exchange of experiences with othersconcerning, contacts, etc.)

    Available support (medical treatment,psychotherapeutic facilities)

    Assistance to self help(e.g. training, as crisissituations are promptly recognized and whatsteps should be taken to be able to help thepatient).

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    Topics of Psychoeducation for

    Flood Affectees

    Health water borne illnesses

    Hygiene

    Prevention of Psychologicalproblems

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    Psychoeducation around

    Psychological Problems

    Post Traumatic Stress Disorder

    Depression

    Grief

    Adjustment related problems

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    Post Traumatic Stress

    Disorder

    Criterion A: Stressor

    Criterion B: Intrusive recollection

    Criterion C: Avoidant/Numbing

    Criterion D: Hyper-arousal

    Criterion E: Duration

    Criterion F: Functional significance

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    Specifiers

    Acute Chronic

    If duration of symptoms

    is less than 3 months

    If duration of symptoms

    is 3 months or more.

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    Specifiers

    With Delayed Onset Without Delayed Onset

    Onset of symptoms at

    least 6 months after thestressor

    Onset of symptoms is

    less than 6 months afterthe stressor

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    Depression

    Depression is a state of low mood and aversion to activity that can

    affect a person's thoughts, behavior, feelings and physical well-

    being.

    Depressed people may feel sad, anxious, empty, hopeless, helpless,

    worthless, guilty, irritable, or restless.

    They may lose interest in activities that once were pleasurable.

    Experience loss of appetite or overeating, or problems

    concentrating, remembering details or making decisions; and may

    contemplate or attempt suicide.

    Insomnia, excessive sleeping, fatigue, loss of energy, or aches,

    pains or digestive problems that are resistant to treatment may be

    present.

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    Learn to differentiate

    NormalSadness/Depression

    Clinical Depression

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    Grief

    Grief work is not a set of symptomsbut rather a process of suffering that

    marks a transition from an old lifestyle

    to a new one, punctuated bynumbness, denial, anger,depression, and eventually recovery.

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    Adjustment related problems

    Changes in environment lead to stressand

    it takes time to adjust to new strange

    situationAnxiety

    Stress

    Depression associated with difficultiesin adjustment

    Functioning in different domains mightget affected

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    Phases of Recovery

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    Emergency or Outcry Phase

    The survivor experiences heightened "fight or flight" reactionsto the life-threatening event.

    This phase lasts as long as the survivor believes it to last.

    Pulse, blood pressure, respiration, and muscle activity are allincreased.

    Concomitant feelings of fear and helplessness predominate.

    Termination of the event itself is followed by relief and

    confusion.

    Preoccupation centers around questions about why the eventhappened and the long-term consequences.

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    Emotional Numbing and Denial

    Phase The survivor shelters psychic wellbeing

    by burying the traumatic experience insubconscious memory.

    By avoiding the experience, the victimtemporarily reduces anxiety and stressresponses.

    Many survivors may remain at this stageunless they receive professionalintervention.

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    Intrusive-Repetitive Phase

    The survivor has nightmares, mood swings,intrusive images, and startle reactions.

    Overreliance on defense mechanisms (e.g.,intellectualization, projection, or denial) or self-

    defeating behaviors (e.g., abuse of alcohol orother drugs) may become part of copingbehaviors in an effort to repress the traumaticevent.

    At this juncture, the delayed stress becomes sooverwhelming that the survivor may either seekhelp or become so stuck in the pathology of thesituation that professional intervention becomesnecessary.

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    Reflective-Transition Phase

    The survivor is able to put thetraumatic event into perspective.

    He or she begins to interact positivelyand constructively with a future

    orientation and exhibits a willingness

    to put the traumatic event behind himor her.


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