YTread Logo
YTread Logo

Trauma - Wie Traumata das Gehirn verändern und ihre moderne Therapie

Jun 22, 2022
hello, my name is michael franz, i am a professor of psychiatric psychotherapy and medical director of the vitos clinic in gießen and marburg, our topic today is the question: what are psychological

trauma

s, how do you recognize them and how do they change our brain and how can you treat them therapeutically effectively in few mental illnesses and

therapie

s in recent years so many misunderstandings have been cleared up, beliefs refuted and therapeutic options found as in

trauma

therapy that makes me humble as a doctor and therapist and at the same time gives me courage there We distinguish many approaches to the topic of trauma, for example, categories traumas such as accidents and natural disasters or man-made trauma mm trauma man-made traumas most often lead to trauma disorders is a shameful trauma disorder, you have to be ashamed of it This unfortunately happens often and is still not appropriate.
trauma   wie traumata das gehirn ver ndern und ihre moderne therapie
Traumatic disorders are a kiss. another way of processing our memory that I do independently in a certain way, the consequences of which reach the body and it is so far away, which is quite normal, that trauma can happen to anyone from a certain dose, it depends on certain conditions , so you definitely get a catastrophic event a post-traumatic disorder no, that's not the case it is now well established that trauma is often processed if this processing is blocked, for example by excessive feelings of guilt or shame or external circumstances or other mental illnesses or if there has been so much previous trauma the appearance of post-traumatic disorders is likely to occur, for example, after car accidents in 3 to 11 percent, after severe abuse or rape in 50 to 60 percent validate the environment due to lack of safety and then you get sick what a traumatic disorder looks like clinically trauma does not automatically mean p ts post traumatic stress disorder after traumatic experiences dramatic disorders develop in the strictest sense these are acute stress reaction within hours acute stress disorder within days to a month and post traumatic stress disorder ptsd or ptbs about six months after the event sometimes before sometimes later sometimes after the trauma but also depression anxiety disorders somatoform disorders profound social disorders or emotional instability as a permanent feature that seems as if someone suddenly has a borderline disorder, for example , next we will focus on post traumatic stress disorder, this post traumatic stress disorder has a very typical clinical picture d We make the diagnosis using six criteria, firstly an event that you have experienced or observed and recently also reporting the results or events that affect you family member or parie before This includes the potential or actual threat of death serious injury serious physical threat to integrity or to others and this always includes a reaction with intense fear helplessness and hopelessness or terror this also includes reliving so-called inclusion these are, for example, distressing dreams or nightmares flashbacks in flashbacks i re-experience certain aspects of the trauma as if they were just happening are carriers carriers are triggering perceptions where particularly strong stress occurs and there is always a physical reaction to these memories or provision the diagnosis of disorder post-traumatic stress is far away rhin avoidance everything that is associatively related to trauma is avoided thoughts feelings activities situations and also the very contents of memory logically arise funny part feelings are also avoided in the case of traumatic disorder it is about feelings with L We know that trauma has a lot to do with feelings like that there is a sensation as if one were standing next to oneself alienation from oneself and others another typical example is the symptom is psychological or vegetative overexcitation that typically manifests itself in disorders of sleep increased irritability and nervousness the duration must last more than a month and, of course, the clinical picture must also be significant and very restrictive, so that the ability to work and love, the ability to participate in everyday life is significantly restricted.
trauma   wie traumata das gehirn ver ndern und ihre moderne therapie

More Interesting Facts About,

trauma wie traumata das gehirn ver ndern und ihre moderne therapie...

The question that naturally arises is how such a ptsd develops and I said yes PTSD is a kiss Another form of memory processing is and you have to briefly know how things are stored i.e. how they are learned and you know in advance that the things you think or experience are here and now and others were then and there, so maybe it's all just a dream, how do you know? I know that you really see me and hear my voice here and now. Maybe this is just a reminder. Why are you so sure? it's about understanding what is real right now and what was in the past a quick click in neurobiology there is a hot principle five the dead time when two cells two brain cells are active at the same time then they connect to each other when you hear experiment two things at the same time or he remembers having done activities, then he will connect and he will be late he activates together like a network and this network storage this storage occurs in two different memories we have on the one hand the so-called hot perception memory all are stored there the feelings, images, smells, detailed sensory bodily reactions perz current images that can actually only be invoked involuntarily on the basis of flashbacks and nightmares and at the same time there is the so-called cold contextual memory where and when it belongs then was voluntarily and involuntarily retrievable and it creates the spatial context whether it is ancient or not. we need new information something that won the nobel prize in 2014 a wonderful sensational navigation system the hippocampus and the neighboring exhaust pipe final cortex this is where spatial memory, time memory and memory formation are located, that is, the current wiring of everything I learn and notice and where it belongs and also the detector if the new or old information in is and how big the device is how susceptible it is to noxious stimuli like alcohol or drugs and it is hard through others centers in trauma the main station of feelings plays the main role the main station of feelings in the brain the amygdala is exactly the function of the amygdala is the formation of emotions, especially fear and anxiety they store these emotions then they are involved in storing them mediated the physical response the flight and attack reactions the hormonal response to stress and the amygdala may inhibit other centers cell phones and you have the navigation system against, for example, the program in reaction to alarm when attacked this may make sense because quick action is also important in evolution when we still lived in herds we could have survived with it in a very bad activation of the amygdala the hippocampus will be inhibited hot grid memories stored without context that means when they are activated they just fire, the perception is as if it is happening here and now because there is no wiring in the memory stores in the then and there, cold memory makes sense, so it's not embarrassing, actually it shouldn't be.
trauma   wie traumata das gehirn ver ndern und ihre moderne therapie
It's embarrassing the brain is just doing its job I'll explain it again with a nice memory ok imagine you feel cold water you see a landscape you hear the sound of more sounds of the sea and you see a foot in the water you have refreshing and beautiful impressions you feel heartbeat joy and you breathe faster that's good but where does it belong missing and belongs to your cold memory the information probably well connected italian riviera night by the sea september 2018 everything is the same but often without the wiring in the then there when traumatized an example a refugee sees policemen in the city sees them in uniform this reminds of soldiers and the trauma web begins the trauma web is activated with a single hit non-selective individual memories for this we would need the cold context through the hippocampus so we could call it arbitrarily but without this wiring is everywhere where it starts we can also understand the discussions quite well a selected memory active is maybe the candle i put on a christmas tree multiple times trauma network is like an electric christmas tree light where all of a sudden i put the plug in and it's full when i unplug the socialites.
trauma   wie traumata das gehirn ver ndern und ihre moderne therapie
I no longer notice anything. I have fewer sensations of pain. I can no longer perceive my surroundings, but I don't feel it either. I don't have to be so scared and flashback anymore. it's plugged in again crying you can understand the example i'll do it again it also works with a thought i can't see the situation of my life ssern the thought was there i can't do anything back then in the rubber boat and now the whole network it immediately activates again, then the next thing comes with a single trauma web, most people somehow end up passing several traumas into traumas in a row. similar or stronger over over arousal trauma explosion bomb fragments fire anger rape neighbor shame fear for both of us also fear for stepfather's breath with the smell of alcohol and beatings and when we were driving the motorcycle too fast with despair there are four networks of trauma that are connected to a big network have what it looks like treatment is about somehow separating these networks of trauma again and restoring their context to cold memory and here is another good news that the brain does for itself if we help it se look like this then you see the same trauma web v oh but now you can see the cold context associated with it the explosion was in zurich at the cafe in the fall the rape 20 years ago visiting aunt the motorcycle accident last summer while on vacation vacation with a friend and the father hit him as a child at home the webs of trauma are separated and a memory, albeit sad, there are various forms of psychotherapy because they allow the brain to do this if it manages to activate the traumatic parts and the here and now at the same time, then the brain in principle can do nothing but establish this connection, which was worth killing together Yes, the traumatic experience is It so easily transforms into a sad memory and it's a different thing to have a sad memory than to have to massively restrict your life through uncontrollable feelings and images.
Also, sometimes it's necessary to discuss trauma processing, some people draw conclusions from their n traumas that you are particularly bad or useless because that happened to you or you conclude from this that the world is infinitely dangerous and no one can be trusted anymore, otherwise it would not have happened to you, even if the flashbacks of tension change, I can hardly love the life with such an attitude and work one gets depressed here too the good news there is an effective psychotherapy every psychotherapy for trauma includes social learning of stabilization techniques and a sufficiently good and secure relationship with the therapist the use of stabilization techniques alone is not an effective therapy and at least the majority stabilizes the spontaneous course all internationally evidence-based psycho

therapie

s for ptbs have a very large general effect strengths we distinguish between different procedures there are procedures with high sun exposure and procedures in which you talk about thinking and attitudes that are changed by trauma so far, the consequences of trauma, most therapies are mixed forms of both and, what is important, all the procedures can be learned very well.
You can view the individual procedures on this slide to illustrate trauma therapy. Let's compare very schematically the state of the brain of After successful trauma therapy, you first see without trauma therapy at the top right the fragmented pieces of memory that now lie throughout the brain unharmed and connected. See when a carrier or stimulus goes through the gate of consciousness to the thalamus, then there is no connection. the hippocampus was not connected to then and there that will activate the network directly the network celebrates there will be a strong fear reaction a strong physical reaction now our amygdala has an opponent that can inhibit you very well if you give it 100 to 300 milliseconds the time given this is But you have to know and be informed about the medial prefrontal cortex that you're doing something that you're doing implicitly or explicitly during trauma therapy in almost all forms of therapy because you're not doing this, nothing can happen here and there's a great weak inhibition of the american patient after a successful trauma therapy experiences this stimulus again and now has a trained hippocampus and things are where they belong i.e. connected at that time and place so the reaction runs like a memory.
The memory of the medial prefrontal cortex has enough time to inhibit the amygdala it reaches. a sad and weak reaction as part of a memory and not a flashback makes sense so we've come to the conclusion I think it's clear that trauma therapy is worth it post traumatic disorders are not shameful but a normal reaction to brain trauma can happened to someone are not proof that one is worthless or that the world is limitless and dangeroustrauma therapy has a high effect strength there are different forms it is neurobiologically easy to understand and it is easy to learn for people with empathy and it is worth it for patients and therapists thank you very much Much for your attention

If you have any copyright issue, please Contact