By Steven Taylor PhD
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Additional resources for Clinician's Guide to PTSD: A Cognitive-Behavioral Approach
Exaggerated Startle Response People with an exaggerated startle response may report that they often feel “jumpy” and that it takes them some time to calm down after being startled. Exaggerated startle response is important because of its potential interpersonal or other consequences. For example, combat veterans with exaggerated startle responses may “reflexively” become physically aggressive when startled. Exaggerated startle is also an important problem for people with PTSD arising from road traffic collisions (Fairbank, DeGood, & Jenkins, 1981).
A therapist) about the details of traumatic events while keeping them from their parents for fear of upsetting them (Yule, 2001). , 1995), separation anxiety, oppositional disorder, and mood disorders. These may impair the growth of academic skills and friendships (McCloskey & Walker, 2000). , 1–3 years of age) can develop PTSD-like syndromes (Keren & Tyano, 2000; Scheeringa, Zeanah, Myers, & Putnam, 2003). , the emergence of the fear of strangers is a normal milestone in childhood development; Cox & Taylor, 1999).
The cause of these deficits is unclear. , poor nutrition, or being raised in an unstimulating environment in which learning opportunities are limited, or head injury associated with physical abuse). , 2002). The greatest distinguishing feature of PTSD in the elderly is its apparent emergence or worsening in late life, after decades of having few or no symptoms (Hyer, Summers, Braswell, & Boyd, 1995; Peters & Kaye, 2003; van Achterberg, Rohrbaugh, & Southwick, 2001). , 2001). The organizational practices of long-term care facilities may confront the person with a variety of trauma cues that he or she had managed to avoid throughout much of adulthood.