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  #1  
Old 20-03-2007, 12:44 PM
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Default Des-Nos / Complex PTSD

Hope this will work. Scientific article attached.

Last edited by anthony; 20-03-2007 at 01:56 PM. Reason: removed tags
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  #2  
Old 20-03-2007, 03:03 PM
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Default differences DESNOS and PTSD have important treatment implications

Children and adults exposed to chronic interpersonal trauma consistently demonstrate psychological disturbances that are not captured in the posttraumatic stress disorder (PTSD) diagnosis.

The presence of DESNOS has been shown to be a powerful negative prognostic indicator of PTSD treatment outcome


http://www.traumacenter.org/SpecialIssueComplexTraumaOct2006JTS3.pdf

Last edited by anthony; 21-03-2007 at 09:18 PM.
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  #3  
Old 20-03-2007, 03:15 PM
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Default again (ongoing trial)

ongoing trial

no improvement exposure therapy in complex ptsd

What is the effect of a stabilising group treatment in complex PTSD patients? A Multicenter Randomised Clinical Trial for women with Child Abuse related Post Traumatic Stress Disorder with Associated Features.


http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=631

does this work?

Last edited by anthony; 21-03-2007 at 09:22 PM.
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  #4  
Old 20-03-2007, 03:21 PM
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becvan becvan is offline Gender Female
 
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yep awesome! you did it!

bec
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  #5  
Old 20-03-2007, 04:05 PM
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Default confused

It all started with me trying to help myself but I didn't understand what was wrong with me and why I became more and more a nutcase
Of course I knew what PTSD was, but I developed such strange behaviour, it didn't fit into PTSD
I knew the DSM up side down, it's my own line of work, and I couldn't find it in there
I search the web. We have a kind of VA (USA) for vets. And there it was. On their website. One of the most prominent researchers in this field is van der Kolk, he publishes a lot in medical journals, he worked there.
His research with vets and publications revealed an immense scale of psychopathology in vets, far beyond solely PTSD. It resembled a lot DES-NOS from the ICDH classification; DES-NOS doesn't exist in the DSM.
DES-NOS symptoms together with PTSD explained it all for me. That was exactly what I suffered from.
Nobody ever heard of DES-NOS around me but I have called it that for the last 1,5 years. The combination of the two is frequently called complex PTSD.
I red as much as I could find about this. My therapist called it "yet another label, a waste basket for everything they don't understand". Everything and everybody that didn't fit the profile was put aside until it became that much they couldn't ignore it anymore and decide to give the "trash" a name. Everybody relieved. They did something with it. They named it. Bravo! That's it. And psychiatry has another page in their DSM. Everybody promoted and raise in salary.
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  #6  
Old 20-03-2007, 04:57 PM
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Default 17th century wisdom

This one is from goingonhope, great quote, it says it all, mind you we are talking 2007 now!!

Voltaire (1694 - 1778), French philosopher


"The art of medicine consists of amusing the patient while nature cures the disease."
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  #7  
Old 21-03-2007, 11:09 AM
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ROFLMAO Maus you hit it on the head... Bravo, another promotion for grouping together things that we don't understand and giving them names... sort of like the word "Idiopathic". Meaning "I am a doctor but have no clue what is wrong with you"!
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  #8  
Old 23-03-2007, 10:07 AM
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Default

ok, forgive me for being stupid, but what is des-nos?
cathy
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  #9  
Old 24-03-2007, 06:13 AM
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DES-NOS is a new diagnosis proposed to be added to the DSM V to be published in 2011. It stands for Disorders of Extreme Stress - Not Otherwise Specified. It is proposed to be the official DSM V coding for what may otherwise be known as "complex PTSD" or c-PTSD.

I deeply hope though that when they finish the DSM V and code for DESNOS, they will be very specific in their diagnostic criteria in differentiating DESNOS/cPTSD from BPD...
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  #10  
Old 24-03-2007, 10:02 PM
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They are still in discussion about all this, so nothing is set in concrete at this stage with the new classifications. Even once DSM V does get released, the classification system is not a doctrine, it is a guide for physicians only to help classify a person so when they go across other physicians, a simple diagnosis can be stated so the physician knows the level or severity of illness immediately, without having to go into depth with another analysis... even though a good physician would reanalyze a patient regardless what another physician has already done.

The classification has already changed several times, and no doubt it will change again before release. If it wasn't for the revenue the book creates, most physicians actually want to get rid of it because it has done its purpose now, and is not required to become some dictator doctrine as it would like to become, but instead leave physicians to delegate and do what they are supposed to do, being treat their patients.

Complex PTSD is a BS label at present, because all it denotes is mutiple trauma, generally based around childhood trauma, being over a progressive period of life, opposed to just a smaller period of either intense trauma (such as veterans) or a one off traumatic experience (such as car accident or the like).

Lets be honest here; if your diagnosed with PTSD under any label, you have the same thing, its only relevance to the label is HOW you got PTSD. The end result is the same regardless the label you desire to carry, want or are given.
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