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| | Notices | Welcome to PTSD Forum. Post Traumatic Stress Disorder (PTSD) is a life threatening, debilitating disorder that can break down a sufferer’s body through anxiety and stress. Further it poses a significant suicide risk resulting from the brains neurological imbalance and chemical depression. Sufferers often live in denial, thus this community is aimed at helping PTSD sufferers help themselves through others experiences, guidance and education. We are here for the sufferer, spouse and families surrounding PTSD. Spouses and family are too often forgotten in this equation, and often they receive all the worst that PTSD has to offer. If you're involved in any way with PTSD, get registered and help yourself now. Non-active members will eventually be deleted. If you are not a sufferer, carer or someone within the mental health industry, and active, then there is little reason for you to be a member of this forum. Non-active members with zero posts are deleted periodically during the year. |  | | 
20-03-2007, 12:44 PM
|  | | | Join Date: Mar 2007
Posts: 94
| | Des-Nos / Complex PTSD
Last edited by anthony; 20-03-2007 at 01:56 PM.
Reason: removed tags
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20-03-2007, 03:03 PM
|  | | | Join Date: Mar 2007
Posts: 94
| | 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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20-03-2007, 03:15 PM
|  | | | Join Date: Mar 2007
Posts: 94
| | 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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20-03-2007, 03:21 PM
|  | | | Join Date: Sep 2006 Location: T. Bay, Ontario Canada
Posts: 3,181
| | yep awesome! you did it!
bec | 
20-03-2007, 04:05 PM
|  | | | Join Date: Mar 2007
Posts: 94
| | 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. | 
20-03-2007, 04:57 PM
|  | | | Join Date: Mar 2007
Posts: 94
| | 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." | 
21-03-2007, 11:09 AM
| | | | Join Date: Mar 2007
Posts: 43
| | 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"! | 
23-03-2007, 10:07 AM
|  | | | Join Date: Aug 2006 Location: charles town, wv (usa)
Posts: 1,252
| | ok, forgive me for being stupid, but what is des-nos?
cathy | 
24-03-2007, 06:13 AM
| | | | Join Date: Mar 2007
Posts: 43
| | 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... | 
24-03-2007, 10:02 PM
|  | Administrative Editor PTSD | | Join Date: Sep 2005 Location: Melbourne, Australia
Posts: 7,283
| | 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. | | Thread Tools | | | | Display Modes | Linear Mode |
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