Project Outreach

                                                                                         Service · Integrity · Compassion

	Problems:
	Presence of intense fear, helplessness or horror in response to the traumatic event		Diminished responsiveness to the external world
	Diminished interest or participation in previously enjoyed activities		Re-experiencing of the event via recurrent and intrusive recollection of the event or recurrent distressing dreams during which the event is replayed
	Experience of dissociative states during which components of the events are relived and the person behaves as though experiencing the event at that moment		Feeling detached or estranged from other people
	Marked reduction or inability to feel emotions		Intense psychological distress or physiological reactivity when person is exposed to triggering event
	Persistent avoidance of stimuli associated with the trauma		Sense of foreshortened future
	Deliberate efforts to avoid thoughts, feelings or conversations about the trauma		Persistent symptoms of anxiety or increased arousal including trouble falling or staying asleep, hypervigilance, exaggerated startle response
	Avoidance of activities, situations or people who arouse recollection of the trauma		Irritability or outburst and anger

	Amnesia for an important aspect of trauma		Trouble concentrating or completing tasks
	Goals:
	Rebuild ones sense of self worth and identity		Reduce the destructive avoidant behavior that only fosters continued fear of distress
	Reduce sense of fear, shame, rage and sadness associated with trauma and resultant behavior		Reduce nightmares and flashbacks or intrusive recollection of associated event or distress associated with them
	Objectives:
	Cooperate with psychological and psychiatric testing and evaluation		Practice and implement relaxation techniques to cope with anxiety, panic, stress and anger
	Comply with medication recommendations		Patient will construct a hierarchy of recollection that increasingly evoke anxiety
	Describe the traumatic events and feelings that were experienced in as much details as possible		Patient will cooperate with systematic desensitization to the anxiety provoking memory
	Develop insight into how illness has affected functioning in social, occupational and personal life		Patient will verbalize positive, healthy and rational self-talk that reduces fear and allows encounter with memory
	Offer honest information regarding involvement of chemical abuse as means of either primary coping mechanism or escape		Restful sleep without the distressing nightmares or waking in panic
	Identify anger control problems and implement techniques to help manage them		Participate in group supportive therapy