PTSDrss

Expert on Trauma of Student Shootings Can Discuss Chardon High School Tragedy

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EXPERT CONTACT :

Dr. Steven L. Dubovsky, MD

Professor and Chair of Psychiatry

University at Buffalo School of Medicine and Biomedical Sciences

716-898-5940

Dubovsky is an expert on post-traumatic stress. He has studied the Columbine, Colo., shootings and interviewed survivors of the tragedy. His thoughts on the Chardon High School tragedy:

"There's a lot of post-traumatic stress disorder after an event like this, and some students end up having problems with grades, dropping out of school, etc., over the next couple of years."

"There also may be an increased incidence of accidents and suicides. The best response in treating student-survivors depends on what resources exist within the community, and how comfortable they feel with discussing the tragedy with outside experts.”

"When survivors are interviewed on TV about the death of friends and classmates it is rarely helpful, and sometimes harmful, because it evokes more distress and arousal without resolving anything. The best approach often is to strengthen the sense of community; to help the students finding meaning; and to identify something positive coming out of the tragedy if possible."

"Recent research shows that prompt or even delayed intervention can prevent post-traumatic stress disorder in survivors of disasters like this.”

As U.S. Forces Leave Iraq, UB Experts Can Discuss What the Future Holds for Returning Veterans

With U.S. forces leaving Iraq, experts from the University at Buffalo are available to discuss the challenges veterans face upon returning home. From job hunting in a weak economy to living with traumatic brain injury or PTSD, readjusting to life in the civilian world can be difficult.

 

DAY-TO-DAY LIVING

Employment
Holly Justice
Career Counselor
University at Buffalo Career Services
716-645-4640
hjustice@buffalo.edu
 
Justice can discuss how veterans can translate their military experience into resumes that catch the attention of civilian companies. While veterans completing enlistments come home with valuable skills, finding work can be difficult if employers don’t understand how responsibilities in Iraq and Afghanistan apply to civilian jobs, she says.
View a Q&A with Justice on veterans seeking employment: http://ubfacultyexperts.buffalo.edu/tip/145

Creating a comfortable environment at home
Danise Levine (availability may be limited)
Assistant Director
University at Buffalo Center for Inclusive Design and Environmental Access (IDeA Center)
716-645-4655
chsu22@buffalo.edu
 
Levine can discuss how families can improve their homes to provide comfortable living for returning veterans. Through the Wounded Warrior Home Project at Fort Belvoir, Va., she helped design two demonstration houses that address challenges that wounded veterans might face. Exterior lights provide security and comfort for soldiers with PTSD, for instance, while wider doorways make it easier for soldiers with limb amputations to get around.
Read a story on Levine’s work with veterans: http://www.buffalo.edu/ubreporter/2011_11_17/wounded_warriors
 

LIVING WITH INJURIES

Post-traumatic stress disorder (PTSD)
John Violanti
Professor of Social and Preventive Medicine
University at Buffalo School of Medicine and Biomedical Sciences
716-829-5367
violanti@buffalo.edu
 
Violanti can discuss the causes and symptoms of PTSD, as well as how social support from family and friends can help ameliorate the effects of the disorder. Violanti is a military veteran and a former member of the New York State Police. He studies the effect of stress in persons working in dangerous professions, such as police, firefighting and military occupations.
 
Tinnitus (The perception of sound without any acoustic stimulus)
Richard Salvi
Director of the UB Center for Hearing and Deafness, and Professor of Communicative Disorders and Sciences, otolaryngology and neurology
University at Buffalo School of Medicine and Biomedical Sciences and College of Arts and Sciences
salvi@buffalo.edu
 
Salvi can discuss causes and symptoms of tinnitus, as well as advances in treatment. He organized a conference this summer that brought together the world’s leading experts on the disorder. Tinnitus, sometimes called a ringing in the ears, is the perception of sound in the absence of a corresponding external stimulus.
 
As many as half of combat soldiers in Iraq and Afghanistan return home with tinnitus, making it a huge and expensive problem for the U.S. Department of Veterans Affairs, Salvi says. He has also done work on noise-induced hearing loss, a frequent cause of tinnitus.
Read a story about the tinnitus conference Salvi organized: http://www.buffalo.edu/news/12768
Read about tinnitus and Salvi’s work in the New Yorker: http://bit.ly/vhWoNM
 
Traumatic Brain Injury (TBI)
Kerry Donnelly
Clinical Assistant Professor in Psychiatry and Adjunct Assistant Professor of Counseling, School and Educational Psychology
University at Buffalo School of Medicine and Biomedical Sciences and Graduate School of Education
&
Clinical Neuropsychologist
Veterans Affairs (VA) Western New York Health Care System
716-645-2484
kzd@buffalo.edu
 
Donnelly can discuss the long-term challenges and effects of TBI, a “signature injury” of the wars in Iraq and Afghanistan. At several Upstate New York VA medical centers, she is leading a four-year study following veterans with TBI, which can lead to deficits in memory, attention and decision-making. Veterans who have mild TBI may be overlooked by the health care system, especially when they have more obvious, visible injuries, Donnelly says.
Read a story about Donnelly’s study on TBI: http://www.buffalo.edu/news/9884

Chilean miners' group support diminishes potential PTSD

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EXPERT CONTACT :

John Violanti, PhD

Professor, Social and Preventive Medicine

PTSD specialist

Phone: 716-829-

Violanti@buffalo.edu

John Violanti, PhD., expert in PTSD, says the risk of PTSD in the Chilean miners probably is a lot lower than being in combat because of the high degree of social support, not only among the group down in the mine, but also from their family and friends above.

Most research shows that support is the biggest factor that can ameliorate PTSD. 

Violanti, a military veteran and former member of the New York State Police, studies the effect of stress in persons working in dangerous professions, such as police, firefighters, and those in the military.

Related Topics:

Chilean miners, PTSD, social support

Survivors, Health Workers, Volunteers in Haiti May Need Psychological Support

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EXPERT CONTACT :

 Steven L Dubovsky, M.D.

Professor and Chair

Department of Psychiatry

University at Buffalo

716-898-5940

Dubovsky@Buffalo.edu

 

Dubovsky is an expert in treating psychological trauma. He says a component of the international response to this disaster should include established interventions to prevent and treat the psychophysiologic consequences of exposure to this terrible event.

 "A massive catastrophe like the Haiti earthquake has immediate and long-term effects on mental and physical health beyond the direct injuries and illnesses suffered during the event and its aftermath," he cautions.
 
"There often is an initial period of emotional numbing, alternating with feeling overwhelmed. People who feel more detached initially are more likely to develop post traumatic stress disorder (PTSD) later. Those who have lost loved ones and their homes experience grief, which may be complicated by survivor guilt.
 
"The World Trade Center attacks taught us that untrained volunteer first- responders are more likely to develop PTSD than are professional responders, and that people who are exposed to the trauma through relatives or friends, or even by watching it repeatedly on the news, may also develop PTSD. High levels of arousal and despair are associated with an increased risk of sudden death, cardiovascular disease and suicide.
 
"Project Liberty, which provided structured therapeutic interventions to prevent PTSD and identify people who needed further treatment for depression, grief and PTSD following 9/11, was very successful and cost effective. However, critical incident stress-debriefing, a commonly used single group intervention for survivors and responders, does not prevent PTSD and may make it worse."

Mass murders at Fort Hood and Orlando shake confidence in safety, predictability of our world

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EXPERT CONTACT :

Steven L Dubovsky, M.D.

Professor and Chair

Department of Psychiatry

University at Buffalo

716-898-5940

Dubovsky@Buffalo.edu

"It is pointless, and even harmful to search for the motivations of mass killers," says Dubovsky, who also is president-elect of ProtectNY, an academic consortium that studies the prevention and management of disasters. "They kill because they can.They don't kill because of political or religious beliefs, or because they feel hurt or disenfranchised, and they certainly do not kill because they are mentally ill.  There are no psychiatric causes of mass murder. There are no social causes of mass murder. The causes are deviant individuals who do not feel bound by human empathy or any other attachment to the human race.

 

"Experience with similar tragedies and with the massive intervention following the World Trade Center attacks have taught us how people react to civilian trauma and how to help the survivors," says Dubovsky, who studied the psychological impact of the Columbine murders. We know that a single debriefing does not prevent later problems and in some cases makes things worse. On the other hand, established structured therapies can treat acute distress and prevent chronic problems such as post traumatic stress disorder (PTSD).

 "The more we can draw on and lean on friends and  loved ones, and the more we can increase our sense of control over what comes next, the better we will weather the storm."

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