PTSD Patrol
Kathie Costos
December 21, 2020
Today was not a good day. I was thinking about how lousy this years has been for everyone, especially people who had already been living with PTSD. I set out to see what the newest numbers were, knowing the trauma of the pandemic would increase the need for this work. Sadly, I was shockingly right.
It is important to note that the majority of people exposed to trauma recover within 30 days and do not develop PTSD. The type and severity of trauma exposure strongly predicts development of PTSD, with perpetrated interpersonal violence having much higher rates of PTSD than exposures like transportation collisions, fires, and natural disasters like hurricanes, etc. Motor vehicle crashes and natural disasters are associated with ~10% rates of development of PTSD, being in a combat zone ~18%, physical assault or experiencing heavy combat ~30%, and sexual assault and torture up to 50%.
It is often underappreciated that medical events and procedures associated with life threat, even when they are successful, are associated with relatively high rates of PTSD development. For example, myocardial infarct / acute coronary syndrome is associated with up to 15% rate of PTSD, as is unexpected discharge of cardiac defibrillation devices. Major thoracic surgeries such as cardiac aretery bypass graft (CABG) and open abdominal aortic aneurysm (AAA) repair, even when scheduled and expected, are also associated with ~20% rates of de novo PTSD.
Particularly relevant to the COVID-19 pandemic, prolonged treatment in intensive care units (ICUs) such as for sepsis, and in particular, intubation, are associated with some of the highest rates of medical PTSD, with 35% of ICU survivors having clinically significant PTSD symptoms 2 years subsequent to the ICU care. Thus, in addition to “post-intubation syndrome” in survivors, once a patient is medically stabilized, it is important to assess and provide care for psychiatric responses like PTSD that are expected to be common.
The last update on PTSD in the US is 8 million.
U.S. PTSD statisticsWhich means we're headed into landslide territory!
About 8 million adults in the U.S. have PTSD during a given year. (U.S. Department of Veteran Affairs, 2019)
PTSD affects more than twice as many women (10%) as men (4%). (U.S. Department of Veteran Affairs, 2019)
70% of adults in the U.S. experience at least one traumatic event in their lifetime. (Sidran Institute, 2018)
The lifetime prevalence of PTSD in the U.S. was 6.8% as of 2001-2003. (Harvard Medical School, 2007)
I don't like doom and gloom but right now, we have to face the gloom so that less people will have to face doom alone. At the very least, we can give them something to fight back with.
The only appropriate song I could think of is Arms Of The Angels...if you share this work, the you could be an angel to those who are searching for hope that they can heal!
Angel
Song by Sarah McLachlan
Spend all your time waiting
For that second chance
For a break that would make it okay
There's always some reason
To feel not good enough
And it's hard at the end of the day
I need some distraction
Oh a beautiful release
Memories seep from my veins
Let me be empty
Oh and weightless and maybe
I'll find some peace tonight
In the arms of the angel
Fly away from here
From this dark cold hotel room
And the endlessness that you fear
You are pulled from the wreckage
Of your silent reverie
You're in the arms of the angel
May you find some comfort here
So tired of the straight line
And everywhere you turn
There's vultures and thieves at your back
And the storm keeps on twisting
You keep on building the lies
That you make up for all that you lack
It don't make no difference
Escaping one last time
It's easier to believe
In this sweet madness
Oh this glorious sadness
That brings me to my knees
In the arms of the angel
Fly away from here
From this dark cold hotel room
And the endlessness that you fear
You are pulled from the wreckage
Of your silent reverie
You're in the arms of the angel
May you find some comfort here
You're in the arms of the angel
May you find some comfort here
Source: Musixmatch
Songwriters: Sarah Mclachlan / Rudy Perez
Angel lyrics © Sony/atv Songs Llc, Tyde Music, Rubet Music Publishing Inc.
