Summary
Engagement in risky/self-destructive behaviors is a symptom of PTSD (DSM-5). More than 70% of the general population experiences exposure to trauma, and 10–15% may meet criteria for PTSD, with symptoms more common among veterans and first responders. Common manifestations include hazardous alcohol and substance use, impaired and reckless driving, gambling, aggression, eating disorders, excessive exercise, extreme sports, and involvement in high-risk relationships. Such risky behaviors considerably elevate the likelihood of further trauma, including suicide. While risk-taking may be valued within veteran, and first responder populations, it also heightens the potential for harm to others. In this workshop, psychologists, licensed mental health professionals, medical personnel, and ministry leaders will evaluate how certain brain physiology and emotion dysregulation contribute to risky behaviors and how targeted therapeutic intervention is crucial both for addressing primary PTSD and mitigating subsequent trauma. This presentation examines assessment tools and the impact of risk behaviors as self-medication for symptom control. Therapeutic strategies are presented sensitive to the role of personality traits, emotional dysregulation and brain physiology.
Learning Objectives
Identify spectrum of risk behaviors associated with PTSD
Examine role of brain physiology and emotional dysregulation contributing to risk
Describe psychometric measures and therapeutic interventions to reduce risk behaviors