By: Baptista, Michael Angelo G. Georshua, Donella Faith D.

Is a behaviour which is intended to hurt, injure or kill people.

Biologic -increase Testosterone levels -decrease Serotonin

Social - learned violent behaviour -Intergenerational transmission -Culturally permissive attitudes -Devaluation of women -Power of inequities

Social Isolation -Members of the families keep to themselves and usually do not invite others into the home or tell them what is happening. -Abusers threaten victims with greater harm if they reveal the secret.

Domestic violence affects families of all ethnic, racial, age, national origin, sexual orientation, religious and socioeconomic backgrounds. Battered immigrant women face legal, social and economic problems different from U.S citizens who are battered and people of other cultural, racial and ethnic origins who are not battered.

Non accidental trauma Battered child syndrome Maltreatment generally is defined as an intentional injury of a child

Physical Abuse
Sexual Abuse Neglect Psychological/Emotional Abuse

Come from violent family

They also abused by their parents

They have inadequate parenting skills

Emotionally immature Socially isolated

Violent family pattern Inconsistencies(wounds, scars & bruises of different stages of healing)

Social Isolation/Sexual pre occupation

Emotional Liability No reaction/ Apathy

Attend to immediate physiologic needs and safety Provide for physical needs first Mandatory reporting to appropriate agency Non judgemental treatment of patients teaching Initiate prospective placement Proper documentation

Serious injury such as fractures, burns or lacerations with no reported history of trauma.
Delay seeking treatment for a significant injury. Child or parent gives a history inconsistent with severity of injury such as baby with injuries to the brain (Shaken Baby Syndrome) that the parents claim happened when the infant rolled off the sofa.

Unusual injuries for the childs age and level of development such as fractured femur on a 2 month old or dislocated shoulder in a 2 year old. High incidence of UTI, bruised, red or swollen genetalia; tears or bruising of return or vagina. Evidence of old injuries not reported such as scars, fractures not treated, multiple bruises that parent/caregiver cannot explain adequately.

Ensure the childs safety and well being -May involve recurring of the child from the home, which also can be traumatic. -Given high risk for psychological problems, a thorough psychiatric evaluation is indicated

Play therapy -Where the child draws or acts out situations with puppets or dolls rather than talking about what has happened or his/her feelings.
Family therapy -May be indicated if reuniting the family is feasible.

Foster care -If the child is unlikely to return home, long term of short term foster care services may be indicated.

Is a type of anxiety disorder. It can occur after you've seen or experienced a traumatic event that involved the threat of injury or death.

Assault Domestic abuse Prison stay Rape Terrorism War

Reliving the event, which disturbs day-to-day activity. Avoidance Arousal

Other Symptoms:

Agitation or excitability Dizziness Fainting Feeling your heart beat in your chest Headache

There are no tests that can be done to diagnose PTSD. The diagnosis is made based on certain symptoms. Your health care provider may ask for how long you have had symptoms. This will help your health care provider know if you have PTSD or a similar condition called Acute Stress Disorder (ASD). -In PTSD, symptoms are present for at least 30 days. -In ASD, symptoms will be present for a shorter period of time. Your health care provider may also do mental health exams, physical exams, and blood tests to look for other illnesses that are similar to PTSD.

Support groups Desensitization Medications Antidepressants (SSRI)

Can be defined as conditions that involve disruptions or breakdowns of memory, awareness, identity and/or perception. People with dissociative disorders use dissociation, a defense mechanism, pathologically and involuntarily. Are thought to primarily be caused by psychological trauma.

Depersonalization disorder Dissociative Amnesia Dissociative Fugue Dissociative Identity Disorder Dissociative Disorder Not Specified

Cognitive Behavioral Therapy

May be treated symptomatically like medications for anxiety, depression or both.