[The war in my head : A psychotraumatological case report after a prolonged intensive care unit stay]

Med Klin Intensivmed Notfmed. 2020 Jun;115(5):372-379. doi: 10.1007/s00063-019-00609-7. Epub 2019 Aug 28.
[Article in German]

Abstract

Intensive care treatment is proven to be associated with patients' mental symptoms. There is a correlation between acute stress and psychological sequelae, which has not yet been sufficiently theoretically substantiated. This case report illustrates the development of mental symptoms during and after intensive care treatment with reference to a psychotraumatological model. Above all, memories that are not related to reality but are associated with fear of death are potentially traumatic. A re-evaluation of these memories can help to prevent psychological sequelae. Psychoeducation, conversation with the staff of the intensive care unit (ICU) and the ICU diary are helpful instruments in this process. Continuous psychological care should be provided if acute psychological stress occurs during intensive care medical treatment.

Keywords: Anxiety; Case report; Critical illness; Liver transplantation; Posttraumatic stress disorder.

Publication types

  • Case Reports

MeSH terms

  • Anxiety*
  • Critical Care
  • Humans
  • Intensive Care Units
  • Stress Disorders, Post-Traumatic / therapy*
  • Stress, Psychological