Centre for Specialist Psychological Treatments of Anxiety and Related Problems, The University of Bath, Claverton Down, Bath BA2 7AY

The request was partially successful.

Dear Avon and Wiltshire Mental Health Partnership NHS Trust,

Please can you let us know the number of patients with Complex PTSD (not singular PTSD) that you have treated since the Centre for Specialist Psychological Treatments of Anxiety and Related Problems opened. This centre is based at Bath University.

And if so what specialist treatment do you provide for this condition typically.

If this request is too wide or unclear, I would be grateful if you
could contact me as I understand that under the Act, you are
required to advise and assist requesters. If any of this
information is already in the public domain, please can you direct
me to it, with page references and URLs if necessary.

If the release of any of this information is prohibited on the
grounds of breach of confidence, I ask that you supply me with
copies of the confidentiality agreement and remind you that
information should not be treated as confidential if such an
agreement has not been signed.

I understand that you are required to respond to my request within
the 20 working days after you receive this letter.

I would be grateful if you could confirm that you have received
this request.

Many thanks

J Forman

freedomofinformation (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST), Avon and Wiltshire Mental Health Partnership NHS Trust

1 Attachment

Dear J Forman

 

Please find attached correspondence regarding your freedom of information
request.

 

Many thanks

 

Freedom of Information Team

Avon and Wiltshire Mental Health Partnership NHS Trust Headquarters

Trust Headquarters

Bath NHS House,

Newbridge Hill,

Bath BA1 3QE

01225 731620

 

You Matter, We Care

 

Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is a
significant provider of mental health services for people living in Bath
and North East Somerset, Bristol, North Somerset, Swindon, South
Gloucestershire and Wiltshire, as well as specialist services to people
from across the South West

                                                                                                   

[1]www.awp.nhs.uk/confidence

 

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freedomofinformation (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST), Avon and Wiltshire Mental Health Partnership NHS Trust

1 Attachment

Dear J Forman

 

Please find attached correspondence regarding your freedom of information
request.

 

Yours sincerely

 

Freedom of Information Team

 

Avon and Wiltshire Mental Health Partnership NHS Trust Headquarters

Bath NHS House

Newbridge Hill

Bath

BA1 3QE

 

Tel: 01225 731620

 

 

 

Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is a
significant provider of mental health services for people living in Bath
and North East Somerset, Bristol, North Somerset, Swindon, South
Gloucestershire and Wiltshire, as well as specialist services to people
from across the South West.

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Dear freedomofinformation (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST),

From your reply asking for ICD codes, it may be prudent to surmise that in not knowing the codes this is not a condition you treat. But we shall await further information.

The ICD codes follow:
ICD-10:F43.1 Complex Developmental PTSD
ICD-10:F44
ICD-10:F33

Yours sincerely,

J Forman

freedomofinformation (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST), Avon and Wiltshire Mental Health Partnership NHS Trust

1 Attachment

Dear J Forman

 

Please find attached revised correspondence regarding your freedom of
information request.

 

Yours sincerely

 

Freedom of Information Team

 

Avon and Wiltshire Mental Health Partnership NHS Trust Headquarters

Bath NHS House

Newbridge Hill

Bath

BA1 3QE

 

Tel: 01225 731620

 

 

 

Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is a
significant provider of mental health services for people living in Bath
and North East Somerset, Bristol, North Somerset, Swindon, South
Gloucestershire and Wiltshire, as well as specialist services to people
from across the South West.

show quoted sections

Dear freedom of information (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST),

Please use codes as provided and specify what treatments you provide for each condition and also how many people you have treated at your clinic since it opened who have suffered with those disorders listed individually. If you do not treat those disorders please state this clearly.

ICD-10 International Classification of Diseases, 10th Revision
Feb 05, 2018

ICD 10 Code for Post-traumatic stress disorder, unspecified - F43.10
F43.10 is a valid ICD 10 diagnosis code.

ICD-10-CM Code F44.9
Dissociative and conversion disorder, unspecified
F44.9 is a billable ICD code used to specify a diagnosis of dissociative and conversion disorder, unspecified. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

CD-10-CM Code F33.2
Major depressive disorder, recurrent severe without psychotic features
F33.2 is a billable ICD code used to specify a diagnosis of major depressive disorder, recurrent severe without psychotic features. A 'billable code' is detailed enough to be used to specify a medical diagnosis.

For your information Complex Developmental PTSD does differ from PTSD but as yet has no specific ICD Code. Here is more about it on the main NHS Website..Do you treat this?

Because it is complex this trauma is treated in a 3 stage process. Do you provide this treatment as detailed and recommended by NICE for best Treatment for C-PTSD?

Complex PTSD
Complex PTSD may be diagnosed in adults or children who have repeatedly experienced traumatic events, such as violence, neglect or abuse.

Complex PTSD is thought to be more severe if:

the traumatic events happened early in life
the trauma was caused by a parent or carer
the person experienced the trauma for a long time
the person was alone during the trauma
there is still contact with the person responsible for the trauma
As it may take years for the symptoms of complex PTSD to be recognised, a child's development, including their behaviour and self-confidence, can be altered as they get older.

Adults with complex PTSD may lose their trust in people and feel separated from others.

Symptoms of complex PTSD
The symptoms of complex PTSD are similar to symptoms of PTSD but may include:

feelings of shame or guilt
difficulty controlling your emotions
periods of losing attention and concentration – this is known as dissociation
physical symptoms – such as headaches, dizziness, chest pains and stomach aches
cutting yourself off from friends and family
relationship difficulties
destructive or risky behaviour – such as self-harm, alcohol misuse or drug abuse
suicidal thoughts
Treating complex PTSD
One of the key symptoms of complex PTSD is losing trust in people. If possible, people with complex PTSD are recommended to slowly start doing regular activities such as:

finding friends
getting a job
regular exercise
taking on hobbies
It's important to try and develop some feelings of trust. It may take some time, but a trusting relationship with a therapist will help treat complex PTSD.

Treatment from a therapist may be given in three stages.

Stabilisation
One of the first steps in treating complex PTSD may involve speaking with a therapist to learn how to control feelings of distrust and lose the feeling of being 'disconnected' from friends and family.

Certain techniques, known as 'grounding' techniques, may be able to help you separate an abusive or traumatic past from the present. The aim is to make the past seem less frightening and reduce the amount of flashbacks you experience.

With time, you can begin to experience less anxiety and learn to cope with daily life.

Trauma-focused therapy
Trauma-focused therapy may include:

certain types of psychotherapy
cognitive behavioural therapy (CBT)
eye movement desensitisation and reprocessing (EMDR)
These treatments may help you to control any distressing thoughts but must be approached carefully to avoid making the situation worse.

Reintegration
The final stage is to begin to use these skills and techniques to develop better relationships with other people.

Medication, such as antidepressants, may still be recommended if psychotherapy isn't possible or you feel unsafe.

You can read more information about complex PTSD on the Royal College of Psychiatrists website.

Hope this clarifies what information is required, we have tried to put it as simply as possible so you may best understand

Yours sincerely,
J Forman

freedomofinformation (AVON AND WILTSHIRE MENTAL HEALTH PARTNERSHIP NHS TRUST), Avon and Wiltshire Mental Health Partnership NHS Trust

1 Attachment

Dear J Forman

 

Please find attached correspondence regarding your freedom of information
request.

 

Many thanks

 

Freedom of Information Team

Avon and Wiltshire Mental Health Partnership NHS Trust Headquarters

Trust Headquarters

Bath NHS House,

Newbridge Hill,

Bath BA1 3QE

01225 731620

 

You Matter, We Care

 

Avon and Wiltshire Mental Health Partnership NHS Trust (AWP) is a
significant provider of mental health services for people living in Bath
and North East Somerset, Bristol, North Somerset, Swindon, South
Gloucestershire and Wiltshire, as well as specialist services to people
from across the South West

                                                                                                   

[1]www.awp.nhs.uk/confidence

 

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