032615 PTSD Flashcards

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1
Q

PTSD DSM 5 def

A

exposure to actual or threatened death, serious injury, or sexual violence (directly, witnessing in others, learning it occurred to someone close)

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2
Q

intrusions

A

traumatic event is persistently reexperienced (can be all 5 senses)

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3
Q

avoidance

A

persistent avoidance of stimuli assoc w the trauma

negative alterations in cognition and mood (inability to recall aspects of trauma, persistent and exaggerated negative beliefs about self/others/world, distorted cognitions about the cause or consequences of event, negative emotional state, anhedonia, feeling isolated, inability to experience positive emotions)

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4
Q

Horowitz theory of integration

A

if over control, get neg alternations in mood and cognitions

if under control, get intrusions

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5
Q

duration of symptoms for PTSD

A

more than 1 month (prior to 1 month, it’s acute stress disorder)

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6
Q

neurobiology of trauma-three key players that contribute to PTSD

A

amygdala (hyperactivation in response to trauma)
hippocampus (reduced volumes)
prefrontal cortex (LESS activation)

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7
Q

role of hippocampus

A

contexualizes fear and regulates it on the basis of the situation

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8
Q

role of prefrontal cortex

A

prefrontal cortex and amygdala are reciprocally related (when PFC is activated, amygdala is inhibited so it’s harder to express fear)

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9
Q

tx for PTSD

A

behavioral deconditioning (flooding/implosive therapy, systematic desensitization)

cognitive behavioral tx (was demonstrated in the video)

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10
Q

physician screening tool for PTSD (type I trauma-a single incident)

A

ask:

  • have you experienced any vivid thoughts about accident?
  • what do you believe is the cause of the accident?
  • are you able to return to the place of the accident?
  • what do you think could be done to prevent the accident?

look for symptoms

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11
Q

physician screening tool for type II trauma (multiple or prolonged trauma)

A

-somatic complaints
-chronic depression or anxiety
-difficulty sleeping and concentrating
-memory problems (chunks of time during childhood that aren’t remembered)
-flashback, nightmares
-startle response
-difficult with food that is unappealing
-problems knowing who to trust
etc

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