05c_Trauma- and Stressor-Related Disorders

Question 1

Reactive Attachment Disorder:

Overview

Answer 1

Inhibited and emotionally withdrawn behavior toward adult caregivers

Lack of seeking or responding to comfort

Question 2

Reactive Attachment Disorder:

Symptoms

Answer 2

Minimal social and emotional responsiveness

Limited positive affect

Irritability, sadness, or fearfulness when interacting with caregivers

Question 3

Reactive Attachment Disorder:

Areas of extreme insufficient care

Answer 3

Basic emotional needs

Stimulation

Affection

Limited Attachment
(due to unusual environment/and or repeated changes in caregivers)

Question 4

Reactive Attachment Disorder:

Age Criteria

Answer 4

Symptoms by 5yo

Minimum developmental age: 9 months

Question 5

Disinhibited Social Engagement Disorder:

Overview

Answer 5

Inappropriate interactions with unfamiliar adults

Question 6

Disinhibited Social Engagement Disorder:

Diagnostic criteria

Answer 6

Due to Extreme insufficient care

9+ months old

2+ characteristic symptoms

Question 7

Disinhibited Social Engagement Disorder:

Characteristic symptoms

Answer 7

Overly familiar behavior with unfamiliar adults

Venture away without checking with adult caregiver

Accompanies unfamiliar adult with little/ no hesitation

Question 8

PTSD:

Diagnositic Criteria

Answer 8

Exposure to actual or threatened death, serious injury, or sexual violence

Presence of at least one intrusion symptom

Persistent avoidance of stimuli associated with events

Negative changes in cognition or mood associated with the event

Marked change in arousal and reactivity associated with the event

Question 9

PTSD:

What Intrusion symptom can look like in children

Answer 9

Repetitive play related to the traumatic event

Question 10

PTSD:

Exposure to aversive details of the event, exception

Answer 10

Criterion is not met if exposure is through the media

*Unless such exposure is work-related

Question 11

PTSD:

Symptom Cluster not included for Children under 6

Answer 11

Negative changes in cognition or mood associated with the event

Question 12

PTSD:

Duration criterion for all ages

Answer 12

1+ month

Question 13

PTSD:

Delayed expression

Answer 13

Full diagnostic criteria are not met until at least 6 months after the event

Question 14

PTSD:

Treatment

Answer 14

Comprehensive cognitive behavioral intervention

*SSRIs do not specifically address PTSD
But can be prescribed to reduce comorbid depression or anxiety

Question 15

PTSD:

Cognitive incident stress debriefing (CISD)

Answer 15

With or Without Symptoms, Treatment provided within 72 hours Traumatic Event in a single lengthy session

Research shows that it may worsen symptoms

Question 16

PTSD:

EMDR

Answer 16

Beneficial effects of EMDR are likely due more to exposure and other nonspecific factors, rather than eye movements

Question 17

Acute Stress Disorder:

Diagnostic criteria

Answer 17

Meets Exposure criterion of PTSD

9+ PTSD symptoms
[regardless of symptom category]

Question 18

Acute Stress Disorder:

Duration criteria

Answer 18

3 days to 1 month

Question 19

Adjustment Disorder:

Overview

Answer 19

Symptoms in response to 1+ identifiable psychosocial stressors

Question 20

Adjustment Disorder:

Duration criteria

Answer 20

Symptoms occur within 3 months of the stressor onset

Symptoms remit within 6 months after termination of the stressor or its consequences

Question 21

Adjustment Disorder:

Specifiers

Answer 21

With depressed mood

With anxiety

With mixed anxiety and depressed mood

With disturbance of conduct

With mixed disturbance of emotions and conduct

unspecified

Question 22

Adjustment Disorder:

Psychosocial Stressor Exception

Answer 22

Diagnosis not given for Normal bereavement