2B PTSD

Question 1

Posttraumatic stress disorder (PTSD) VS acute stress disorder

Answer 1

Question 2

symptoms of PTSD last

Answer 2

Symptoms last > 1 month

Question 3

PTSD DSMV

Answer 3

A. Exposure to actual or threatened death, serious injury, or sexual violence in one (or more) of the
following way
B Presence of one (or more) of the following** intrusion symptoms** associated with the traumatic event,
beginning after the traumatic event occurred:

C. Persistent avoidance of stimuli associated with the traumatic event

D. **Negative alterations in cognitions and mood **associated with the traumatic event

E. Marked alterations in arousal and reactivity

F. Duration of the disturbance (criteria B, C, D, and E)** is more than 1 month.**
G. The disturbance causes clinically significant distress or impairment.
H. The disturbance is not attributable to the physiological effects of a substance or medical condition.

Traumatic event,
Reexperience,
Avoidance,
Unable to function
1 Month of symptoms,
Arousal
Negative alteration of cognition and mood.

TRAUMAN

Question 4

Epidemiology PTSD

Answer 4

• Lifetime prevalence > 8%.
• Higher prevalence in women, most likely due to greater risk of exposure to traumatic events, particularly rape and other forms of interpersonal violence.
• Exposure to prior trauma, especially during childhood, is a risk factor for developing PTSD

Question 5

PTSD usually develops it either

Answer 5

sometime after the trauma;
the delay can be as short as
1 week or as long as 30 years

Question 6

PTSD Symptoms fluctuate and may be most intense during

Answer 6

periods of stress.

Question 7

PTSD have a comorbid mental disorder

Answer 7

80% of patients

MDD, bipolar disorder, anxiety disorder, substance
use disorder).

PTSD that is comorbid with other psychiatric disorders is often more severe, more chronic, and more difficult to
treat.

Question 8

management of pTSD

Answer 8

Question 9

Good prognostic factors in PTSD

Answer 9

• Rapid onset of symptoms
• Short duration of symptoms (< 6 months)
• Good premorbid functioning
• Strong social supports
• Absence of other psychiatric, medical, or
  substance-related disorders

Question 10

Adjustment Disorder

Answer 10

Occurs when behavioral or emotional symptoms develop after a non-life-threatening, stressful life event
(ex. divorce, death of a loved one, loss of job).

Question 11

Adjustment Disorder DSM5

Answer 11

Question 12

DSM-5 lists six adjustment disorders subtypes

Answer 12

Question 13

treatment of choice for adjustment disorders

Answer 13

Psychotherapy
group therapy (patients who have had similar stresses)

pharmacotherapy may be used to target associated symptoms (insomnia, anxiety, depression

Question 14

prognosis of adjustment disorder

Answer 14

With appropriate treatment, the overall prognosis of an adjustment disorder is generally favorable.
Most patients return to their previous level of functioning within 3 months.

Question 15

If symptoms persists > 6 months after stressor ends in adjustment disorder

consider

Answer 15

consider diagnosis of GAD or MDD

Question 16

suicide in adjustment disorder

Answer 16

There is an increased risk of suicide in patients with adjustment disorder, especially in adolescents.