35 PTSD Flashcards
Name 3 historical events depicting PTSD
Battle of Marathon - spirits of enemies enter soldiers
“Railway Spine” - witnesses of railway accidents
Shellshock, battle fatigue, Post-Vietnam syndrome
List the 8 diagnostic CRITERION of PTSD
A. Exposure B. Intrusion C. Avoidance D. Neg mood/cognition E. Arousal F. Duration G. Clinically significant DISTRESS + impaired FUNCTION H. Not related to a substance or other disorder
Acronym for the CRITERION
DEANIA
How many people experience a criterion A1 event in their lifetime
60% experience criterion A1
Name types of EVENTS that can cause PTSD
Sexual assault Combat Domestic violence Refugees Paramedics Burnout
How many patients will RECOVER?
ie. not develop full-blown PTSD?
HALF of patients recover within 1 year
Is there a GENDER difference in experiencing PTSD?
WOMEN 10% - more exposure to violence
Men 5%
Name the 3 BRAIN structures affected in PTSD and the effect
Prefrontal cortex - emotional dysfunction
Amygdala - FEAR-based emotional memories
Hippocampus - placing memories in correct COONTEXT
Name the 3 assessment tools for PTSD
CAPS - Clinician Administered PTSD Scale
IES - Impact of Events Scale
Name the 5 types of TREATMENT for PTSD
CBT Cognitive Behavior Tx EMDR - Eye Movement Desensitisation and Reprocessing Group Tx Marital/Family Tx Medication
How is CBT used in PTSD
Graded/prolonged exposure to fear stimulus
Cognitive restructuring/reprocessing
How is EMDR used in PTSD
Telling “STORY” of trauma (less engaging) to reprocess triggers
What types of medications are used to PTSD?
Antidepressants
Anxiolytics
= SHORT-TERM benefit/relief
Is GROUP Tx useful for PTSD?
Provides support, but LITTLE improvement