93B PTSD

Question 1

acute vs chronic PTSD time frame and importance

Answer 1

chronic = >3 months (requires treatment as it probably wont go away; 80% have MDD, anxiety, substance abuse issues)

Question 2

what is the most traumatic event type?

Answer 2

War/combat

terrorism > natural disasters

Question 3

physicians and PTSD diagnosis; prevalence

Answer 3

doctors miss it a lot (only diagnose 5% of cases);

3.5% prevalence (20% for OEF/OIF vets)

Question 4

dissociation symptoms during/right after a trauma what does that mean?

Answer 4

higher chance of getting PTSD

Question 5

PTSD and traumatic brain injury have similar symptoms - how do you differentiate?

Answer 5

EEG

Question 6

Signs and symptoms of PTSD

Answer 6

Re-experiencing symptoms
hyperarousal 
avoidance
numbing (alcohol, weed, social isolation)
negative thoughts/moods

Question 7

complex trauma

Answer 7

traumas inflicted over a period of years

Question 8

What mediates allostasis in humans?

Answer 8

Neuroendocrine system
Autonomic nervous system
Immune system

Question 9

what 2 areas of the brain atrophy with chronic stress?

Answer 9

amygldala

hippocampus

Question 10

what do high dose, chronic adrenal steroids and glutamate cause?

Answer 10

suppressed synaptic transmission, potentiation, and learning

Question 11

1st line meds for PTSD

Answer 11

SSRIs and SNRIs

Prasosin for sleep (NOT BENZOs)