Anxiety and stress Flashcards
type I trauma?
single incident trauma
type II trauma?
repetitive trauma
conveys higher risk of PTSD
what is tonic immobility
inescapable threat leads to involuntary state of profound but reversible motor inhibition
what is neuroception
neural circuit decision to determine if people/situations are safe or dangerous
takes part without conscious awareness
risk factors for post traumatic reactions - traumatic factors
man made over natural disaster prolonged exposure percieved threat to life personally relevant multiple death/mutilation or grotesque scenes
risk factors for post traumatic reactions - patient factors
severe acute stress reaction FHx or personal hx serious injury loss normal function extreme of age transgenerational events past experience trauma
risk factors for post traumatic reactions - environmental factors
lack of support ongoing stress reactions of others finance social/economic disadvantage displacement
normal reactions to trauam?
numb, shock, denial fear depression or elation guilt anger insomnia hopeless avoidance intrusive experience hyperarousal
psychological reactions post trauma
alcohol, drug dependence acute stress disorder PTSD depression grief panic attack and agoraphobia brief hypomania specific phobias
symptoms of PTSD
nightmares flashbacks avoidance of thoughts or feelings amnesia of trauma negative affect exaggerated blame sleep disturbance concentration difficulty irritability risky behaviour
how long do PTSD symptoms need to be present o be diagnostic
> 1m
What is complex PTSD and what other symptoms does it have besides the core
negative self concept
emotional dysregulation
chronic interpersonal difficulties
psychological therapies of PTSD
CBT
EMDR
for complex, stabilisation and safety and psychoeducation, trauma therapy
what may be the use of prazosin
sleep and nightmares
medication for PTSD
acute phase
AD - SSRI/venlafaxine for depressive features
low dose risperidone or antipsychotic for hyperarousal
