Chapter 15- Trauma and Stressor Related Disorders

Question 1

What are 4 DSM-5 Trauma and Stress-related Disorders ?

4pts

Answer 1

• Acute Stress Disorder (ASD)
• Post-traumatic Stress Disorder (PTSD)
• Adjustment Disorders
• Other specified stress related disorders (complicated bereavement)

Question 2

Stressful life events vs traumatic life event?

2pts

Answer 2

Stressful life event:
Negative events have a more negative impact on mental health
Ex- divorce

Traumatic life event:
- Shocking and overwhelming
- Involve actual or threatened death, serious injury, or threat of harm to self or others

Question 3

ASD vs PTSD?

Prevalence by gender for PTSD?

5pts

Answer 3

ASD:
- Last 3 days to 1 month
- Same clinical picture as PTSD

PTSD:
- Symptoms present greater than 1 month
- Evidence- based treatment recommended
- More prevalent in females than males

Question 4

What is the 5 criteria’s for PTSD?

Answer 4

Criteria A: Exposure to traumatic event

Criteria B: Intrusion symptoms- unwanted memories, flashbacks or nightmares about the traumatic event

Criteria C: Avoidance and numbing

Criteria D: Negative cognitions and moods associated with the trauma

Criteria E: Hyperarousal

Question 5

What is complex PTSD? What is it often comorbid with?

3pts

Answer 5

• Exposure to multiple traumatic events especially in childhood
• Same symptoms as PTSD plus some other things
• Often comorbid borderline personality disorder

Question 6

What disorders is PTSD often comorbid with?

3pts

Answer 6

• Anxiety disorders
• Mood disorders
• Alcohol use

Question 7

Most people exposed to a traumatic event BLANK develop PTSD

Answer 7

do not

Question 8

Fear conditioning:

• People typically respond with BLANK to traumatic events
• Reminders of cues of the trauma (“BLANK
  stimuli”) then trigger fear reactions
  (“BLANK”)
• Successful recovery from trauma involves fear BLANK or BLANK of fear responses to
  cues/memories associated with the trauma and new learning that these cues BLANK longer signal
  BLANK
• PTSD may be associated with impaired ability to BLANK this acquired BLANK

Answer 8

• Fear
• Conditioned, conditioned response
• reduction, extinction, no, threat
• extinguish, fear

Question 9

What does the amygdala, prefrontal cortex, hippocampus do in PTSD?

2pts each- total 6pts

Answer 9

Amygdala:
- threat processing
- Overactive in PTSD

Prefrontal cortex (especially anterior cingulate cortex):
- Thinking part of brain that talks to amygdala
- Impaired in PTSD

Hippocampus:
- Smaller in those with PTSD
- Impairs the ability to contextualize and interpret the trauma

Question 10

What is post traumatic growth?

Answer 10

• Transformation after trauma
• Finding strength and positive change after trauma