Chapter 7 Flashcards
CPTSD
complex post traumatic stress disorder not in dsm but is in icd
this has a much more in depth treatment plan than ptsd
cumulative disorder (there is a build up) multiple traumas experienced
Trauma and Stressor-Related Disorders
-New to DSM-5
-Disorders that develop after a stressful or traumatic life event
-Includes;
-Childhood attachment disorders
-Post-traumatic stress disorder (PTSD)
-Acute stress disorder
Post Traumatic Stress Disorder (PTSD)
-Enduring, distressing emotional disorder that follows
exposure to a severe helplessness or fear inducing threat. The victim re-experiences the
trauma, avoids stimuli associated with it, and develops a numbing of responsiveness and
an increased vigilance and arousal
- long-lasting severe emotional reactions persist leading to post-traumatic stress disorder
Clinical Description of PTSD
-Fear of re-experiencing a traumatic event
-Rape, war, life-threatening situation, etc.
-Nightmares or flashbacks
-Avoidance of the intense feelings of the event through emotional numbing
-Acute, chronic, delayed-onset
Acute Stress Disorder
-Severe reaction immediately following a terrifying event, often including amnesia about the event, emotional numbing, and derealization. Many survivors later
develop post-traumatic stress disorder
-aprox 50% od patients develop PTSD
- less than a moth after even
PTSD in Children
-Children’s memories of traumatic events:
-Become embellished over years
-Bed-wetting, separation fears
PTSD Causes
- Cause has to be a traumatic experience
-Biological, psychological, social vulnerabilities
-Intensity and severity of trauma
-No or little social support system
-Damaged hippocampus (we are not sure if trauma damages the hippocampus or if the damaged hippocampus causes trauma
PTSD Treatment
-Imaginal exposure, coping skills (Gradual exposure is the key)
-Cognitive therapy
-Constructivist-narrative approach
-Eye-movement desensitization and reprocessing (EMDR)
-SSRIs (Prozac, Praxil) to relieve anxiety
Constructive-narrative Approach
Therapist assists clients in reconstructing their ‘story’ about
the traumatic event - changing the meaning that the clients have attached to the traumatic event and helping them develop adaptive coping strategies and a sense of survivorship.
Eye Movement Desensitization and Reprocessing (EMDR)
While in therapy and thinking
about their traumatic experience, clients are asked to follow the therapist’s moving fingers with their eyes, all the while keeping the image of the trauma in mind. This facilitates rapid reprocessing of the traumatic event
Flashback
When memories occur very suddenly and the survivors find themselves reliving the
event
Delayed PTSD
Individuals show few, if any, symptoms immediately or for months after the trauma, but at least six months later, and perhaps years afterward, develop full blown PTSD
Prolonged Exposure Therapy
develop a narrative with the trauma survivor of the traumatic
experience and to expose the patient for extended periods of time to that narrative
Derealization
-Persistent or recurrent experiences of unreality of surroundings (ie; the
world around the individual is experienced as unreal, dreamlike, distant, or distorted
- Detached from the world
Depersonalization
-Persistent or recurrent experiences of feeling detached from, and as if one were an outside observer of one’s mental processes of body (ie; feeling as though one were in a dream, feeling a sense of unreality of self or of time moving slow
- detached from yourself
Prolonged Grief Disorder
-Prolonged adaptation to loss associated with intense longing for
and preoccupation with the deceased, leading to difficulty moving on with life even after a year or more has passed
-Difference between prolonged grief and acute grief
