Clin - Trauma Flashcards
what is the diagnostic criteria for PTSD
Duration of disturbance and symptoms is more than 1 month
1) person exposed to a traumatic event in which both were present:
- person experienced/witness actual or threatened death/injury/integrity of self or others
2) persistent re-experience of event
3) persistent avoidance of stimuli associated with trauma
4) persistent increased arousal (difficulty sleeping, irritability, hypervigilance)
5) negative cognitions
what are the negative cognitions associated with PTSD
- persistent and distorted sense of blame of self or others
- estrangement from others
- markedly diminished interest in activties
- inability to remember key aspects of the event
treatment for PTSD
- drug of choice: SSRIs
- cognitive processing thearpy
- eye movement desensitization and reprocessing (EMDR)
**avoid addictive prescriptions like benzos
define acute distress disorder
sx similar to PTSD but lasting 3 days to 1 month after trauma exposure
define adjustment disorder
development of emotional/behavioral sx in response to an identifiable stressor
- occurs within 3 months of stressor
- results in significant distress out of proportion to severity of stressor or impairment of function
time period for adjustment disorder
occurs within 3 months of stressor, usually does not persist beyond 6 months
what are the types of adjustment disorders
- with depressed mood
- with anxiety
- with mixed anxiety and depressed mood
- with disturbance of conduct
- with mixed disturbance of emotions and conduct
what are the somatoform disorders
- somatic symptom disorder (pain disorder)
- conversion disorder
- illness anxiety disorder (hypochondriasis)
- body dysmorphic disorder
what is body dysmorphic disorder
- preoccupation w/ imagined defect in body, usually of the face
- frequent visits to dermatologist/plastic surgeon
- depression and OCD common
what is conversion disorder (functional neurological symptom disorder)
a mental condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation
diagnostic criteria for conversion disorder (functional neurological symptom disorder)
- 1+ sx affecting voluntary motor or sensory function that suggest neuro or other general medical condition
- psych factors are associated with symptom or deficit
- sx not intentionally produced or feigned
- sx cannot be fully explained by a general medical condition
- sx causes clinically significant distress or impairment
- sx not limited to pain or sexual dysfunction
conversion disorder sx
- paresthesias and anesthesias
- weakness/paralysis
- pseudoseizures/psychogenic seizures
- involuntary movements (tremors, tics)
- sensory disturbances (blindness, mutism)
define factitious disorder
a mental disorder in which a person acts as if he or she has a physical or mental illness when, in fact, he or she has consciously created the symptoms
what type of disorder is munchausen and munchausen by proxy
factitious disorder
treatment for somatoform disorder
- well-established therapeutic relationship
- team approach: pain management, neuro, psych
- CBT
- hypnosis
- anti-anxiety meds (clonazepam)
define dissociative amnesia
inability to recall important personal info usually regarding to traumatic experience
define dissociative fugue
sudden, unexpected travel away from home and inability to recall one’s past/personal identity
define dissociative identity disorder
“multiple personality disorder”
- often survivors of sexual abuse
what are some impulse control disorders that are not otherwise classified as a different disorder
- intermittent explosive disorder
- kleptomania
- pyromania
- pathological gambling
- trichotillomania
