Clinical Approach to Trauma Flashcards
consistent pattern of inhibited emotionally withdrawn behavior toward an adult caregiver
doesn’t seek comfort when in distress and doesn’t respond well to comfort when distresses
little emotional responsiveness to others
little positive affect like smiling
episodes of irritability/sadness/fearfulness for no reason
reactive attachment disorder
(a child who doesn’t like to be consoled, frowns, is sad, and cant respond to other peoples emotions and actions esp. to an adult.)- flat affect
(birth -3 y/o) - neglect vs violence (PTSD)
how do you develop reactive attachment disorder (3)
from experiences patterns of extreme insufficient care
- social neglect/deprivation of basic needs
- changes in primary providers (foster care)
- in places where formation of selective attachments is limited (high child to caregiver ratio)
person exposed to PERCEIVED traumatic event in which both are present: experienced/witness actual or threatened death/injury/integrity of self or others
PTSD
people with PTSD can _ the traumatic event
can _ stimuli associated with trauma
have symptoms of _ arousal such as difficulty sleeping, irritability, difficulty concentrating.
re-experience
avoid
increased/hyper
what are some symptoms of negative cognitions associated with PTSD
distorted blame of self or others
isolation
diminished interest in activities
inability to remember key aspects of the event
what are the neurological abnormalities in PTSD
increase HPA axis (CRF and cortisol) leading to increase HR, BP, and disrupted sleep)
Increased amygdala stimulation (fear/anxiety)
decreased PFC and hippocampus (memories)
increased neurotransmitters (norepinephrine, dopamine, opioids)
what are the neurological abnormalities in PTSD
increase HPA axis (CRF and cortisol) leading to increase HR, BP, and disrupted sleep)
Increased amygdala stimulation (fear/anxiety)
decreased PFC and hippocampus (memories)
increased neurotransmitters (norepinephrine, dopamine, opioids, cortisol)
treatment for PTSD
SSRI (sertraline)
cognitive processing therapy (support group, eye movement desensitization and reprocessing)- bright lights
avoid addictive RX like Benzos
in PTSD you want to avoid what medications
benzodiazepines ( addictive)
what cognitive processing therapies can we use in PTSD
support groups
eye movement desensitization and reprocessing
PTSD is common in the _
military
examples of trauma (PTSD)
domestic violence, dating violence, sexual abuse, natural disaster (hurricane), car accident, burns, dog attacks, life threatening illness (cancer/traumatic birth)
potentially traumatic events that occur during childhood that are linked to chronic health problems, mental illnesses, and can have a negative impact on education, job opportunities, and earning potential
can be prevented!
Adverse childhood Experiences
what are adverse childhood experiences
potentially traumatic events that occur during childhood that are linked to chronic health problems, mental illnesses, and can have a negative impact on education, job opportunities, and earning potential
can be prevented!- alot them
very common!
what are some examples of adverse childhood experiences
experiencing violence/abuse
witnessing violence
having a family member attempt or die by suicide
substance abuse in the house
mental health issues in the health
parent divorce
how can we prevent adverse childhood experiences
strengthen economic supports to family, promote social norms, ensure strong start for children , teach skills, connect youth to caring adults and activities, intervene to lessen immediate and long term harms
PTSD symptoms are how long
greater than 1 month
similar symptoms to PTSD that lasts from 3 days to 1 month after trauma exposure
Acute stress disorder
how do we treat Acute distress disorder
usually supportive
or PRN medications
development of emotional/behavioral symptoms in response to an identifiable stressor occurring within 3 months of stressor
results in
significant distress out of proportion to severity of stressor
impairment of functioning
adjustment disorder
-does not require treatment
adjustment disorders usually do not persist beyond 6 months- not normal in _
grief
what is dissociative amnesia
inability to recall important personal information
-information regarding traumatic event
dissociative fugue
sudden unexpected travel away from home
inability to recall ones past/personal identity
dissociative idencity disorder
aka multiple personality disorder
-usually in survivors of sexual abuse
depersonalization disorder
watching your life out of body (as a bystander)
Presence of two or more distinct identities or personality states
disruption in identity involves marked discontinuity in sense of self and sense of agency, accompanied by related alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning
* signs and symptoms may be observed by others or reported by the individual
multiple personality disorder
multiple personality disorder is more common in?
women
multiple personality disorder is associated with
sexual abuse
