Hill: Trauma & Stress

Question 1

4 sx of PTSD

Answer 1

1. Re-experience event
2. Avoidance of stimuli assc w trauma
3. Inc arousal: insomnia, irritable, hard to conc
4. Negative cognition: inc blame, estrangement, dec interest, can’t remember event

Question 2

Define PTSD

Answer 2

Duration of event and sx is over a month

Distress impairs function

Question 3

Treatment of PTSD

Answer 3

1. SSRI
2. Cognitive processing therapy: support grp, eye mvment reprocess
3. Avoid addictive Rx: benzo

Question 4

Define acute stress disorder

Answer 4

Duration is 3 days to 1mo after event

Sx similar to PTSD

Question 5

Define adjustment disorder

Answer 5

Development of behavioral sx within 3mo of stressor

Question 6

Types of somatoform disorders (5)

Answer 6

1. Pain disorder
2. Conversion disorder
3. Hypochondriasis
4. Body dysmorphia
5. Somatoform disorder

Question 7

Define conversion disorder

Answer 7

• One or more sx that suggest neuro or other medical condition
• Psych factors are assc w the sx bc initiation by stressor
• Sx are NOT intentional
• Sx NOT fully explained by med condition

Examples of sx: anesthesia, weakness, paralysis, seizures, involuntary movement, blindness

Question 8

Define factitious disorders

Answer 8

• Voluntary control of sx
• Ex: Munchausen

Question 9

Somatoform disorder treatment

Answer 9

• Team: pain management, neurology, psychiatry
• CBT
• Hypnosis
• Anxiety meds: clonazepam

Question 10

3 types of dissociative disorder

Answer 10

1. Dissociative amnesia: can’t recall personal info about traumatic experience
2. Dissociative fugue: sudden and unexpected travel. Cant recall past ID
3. Dissociative ID disorder: multiple personalities. Victims of sexual abuse