Kohlenberg: Anxiety, PTSD Flashcards
A. Develops after exposure to actual or threatened death, serious injury, or sexual violence in one or more of the following ways:
The event happened to you, or you witnessed it in person, you learned that it happened to a close friend or family member…in cases of actual or threatened death of a family member or friend, the events must have been violent or accidental.
Experiencing repeated or extreme exposure to aversive details of the traumatic events (first responders, police officers).
B. Presence of one or more intrusion symptoms (memories, dreams, flashbacks, distress/physio reactions at exposure to internal or external cues that resemble an aspect of the trauma.
C. Persistent avoidance of stimuli associated with the trauma (avoidance of memories, external reminders)
D. Negative alternations in cognitions and mood associated with the trauma (inability to remember, detachment, inability to experience positive emotions).
E. Marked alterations in arousal and reactivity associated with the traumatic events, beginning or worsening after the trauma (Angry and irritable toward people, reckless or self destructive behavior…sleep problems, problems with concentration)
PTSD
PTSD is marked by presence of (blank) symptoms; persistent (blank) of stimuli associated with the traumatic stimuli
intrusion; avoidance
How long must PTSD symptoms last to be considered PTSD? When is PTSD considered acute? When is it chronic? When is it considered delayed expression?
30 days
less than 3 months
longer than 3 months
when symptoms occur 6+ months after the incident
What types of dysfunction occur in patients with PTSD?
interpersonal (marriages, families) occupational self-esteem emotional control more general medical care (get sick more often)
What percentage of soldiers and marines will suffer PTSD? How often will treatment lead to complete remission?
35% ;
30-50% of the time
T/F: PTSD is now a civilian and a veteran disorder
true
The feeling that one knows the right thing to do but is unable to do so because of institutional constraints.
moral distress
Risk factors for developing PTSD?
history of mental illness
getting hurt
seeing people hurt of killed
having little or no social support after the event
weak/deteriorating psychosocial resources
dealing w extra stress after the event, such as loss of a loved one
**substance abuse/emotional avoidance (may feel better in the moment, but they don’t do better overall)
T/F: Many people, nearly 50% of US population, experiences traumatic events; however, most persons exposed to trauma do NOT have prolonged psychological sequelae and do not develop PTSD
True
This therapy helps people face and control their fear. It exposes them to the trauma they experienced in a safe way. It uses mental imagery, writing, or visits to the place where the event happened. The therapist uses these tools to help people with PTSD cope with their feelings
exposure therapy
This therapy helps people make sense of the bad memories. Sometimes people remember the event differently than how it happened. They may feel guilt or shame about what is not their fault. The therapist helps people with PTSD look at what happened in a realistic way.
cognitive restructuring
This therapy tries to reduce PTSD symptoms by teaching a person how to reduce anxiety. Like cognitive restructuring, this treatment helps people look at their memories in a healthy way.CBT
stress inoculation training
What does talk therapy do for pts with PTSD?
teach people ways to react to frightening events that trigger their PTSD symptoms
**relaxation skills, tips for eating well, sleeping well
T/F: People with PTSD and comorbid substance abuse disorder have worse treatment outcomes
true
What is acceptance and commitment therapy?
realizing that our histories are unchangeable - take our history with us, compassionately, kindly, lovingly
