Kohlenberg > Anxiety, PTSD, part II Flashcards
when does PTSD develop?
after exposure to actual or threatened death, serious injury, or sexual violence
what are the routes of PTSD?
to you
witnessed
learned that it happened to a family member/close friend (must be violent or accidental)
experiencing repeated exposure to details
what are the 4 secondary PTSD criteria?
intrusion sx
avoidance
detachment (negative cognition)
alterations in arousal & reactivity
what is the time frame for acute PTSD ?
<3 mos
what is the time frame for chronic PTSD?
> 3 mos
what is the time frame for delayed PTSD expression?
sx 6+ mos after stressor
what are the sequelae of PTSD regarding dysfunction?
interpersonal
occupational
self esteem
emotional control
what are the sequelae of PTSD regarding general medical care?
inc outpt visits (VA)
women w/ sex abuse hx
higher annual costs
(idk if this should be a card)
what was PTSD first associated with?
civil war combat > soldier’s heart, battle fatigue, shell shock
what is the current conflict surrounding PTSD?
~300k ppl / 35% of soldiers and marines will experience PTSD
how often do PTSD treatments lead to complete remission?
30-50% of the time
how much of the US population experiences trauma?
50%+
how many people who have experienced trauma go on to develop PTSD (%)?
5% of men
10.4% of women
what are the 5 types of trauma?
near far (wherever you are) intimate catastrophic extraordinary (war, terrorism, natural disaster)
who can be diagnosed w/ PTSD?
anyone
civilians & veterans
what are some risk factors for developing PTSD?
living thru a trauma (duh) hx of mental illness getting hurt seeing ppl hurt/killed having little-no social support after a bad event extra stress after an event
what are some post-trauma risk factors?
weak/deteriorating psychosocial resources (support)
highly disrupted/traumatized community
substance abuse/emotional avoidance
T/F: most people exposed to trauma do NOT have psychological sequelae
True
that’s called resilience motherfucker
what are 5 resilience factors?
seeking support
support group
feeling good about one’s actions in the face of danger
coping strategy
acting & responding effectively despite fear
what do pts believe healing involves?
forgetting
escaping/controlling past traumas
cutting a trauma out of their lives
what are 3 types of cognitive therapies for PTSD?
exposure therapy
cognitive restructuring
stress inoculation training
what is exposure therapy wrt PTSD?
helps pts face & control fear
expose pt to trauma in a safe way
use mental imagery, writing, or visits to location of event
cope w/ feelings
what is cognitive restructuring?
help ppl make sense of the bad memories or deal with memories in a realistic way
what is stress inoculation training?
reduce PTSD sx by teaching pt how to reduce anxiety > look at memories in a healthy way
how is cognitive restructuring like stress inoculation training?
both try to help pts look at memories in a healthy/positive way
what is talk therapy?
teach people helpful ways to react to scary events that trigger their PTSD sx
what are goals of talk therapy?
teach about trauma use relaxation skills provide tips for better sleep, diet, exercise ID & deal w/ shame, guilt focus on changing rxn to PTSD sx
how many people in addiction treatment have PTSD (%)?
60%
T/F: pts w/ PTSD & substance use disorder have better treatment outcomes
FUCKING FALSE
what is acute stress disorder?
similar to PTSD
BUT
time is limited: from 3 days to 1 month with 3 or more dissociative sx
what are the dissociative sx that may be assoc w/ acute stress disorder?
need 3+ numbing/detachment reduced awareness (daze) derealization depersonalization dissociative amnesia
what are adjustment disorders?
emotional/behavioral sx in response to an identifiable stressor w/i 3 months of the stressor that are CLINICALLY SIGNIFICANT & sx resolve w/i 6 mos of stressor termination
what are the 3 dissociative disorders?
dissociative amnesia
depersonalization disorder
dissociative identity disorder
what is dissociative amnesia?
inability to recall imp info
usu related to trauma
abrupt & resolves quickly
wtf is dissociative amnesia w/ dissociative fugue?
sudden unexpected travel w/ inability to recall one’s past
confusion about identity or assumption of new identity
what is depersonalization disorder?
extreme detachment w/ intact reality testing
T/F: transient depersonalization is pathological
False
what is dissociative identity disorder?
aka multiple personality disorder
2 or more distinct personality states that take over a pt’s behavior w/ inability to recall pds of time or personal info
what is dissociative identity disorder assoc w/?
horrific childhood abuse
you are smart!
you are doing so good!
