PTSD 10/21 Flashcards
Etiology of PTSD
-exposure to traumatic event: combat, SA, assault, abuse
Vulnerability to PTSD
0Neurochemistry
-Endocrinology
-Associative learning
-Cognition
Pre trama risk factors
-psyc history
-family history
drug alchol use
female
-age
-socioeconomic status
-education
-job
-previous trauma
Reactions to trauma
-re experiencing
-Avoidance
-Hyperarousal
DSM-5 criteria
-traumatic event
-4 different symptom categories
-symptoms last more than 1 month
-distress or impairment in functioning
-not attributable to effects of substance or medical condition
DSM-5 criteria-Intrusive symptoms
-need 1 or more
-distressing memories
-flashbacks
-physiological reactions
-distressing dreams
-psychological distress
DSM-5 criteria: Avoidance
-need 1 or more
-Avoids distressing memories, thoughts, or feelings about the event
-avoiding external reminders of the events
DSM-5 criteria: Negative alteration in cognition and mood
-Need 2+
-can’t remember specifics about the events
-distorted cognition
-diminished interest
-can’t experience positive emotions
-negative beliefs
-persistent negative emotional state
-feelings of detachment or estrangement
DSM-5 criteria: altered arousal
-need 2+
-irritable behavior
-hypervigilance
-problems with concentration
-reckless or self destructive
-exaggerated startle
-sleep disturbance
PC-PTSD-5
simplified questionnaire to diagnose PTSD
PCL-5
-more detailed PTSD questionnaire
Psychotherapy
-Prolonged exposure therapy (PET)
-Cognitive processing therapy (CPT)
Prolonged exposure therapy(PET)
-re experience events verbally, virtually, or in written forms
-do over and over
-create an exposure hierarchy
Cognitive processing therapy
-write impact statement
-teaches awareness of thoughts and connecting thoughts to emotions
-shift thinking, emotions, behavior
-identify stuck points
Pharmacotherapy expectations
-goal is to reduce symptoms
-most effective for: sleep, mood, hyperarousal
-Least effective: re-experiencing, avoidance, numbing
