PTSD

Question 1

five sets of symptoms that characterize Acute stress disorder

Answer 1

dissociation-altered sense of reality

intrusion- intrusive memories, flashbacks, intense dress

avoidance- avoid thoughts/ feelings associated with events, avoids reminders of event

negative mood- inability to experience happiness, satisfaction or loving feelings

arousal- sleep difficulty, irritability, anger, poor concentration

Question 2

duration of ASD

Answer 2

4 weeks

Question 3

Aetiology of PTSD

Answer 3

genetics
neurochemistry:
serotonin
noradrenaline
opiate system
neuroendocrine- cortisol
social/environmental factors:
support
endemic violence
role of media
natural causes vs human violence
meaning making of traumatic experiences

Question 4

risk factors of PTSD

Answer 4

pre- 
family history 
lower education and intelligence
age 
gender race/ ethnicity 
previous trauma
during and after trauma
trauma severity 
lack of support 
dissociation
additional life stressors
ASD

Question 5

therapy for PTSD

Answer 5

Prolonged exposure (PE)
Cognitive processing therapy (CPT)
Cognitive therapy for PTSD (CT-PTSD)
Eye Movement Desensitization and Reprocessing (EMDR)
Narrative Exposure therapy (NET)
DONT GIVE BENZOS
give SSRIs and venlafaxine

Question 6

goals pf acute stress management

Answer 6

reduce exposure to stress
restore physiological needs
provide access to information
locate source of support 
emphasize expectation of returning to normal

Question 7

PTSD screening

Answer 7

Had nightmares about the event(s) or thought about the event when you didn’t want to? Y/N
Tried not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)? Y/N
Been constantly on guard, watchful, or easily startled? Y/N
Felt numb or detached from people, activities, or your surroundings? Y/N
Felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused? Y/N