PTSD Flashcards

1
Q

What can trigger PTSD

A
Abuse 
War 
Work related exposure 
Torture 
Assault 
Serious accidents
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2
Q

How common is PTSD

A

6.8% combat being the most common trigger for me and sexual molestation for women

Only 25-30% of people who experience trauma will develop PTSD

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3
Q

When do symptoms develop

A

Symptoms can develop immediately but can be delayed in less than 15%

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4
Q

Why is there trouble assessing PTSD

A

People don’t present for months/years despite suffering greatly, they also don’t want to talk about what happened as patients view the condition as untreatable

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5
Q

What are the key symptoms of PTSD

A
Re-experiencing 
Avoidance 
Hyperarousal
Negative alteration in mood and thinking 
Emotional numbing 
Dissociation 
Emotional dysregulation  
Relationship problems 
Negative self perception
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6
Q

How is trauma re-experienced

A

Intrusive
Distressing thoughts
Images and flashbacks
Nightmares

Flashbacks feel real

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7
Q

What is hyperarousal

A
Physiological reactivity (increased heart rate)
Sleep disturbance 
Irritability 
Anger 
Hyper vigilant
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8
Q

Brewin and Holmes conclusion about PTSD patients

A

Feelings of guilt, shame, sadness, betrayal, humiliation and anger

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9
Q

Risk factors for PTSD

A
Exposure to traumatic event 
Female sex 
Younger age 
Major life stress events 
Low social support, social disadvantage 
History of mental health disorder
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10
Q

Concept of intentional harm

A

Ayers and De Visser concluded intentional harm is more likely to cause PTSD than natural disasters

How deliberate human caused stressors are judged to be also seem to be important

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11
Q

What is resilience

A

Adult capacity to maintain healthy psychological and physical functioning

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12
Q

What are the characteristics of resilient people

A

Process a flexible adaption to challenges, sense of continuity in their beliefs about themselves/lives, they retain the ability to regenerate positive experiences

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13
Q

What are the other physiological factors which contribute to PTSD development

A

Personal impact of the event
Extent of perceived control over future threats
How one is prepared to deal with a stressor
Ones beliefs and assumptions about trauma

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14
Q

What is the consensus on genetic predisposition to PTSD

A

5-20% within different populations,

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15
Q

Treatment options

A

Psychological prevention and treatment

Pharmacological treatment

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16
Q

Prevention of PTSD

A

Psychological debriefing INEFFECTIVE AND INCREASES RISK

secondary traumatisation
Medicalising normal distressing
May prevent potentially protective responses of denial and distancing

17
Q

Psychological interventions for PTSD

A

Cognitive processing
CBT
Narrative exposure therapy
Prolonged exposure therapy

18
Q

EMDR

A

Eye movement desensitisation and reprocessing (12 sessions offered)

19
Q

Pharmacological treatment of PTSD in adults

A

SSRI - Paroxetine and sertraline

Venlafaxine also recommended but off licence

nice recommends CBT and EDMR before medication where possible