PTSD Flashcards
1
Q
PTSD 4 symptoms
A
- Flashbacks
- Avoidance, emotional numbing
- Hypervigilance
2
Q
PTSD 5 signs
A
- Pessimism/hopelessness
- Difficulty concentrating
- Irritability/Anger
- Hypervigilance, very startled response
- Difficulty falling/staying asleep
3
Q
PTSD Avoidance/emotional numbing 4 eg
A
- Loss of interest in activities.
- Feeling distant from others.
- Restricted range of emotions
- Pessimism, hopelessness
4
Q
PTSD Diagnosis
A
1-TRAUMAE
5
Q
1-TRAUMAE
A
- 1month of symptoms (not necessary post trauma)
- Trauma exposure
- Re-experiences (Flashbacks, externally or internally triggers)
- Avoid triggers
- Unable to remember the trauma/ trust strangers
- Mood disturbance (Anhedonia)
- Arousal increased (increased stratal response)
- Exclude other medical conditions
6
Q
Anhedonia
A
Mood disturbance
7
Q
Mood disturbance
A
Anhedonia
8
Q
PTSD Differential
A
Usually comorbid eg GAD, depression, substance dependence
9
Q
PTSD Characteristic
A
Severe stress,
Time: Sometimes years
Lasts: >1month
10
Q
PTSD Differential:
Acute Distress Disorder Characteristic
A
Severe stress,
Time: days to max 4wks
Lasts: max 1 month
11
Q
PTSD Differential:
Adjustment Disorder Characteristic
A
Mid/Mod stress
Time: up to 3 months
Lasts: 6 months after end of stresssors
12
Q
PTSD Pathophysiology
A
- Hyperstimulation of Amygdala = fear response
- underactive anterior cygulate gyrus = mediates fear response
- decrease cortisol
- increase ACTH (Adrenocorticotropic Hormone), adrenaline, noradrenaline
13
Q
PTSD first line
A
SSRI or SNRI
14
Q
SSRI with PTSD
A
help with symptoms.
inhibits reuptake of serotonin into the presynaptic neuron, increasing levels of serotonin the synaptic cleft.
15
Q
PTSD Treatment aim
A
- Treat comorbid conditions
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