PTSD

Question 1

Core questions of PTSD x2

Answer 1

Have you ever experienced a life threatening event
Do you remember it such that it affects your functionality

Question 2

TRAUMA mnemonic

Answer 2

Trauma
Re experiencing
Arousal
Unable to function
Month+
Avoidance

Question 3

Management of acute stress disorder x3

Answer 3

CBT
Anxiolytics
Social support

Question 4

Define PTSD

Answer 4

Severe psychological disturbance following a traumatic event characterized by involuntary re experiencing of event, hyperarousal and emotional numbing

Question 5

Biological causes of PTSD x4

Answer 5

Genetic
HPA dysfunction
Underdevelopment of hippocampus
Activation of fight flight freeze mode

Question 6

Psychosocial causes of PTSD x5

Answer 6

War
RTA
Sexual abuse
Natural disasters
First line respondents

Question 7

Maintenance factors of PTSD x2

Answer 7

Negative appraisal
Avoidance of reminder

Question 8

Resilience factors x3

Answer 8

Trust
Good self esteem
Secure attachments

Question 9

Risk factors of PTSD x5

Answer 9

Female gender
History of PTSD or depression
Early childhood experiences
Lack of support
Psychiatric comorbidity

Question 10

Differentials for PTSD x5

Answer 10

Personality disorder
Trauma related disorder
Somatoform disorder
Dissociative disorders
Acute stress disorder

Question 11

Management x6

Answer 11

Prazosin
EMDR
Support groups
Family therapy
Trauma CBT
Re exposure therapy

Question 12

Pharmacological management x3

Answer 12

Anxiolytics
Antidepressants
Alpha 1 adrenergic receptor blocker- prazosin

Question 13

DSM for adjustment disorder x5

Answer 13

Develops within 3 months of stressor
Resolves within 6 months of stressor being removed
Not due to normal bereavement
Not explained by other disorders
Characterized by inability to function or stress out of proportion

Question 14

Management of adjustment disorder x4

Answer 14

Anxiolytics
Problem solving therapy
Supportive psychotherapy
Brief psychodynamic therapy