PTSD Flashcards

1
Q

What is PTSD?

A

PTSD is an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal. Symptoms persist for longer than one month. lifetime prevelence of 7%

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2
Q

What traumatic events can lead to PTSD?

A

A traumatic event must have occurred to develop PTSD. Common forms of severe trauma include military combat for men and sexual/physical assault for women. Other experiences include car accidents and encountering disaster aftermath.

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3
Q

What are the four major categories of PTSD symptoms according to DSM 5?

A
  1. Intrusively re-experiencing the traumatic event. 2. Avoidance of stimuli associated with the traumatic event. 3. Signs of mood or cognitive change after the trauma. 4. Increased arousal.
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4
Q

What does re-experiencing entail in PTSD?

A

Patients frequently remember the traumatic event, experience nightmares, and have intense emotional upset caused by stimuli that symbolize the event.

Re-experiencing is considered the central feature of PTSD.

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5
Q

What are signs of mood or cognitive change after trauma in PTSD?

A

Pervasive negative emotions, inability to experience positive emotions, lack of interest in activities, inability to remember important parts of the event, negative cognition, and self-blame.

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6
Q

What is Acute Stress Disorder (ASD)?

A

ASD has similar symptoms to PTSD but the duration is shorter and isn’t as accepted as PTSD.

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7
Q

What criteria must be met for a PTSD diagnosis?

A
  1. Exposure to trauma. 2. Experience symptoms for at least one month. 3. Distress or impairment in functioning. 4. Symptoms are not due to substance use or a physical health condition.
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8
Q

What is C-PTSD?

A

Complex PTSD is characterized by prolonged or chronic trauma leading to more complex presentations and additional symptoms, including affective dysregulation and difficulties forming relationships.

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9
Q

What is the prevalence of PTSD?

A

Lifetime prevalence is 7% (10% in females and 5% in males).

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10
Q

What are some long-term outcomes for PTSD patients?

A

PTSD can persist for many years, and recovery can be slow even with effective treatment.

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11
Q

What are some consequences of PTSD?

A

Loss of social and occupational functioning, anxiety disorders, depression, substance abuse, suicidal thoughts, and psychophysiological complaints.

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12
Q

What are the biological factors associated with PTSD?

A

Heightened startled response, increased cortisol in response to stress, and changes in amygdala and hippocampus activity.

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13
Q

What is the role of the hippocampus in PTSD?

A

The hippocampus is involved in locating autobiographical memory in space, time, and context, and patients may provide disorganized narratives of their trauma.

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14
Q

What is the Ehlers and Clarke cognitive model of PTSD?

A

Dysfunctional beliefs lead to an inability to process the event, maintaining maladaptive behaviors and perceptions of threat.

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15
Q

What types of pharmacological interventions are used for PTSD?

A

Antidepressants (like SSRIs) and anxiolytics (benzodiazepines) may relieve co-morbid conditions but are not first-line treatments.

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16
Q

What is exposure therapy for PTSD?

A

A psychological intervention that exposes clients to the traumatic experience while using relaxation techniques to reduce anxiety.

17
Q

What are the goals of exposure-based CBT for PTSD?

A
  1. Reduce re-experiencing by elaborating on trauma memory. 2. Modify excessively negative appraisals. 3. Help clients drop maintaining behaviors and cognitive strategies.
18
Q

What is EMDR?

A

Eye Movement Desensitization and Reprocessing is similar to exposure therapy but involves tracking a therapist’s finger or lights. Its efficacy is debated.

19
Q

What role does social support play in PTSD?

A

Social support is important in the course of PTSD and is associated with decreased symptoms.