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Social And Behavioral 2 > PTSD > Flashcards

PTSD Flashcards

1
Q

What are the time constraint differences for acute stress disorder and PTSD?

A

ASD is the diagnosis until the symptoms last over 1 month, then it’s pTSD

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2
Q

in what gender is PTSD more prevalent?

A

females

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3
Q

Describe an infant with reactive attachment disorder?

A
  1. emotionally withdrawn behavior toward adult caregivers
  2. persistent social and emotional disturbance (either minimal responsiveness or unexplained emotionality)
  3. child experienced a pattern of extremes of insufficient care (like in foster care)
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4
Q

Describe disinhibited social engagement disorder.

A

It’s a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers

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5
Q

What are adjustment disorders?

A

they are stress-response syndromes occurring after exposure to a distressing event

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6
Q

WHat are the timing aspects of adjustment disorders?

A

the disturbance begins within 3 months of the osnet of the stressor and lasts no longer than 6 months after the stressor/consequences have ceased

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7
Q

What is the essential feature of PTSD?

A

significant reaction to serious traumatic event that involves actual or threatened death, serious injury or sexual violation

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8
Q

What are the 4 ways in which a stressful event can be experienced for a PTSD diagnosis?

A

directly experiencing
witnessing in person
learning the event happened to a close family member/friend
repeated exposure to aversive details of event

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9
Q

What are the 4 general groups of symptoms for PTSD?

A
  1. intrusive symptoms
  2. avoidance of reminderss
  3. negative alterations in cognitivon and mood
  4. alterations of arousal and reactivity
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10
Q

What are the two specifiers that can be used with a PTSD diagnosis?

A
  1. with dissociative symptoms

2. with delayed expression

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11
Q

What are the 4 clinical factors of PTSD?

A
  1. re-experiencing symptoms (intrusive memories, nightmares)
  2. protective reactions (emotional numbing, amnesia, cognitive avoidance)
  3. Negative emotions and cognitions (sadness, anger, guilt)
  4. arousal symptoms (startle response, hypervigilance)
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12
Q

Describe disinhibited social engagement disorder.

A

It’s a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers

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13
Q

What are adjustment disorders?

A

they are stress-response syndromes occurring after exposure to a distressing event

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14
Q

WHat are the timing aspects of adjustment disorders?

A

the disturbance begins within 3 months of the osnet of the stressor and lasts no longer than 6 months after the stressor/consequences have ceased

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15
Q

What is the essential feature of PTSD?

A

significant reaction to serious traumatic event that involves actual or threatened death, serious injury or sexual violation

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16
Q

What are the 4 ways in which a stressful event can be experienced for a PTSD diagnosis?

A

directly experiencing
witnessing in person
learning the event happened to a close family member/friend
repeated exposure to aversive details of event

17
Q

What are the 4 general groups of symptoms for PTSD?

A
  1. intrusive symptoms
  2. avoidance of reminderss
  3. negative alterations in cognitivon and mood
  4. alterations of arousal and reactivity
18
Q

What are the two specifiers that can be used with a PTSD diagnosis?

A
  1. with dissociative symptoms

2. with delayed expression

19
Q

What are the 4 clinical factors of PTSD?

A
  1. re-experiencing symptoms (intrusive memories, nightmares)
  2. protective reactions (emotional numbing, amnesia, cognitive avoidance)
  3. Negative emotions and cognitions (sadness, anger, guilt)
  4. arousal symptoms (startle response, hypervigilance)
20
Q

What two5HT - mediates the aggression, vio NTs are likely involved in PTSD?

A

Too much NE - moderates the hypervigilance, autonomic arousal, flashbacks and intrusive memories
Too little 5HT - mediates the aggression, violence, impulsivity, dep and anx

21
Q

Why should PTSD really be evaluated within 1 month of return and then again every 3 months?

A

PTSD has an on-again-off-again symptom cycle that can be exacerbated by triggers, so you have to continue evaluating

22
Q

What traumatic event has the highest risk for PTSD?

A

rape (followed by severe beating or physical assault, serious accidents, shooting, etc)

23
Q

What percentage of PTSD patients will have a comorbid mental illness?

A

80% - anxiety, depression, bipolar, SUD, somatization, psychosis, etc

24
Q

What is the DREAMS questionnaire for PTSD?

A 
Detachment
2Reexperiencing the event
Event had emotional effects
Avoidance
Month in duration
Sympathetic hyperactivity (hypervigilance)
25
Q

What is “secondary stress”

A

it’s the idea that partners will develop symptoms that mirror the PTSD without any primary trauma experience

26
Q

What is the model for partner’s developing secondary stress?

A

the trauma transmission model - they use not only sympathy but also empathy, resulting in a realistic experience of the trauma themselves

27
Q

What percentage of all sodiers receive needed mental health assessments?

A

only 12.5%!

28
Q

What is a step the primary care doc can take to make it more likely that a patient will actually use their mental health referral?

A

physically introduce the patient to the mental health provider

29
Q

Why should PTSD really be evaluated within 1 month of return and then again every 3 months?

A

PTSD has an on-again-off-again symptom cycle that can be exacerbated by triggers, so you have to continue evaluating

30
Q

what do you start with in PTSD therapy? meds or psychotherapy?

A

psycotherapy

31
Q

What are the 3 general treatment therapies used for PTSD?

A
  1. exposure therapy
  2. cognitive therapy
  3. stress inoculation training
32
Q

Describe exposure therapy?

A

training the individual to deal with the physical symptoms of stress and then re-exposing them to their trigger

33
Q

Describe cognitive therapy for PTSD?

A

CBT involves separating the instrusive thoughts form the associated anxiety so they can be thought of without causing the symptoms

34
Q

Describe stress inoculation training?

A

it’s an exposure variant that just teaches the patient to relax

35
Q

WHat meds are used most often for PTSD?

A

SSRIs (affects the serotonin aspect)

TCAs

36
Q

What are ultimately the 2 goals of any treatment for PTSD?

A

decondition the anxiety and re-establish feelings of integrity and/or control

37
Q

What is critical incident stress debriefing?

A

the military has started this program where soldiers undergo group therapy and CBT almost immediatly after the trauma, so you forestall the emergency of disabling symptoms

38
Q

What treatments are more effective for PTSD?

A

they’re all about equally effective

Social And Behavioral 2 (18 decks)

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