PTSD Flashcards
2 most common psych comorbidities in PTSD
depression and alcohol disorder
3 major evidence-based psychotherapies for PTSD and the major active component of each
trauma-focused cognitive behavioral therapy (1. prolonged exposure, and 2. cognitive processing therapy)
- eye movement desensitization reprocessing
name 2 FDA approved treatments for PTSD
SSRIs: sertraline (Zoloft) and paroxetine (paxil)
4 types of symptoms associated with the event
intrusion symptoms, avoidance of reminders of the event, negative alterations in cognition and mood, mark alterations in arousal and reactivity
symptoms of PTSD must last greater than
1 month*, causing stress or impairment
symptoms of PTSD involving arousal and reactivity are clearly related to elevated levels of
norepinephrine
parts of brain that do classical fear conditioning contributing to PTSD
hyperactive amygdala
hypoactive medial prefrontal cortex
neurotransmitters/hormones of PTSD
higher norepinephrine
*lower cortisol- opposite of major depression
startle response done by this NT
norepinephrine
drug NOT recommended for PTSD
benzos may reduce efficacy of prolonged exposure
best CBT for PTSD
prolonged exposure
prazosin for PTSD targets these symptoms with bedtime dosing
nightmares, sleeping
blocks a1 receptors