PTSD

Question 1

DSM Criteria Part One

Answer 1

1. Exposure to actual or threatened death, serious injury or sexual violence in one (or more) of the following ways: Directly experiencing the trauma; witnessing, in person, the trauma; learning that the trauma occurred to a close family member or friend (in the case of death it must be violent or accidental); experiencing repeated or extreme exposure to aversive details of the traumatic events (this does not apply to tv this applies to us or first responders)
2. Presence of one (or more) of the following intrusion symptoms associated with the trauma, beginning after the event occurred: recurrent, involuntary and intrusive distressing memories of the event; dreams associated w/ the event; dissociative reactions (flashbacks) in which the individual feels or acts as if the traumatic event were recurring; intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the trauma

Question 2

DSM Criteria Part Two

Answer 2

3. Persistent avoidance of stimuli associated w/ the trauma, beginning after the event occurred, as evidence by on or both of the following: avoidance or efforts to avoid distressing memories, thoughts or feelings about or closely associate with the trauma; avoidance or efforts to avoid external reminders that arouse distressing memories, thoughts or feelings close related to the trauma
4. Negative alterations in cognitions and mood associated w/ the trauma beginning or worsening after the trauma occurs, as evidence by two or more of the following: inability to remember an important aspect of the trauma; persistent and exaggerated negative beliefs or expectations about oneself, others or the world; persistent, distorted cognitions about the cause or consequences of the traumatic events that lead the individual to blame themselves or others; persistent negative emotional state; markedly diminished interest i or participation in significant activities; feelings of detachment or estrangement from others; persistent inability to experience a positive emotion

Question 3

DSM Criteria Part three

Answer 3

5. Marked alterations in arousal and reactivity associated w/ the trauma, beginning or worsening after the event occurred as evidence by two or more of the following: Irritable behavior and angry outburst; reckless or self-destructive behaviors; hyper vigilance; exaggerated startle response; problems with concentration; sleep issues
6. Duration of the disturbance (criteria 2, 3, 4, 5) is more than 1 month
7. disturbances cause clinically significant distress or impairment life domains
8. not attributed to substance or another medical issue

Question 4

Specifiers

Answer 4

Depersonalization or Derealization

Question 5

Comorbidity

Answer 5

major depressive disorder, GAD, and SUD

Question 6

Treatment

Answer 6

CBT; EMDR; medications (SSIRS, mood stabilizers, GABA… ect)