PTSD Flashcards

1
Q

What a huge misconception of PTSD?

A

A huge misconception is that it is most prevalent in army veterans and soldiers.

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2
Q

What does government data say about PTSD?

A

PTSD is most apparent in survivors of abuse, natural disaster and trauma.

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3
Q

About 90% diagnosed with PTSD have been to war, true or false?

A

False

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4
Q

Name three symptoms of PTSD

A

Nightmares
Flashbacks
Anxiety

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5
Q

What is flashbacks also known as

A

Intrusive memories

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6
Q

Often individuals with PTSD ….. places or people to stop them from being triggered

A

Avoid
Visit
Miss

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7
Q

The brain structures of those with PTSD differ how?

A

Amygdala and left hippocampus are smaller.

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8
Q

What is wrong with the HPA axis in those with PTSD

A

Cannot regulate stress hormones properly

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9
Q

What is PTSD linked with?

A

Autoimmune disorders
CVD
infertility

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10
Q

What is thought to increase the risk of PTSD?

A

Childhood trauma

No support systems+history of substance abuse

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11
Q

Women are more likely to experience assault/abuse, this correlates with a high influx of women with PTSD

True or false?

A

True

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12
Q

PTSD is characterised as

A

Hyper arousal (anger)
Avoidance
Feeling worse about yourself or world (guilt)
Re-experiencing

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13
Q

What therapy is used for PTSD?

A

CBT

prolonged exposure

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14
Q

How long does therapy for PTSD usually last?

A

3-4 months of weekly treatment

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15
Q

Why did they stop prescribing BZ’s for PTSD?

A

Because it interferes with therapy and caused bad side effects such as confusion and fogginess

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16
Q

What drug is used specifically for nightmares?

17
Q

How does prolonged exposure work?

A

Clients talks about the event, this helps with anger, guilt and sadness. This is recorded and listened to at home. Helping reduce overwhelming feelings.

18
Q

How does cognitive processing therapy work

A

This can be conducted on a group basis or one on one.
Works like CBT
This therapy challenges you to devise a strategy to change stick points

19
Q

Thoughts can be known as..

A

Stuck points

20
Q

What is the rationale for cognitive processing therapy for PTSD?

A

Small changes in thinking patterns can have a dramatic impact on how you feel

21
Q

Who was the researcher for the PTSD ted talk ?

A

Janet seaham

22
Q

What does Janet seaman define PTSD as?

A

An anxiety disorder that develops in reaction to physical injury or severe mental/environmental distress.

More like a reordering of sensory and neural pathways so you can survive in a dangerous situation.

23
Q

What is a biological explanation of PTSD

A

Lower prefrontal cortex control combined with an over active amygdala which provides an explanation excessive fear response

24
Q

Name a skill based therapy for PTSD

Anders Ericsson

A

Fly fishing:

This helps mimic a normal heartbeat which helps to develop a new way of thinking and acting

25
What is the lifetime prevalence of PTSD?
10-12% in women | 5-6% in men
26
How does PTSD differ in men and women?
Women usually have a more sensitised HPA axis than men while men have a more sensitised physiological hyperarousal system.
27
What hormone is thought to play a sex specific role in the stress response of PTSD
Oxytocin
28
What drugs can be used to treat PTSD
Anti-depressants | SSRI’s and SNRI’s
29
Depression, chronic pain, substance abuse, insomnia are comorbid with what anxiety disorder ..
PTSD
30
Name two impacts of insomnia
STM impaired | immune system impaired
31
What hormone is thought to enhance treatment in PTSD
Oxytocin administration
32
psychological vulnerability to PTSD
Negative coping styles - self destructive or avoidance - dissociation
33
Name the four clinical assessment tools for PTSD
MINI international neuropsychiatric interview Clinical-administration PTSD scale PTSD symptom scale Structured clinical interview for DSM-V
34
Estimated EU prevalence for PTSD | McManus et al
Men 2.6 | Women 3.3
35
What is the structure of the DSM criteria for PTSD
The diagnosis is split into 8 criterion (A-H)
36
What is criterion A-D of the DSM criteria for PTSD
A: one stressor via direct/indirect exposure B: intrusion symptoms C: avoidance D: negative alterations in cognition and mood (two required)
37
What are the criteria B symptoms of PTSD?
``` Intrusion symptoms: Unwanted memories Nightmares Flashbacks Emotional distress Physical reactivity ```
38
What two symptoms are required in criterion D for PTSD?
``` Inability to recall key features of the trauma Negative thoughts Feeling isolated Exaggerated blame Isolation Decreased interest ```
39
What is criterion E-H of PTSD
E: alteration in arousal and reactivity F: 1 months+ G: symptoms create impairment H: exclusion