PTSD

Question 1

Diagonostic criteria for PTSD

Answer 1

A. Exposure to actual or threatened death, serious injury, or sexual violence (1/4)
B. Presence of intrusion symptoms associated with traumatic events, beginning after the traumatic events occurred (1/5)
C. Persistent avoidance of stimuli associated with the traumatic event(s) beginning after they occurred. (1/2)
D. Negative alterations in cognitions and mood associated with the traumatic events beginning or worsening after the traumatic events occurred. (2/7)
E. Marked alterations in arousal and reactivity associated with the traumatic events, beginning or worsening after the traumatic events occurred (1/6)
F. Duration of the disturbance is more than 1 month
G. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
H. The disturbance is not attributable to the physiological effects of a substance, or another medical condition.

Question 2

Specifiers for PTSD

Answer 2

-dissociative symptoms (Depersonalizations or Derealization)

- Delayed Expression
full criteria met 6 or more months after the event

Question 3

PTSD differences for children under 6

Answer 3

More behaviourally based

Question 4

Risk Factors

Answer 4

• Being Female
• other mental health disorders/vulnerability
• Childhood trauma
• how severe trauma
• type of trauma (rape and combat) physical assualt
• whether in home or elsewhere
• lack of social support

Question 5

Unsure?

Answer 5

Bio factors
low cortisol
hippocampal atrophy
increased activity of amygdala (fear or stress response of amygdala)

Question 6

Treatment

Answer 6

TF-CBT, EMDR

Question 7

Differential Diagnosis

Answer 7

Depression, borderline personality disorder, substance abuse

Question 8

Facts

Answer 8

The lifetime prevalence is approx 8% but 60% of the population experienced traumatic event.

10-20% women but 6-8% men
Most improve over 3 months