PTSD

Question 1

What is PTSD?

Answer 1

Delayed and/or protracted reaction to stressor of exceptional severity

Question 2

What are some common stressors that cause PTSD?

Answer 2

Combat
NAtural/human caused disaster
Rape, assault, torture
Witnessing distressing event

Question 3

What are the risk factors for PTSD?

Answer 3

Female
Previous trauma
Mood disorder
Lack of support mechanism

Question 4

What are the features of PTSD?

Answer 4

Intrusions
Avoidance
Negative alterations in mood/cognition
Alterations in arousal/reactivity

Question 5

What is the presentation of intrusions?

Answer 5

Flashbacks
Dreams/nightmares
Instrusive images/sensory impressions

Question 6

What is avoided in PTSD?

Answer 6

People
Situations
Circumstances

Question 7

What is the presentation of negative alterations of mod and cognition?

Answer 7

Alienation
Anhedonia
Numbness

Question 8

What is the presentation of alterations of arousal?

Answer 8

Hypervigilence
Irritability
Difficulty concentrating

Question 9

How is PTSD diagnosed?

Answer 9

Screening of victims of disasters at 1 month where poss

Symptoms present for >1 month

Question 10

What is th management of PTSD?

Answer 10

1. Trauma focused CBT
2. Antidepressants- if doesn’t respond to/not amenable to CBT
   Eye movement desensitisation and reprocessing

Question 11

What antidepressants are used in PTSD?

Answer 11

1. SSRI/SNRI

2. TCA