PTSD, ASR, AD and complex PTSD Flashcards

1
Q

Mnemonic for PTSD in ICD 11

A

TRAUMA

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2
Q

esessial features for PTSD on ICD 11?

A

TRAUMA for Several weeks

T- Trauma (short or long-lasting but extremely threatening)
R-Re experiencing
A-Avoiding
U-Unpleasant Change
M-Marked Arousal
A-Adjustment issue

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3
Q

Emotional expeirences with PTSD?

A

Anger
Sadness
Shame
Guilt (even survivor guilt)
Humiliation

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4
Q

Common symptomatic presentation of PTSD?

A

Dysphoria
Dissociative symptoms
Somatic complaints
Suicidal ideation & behaviours
Social withdrawal
Substance abuse to avoid re-exper. or manage emotion
Anxiety symptoms

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5
Q

dysphoria symptoms in PTSD include

A

‘loss of interest’, ‘emotional detachment’, ‘difficulty concentrating’, ‘irritability’, ‘sleep disturbance’

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6
Q

Anxiety symptoms in PTSD

A

panics
OC responds to memories or reminders

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7
Q

when can PTSD onset being

A

any time after the trauma during life time

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8
Q

when can PTSD onset being typically

A

within 3 months

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9
Q

Is actue stress reation coded with PTSD in ICD 11?

A

no!
(Problem associated with harmful events)

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10
Q

why actute stress related is separted from PTSD?

A

to emphasise that an acute stress reaction is a normal reaction with no pathology

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11
Q

Mnemonic for Acute Stress Reaction in ICD 11?

A

SHOCK

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12
Q

Essential features of Acute stress reaction?

A

SHOCK

S-Symptoms like (emotional, somatic, cognitive or behavioural and autonomic)
H-Hypo-flash backs
O-Over within days (1 month)
C- Circumstance of trauma same as PTSD
K-knows how to adapt later

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13
Q

Main difference between PTSD and acute distress reaction?

A

The latter is associated with symptoms subsiding within 1 month

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14
Q

Mnemonic for Adjustment disorder (AD) in ICD 11

A

ADJUST

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15
Q

Essential features of Adjustment disorder (AD) in ICD 11

A

ADJUST

A-Adaptive problem
D-Distress
J-Justification not (for symptoms)
U-Underlying factor happened in 3 months
S- Signficant Impairmenet
T- Temporary, resolves within 6 months

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16
Q

Difference between PTSD & AD?

A

Trauma is much much much severe in PTSD
Though symptoms could be similar in both

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17
Q

Similarity between PTSD & AD?

A

Rumination about stressor (w/out nightmares & flashbacks)
Avoidance of triggers and reminders
Somatic, cognitive and emotional symptoms

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18
Q

when do AD symptoms resolve according to ICD 11?

A

within 6 months

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19
Q

Mnemonic for Complex PTSD in ICD 11

A

COMPLEX

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20
Q

Essential features of Complex PTSD in ICD 11

A

COMPLEX

C-Core Features of PTSD
O-Occurring or re occurring Trauma
M-Mood disturbance
P-Personal relationships issues
L-Loss of self
E-Emotional dysregulation
X-Xpereinc distress

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21
Q

what are core features of PTSD according to ICD 11?

A

-Re experience
-Avoidance
-Hyperarousal

22
Q

what does hyperarousal include in ICD 11?

A

Hypervigilance
Enhanced startle

23
Q

difference between PTSD and complex PTSD in startles?

A

Unlike in PTSD, startles in complex PTSD might be diminished rather than enhanced.

24
Q

what are core features that are required to differentiate Complex PTSD from PTSD?

A

-Emotional dysregulation
-Negativity about self
-Interpersonal issues

25
Is psychological debriefing allowed in PTSD?
No not recommended
26
PTSD less than one month in children and young
active monitoring
27
PTSD at least 1 months in children and young
Trauma-focused CBT
28
PTSD for 3 months in 7-17 years old who not responded to or refused Trauma-focused CBT?
EMDR
29
what is EMDR
Eye Movement Desensitization & Reprocessing
30
Drugs in PTSD >18 years old
no! Do not offer
31
PTSD 1st line Rx in adults
Trauma-focused CBT
32
when EMDR is 1st line Rx in PTSD in adults?
if the trauma is not combat related and patient prefers it over CBT
33
when is computerized CBT 1st line treatment in PTSD in adults
if there is not significant risk of harm ( to self or others) If PTSD is not severe
34
Which drug class is recommended to avoid in prevention of PTSD in adults?
Benzodiazepam
35
why benzo are not recommended in PTSD prevention?
worse overall severity significantly increased risk of developing PTSD with use after recent trauma worse psychotherapy outcomes aggression depression substance use
36
when can we use Drugs in PTSD?
if they have preference for drugs
37
what drugs can be used in PTSD?
Venlafaxine & SSRIs
38
is drug treatment the 1st line treatment in PTSD?
Nope
39
What SSRIs are best for PTSD in case preferred?
Paroxetine & Fluxetine
40
when one can consider adding antipsychotics for PTSD?
if not enough response to other treatment (pharma & non-pharma) disabling symptoms psychotic symptoms
41
waht antipsychotics are used when needed in PTSD?
Risperidone
42
what off-license Rx is used for nightmares in PTSD
Prazosin
43
what is prazosin
Alpha-1 adrenergic receptor antagonist
44
what does Prazosin do?
reduces andrenaline activity ===>> reduces arounsal and anxiety
45
what is the signficant of nightmares in PTSD
-Resistant to treat generally -Associated with suicidality
46
Fluoxetine Rx in PTSD : Dose (MAUDSLEY 14th)
up to 60 mg might be required
47
Fluoxetine Rx in PTSD: Duration (MAUDSLEY 14th)
at least 6 months after remission
48
Fluoxetine Rx in PTSD : Response time (MAUDSLEY 14th)
within 8 weeks but maybe 12 weeks
49
Risk factor of PTSD in children and adolescent
those attending emergency departments in forensic settings or among refugee/asylum seekers. The Maudsley
50
what risks are youg people are associated with in PTSD?
- self-harm (50%) -Suicide attempt (20%) -Functionally impaired