PTSD part II Flashcards
What is this:
A. Develops after exposure to actual or threatened death, serious injury, or sexual violence in one or more of the following ways:
The event happened to you, or you witnessed it in person, you learned that it happened to a close friend or family member…in cases of actual or threatened death of a family member or friend, the events must have been violent or accidental.
Experiencing repeated or extreme exposure to aversive details of the traumatic events (first responders, police officers).
PTSD
What are the components of a PTSD disorder?
- Develops after trauma (happened to you, witnessed, or learned)
- presence of one or more intrusion symptoms
- persistent avoidance of stimuli
- negative alterations in cognitions and mood (DETACHMENT)
- alterations in arousal and reactivity
What is the time frame for acute PTSD?
CHronic?
Delayed expression?
Acute (symptoms last up to 3 months)
Chronice (symptoms last over 3 months)
Delayed expression (symptoms dont appear until 6+ months after stressor)
After PTSD where can you get dysfunction?
Dysfunction
- Interpersonal (marriages/ families)
- Occupational
- Self-esteem
- Emotional control
(blank) of soldiers and marines will ultimately suffer from PTSD, about 300,000 people (NYT, 2009).
Treatments can lead to complete remission (blank) of the time.
35%
30-50%
Over (blank)% of the U.S. population experience traumatic events in their lifetimes; the rate of people exposed to trauma who then develop Post-Traumatic Stress Disorder (PTSD) is (blank)% for men and (blank) for women
50%
5%
10.4%
Being in the ICU is considered a (blank) event and (blank) percent of family members have PTSD
traumatic
35%
What is this:
the feeling that one knows the right thing to do but is unable to do so because of institutional constraints
Moral distress
What are risk factors for developing PTSD?
- Living through dangerous events and traumas
- Having a history of mental illness
- Getting hurt
- Seeing people hurt or killed
- Feeling horror, helplessness, or extreme fear
- Having little or no social support after the event
- Dealing with extra stress after the event, such as loss of a loved one, pain and injury, or loss of a job or home.
- weak deteriorating psychosocial resources (support)
- highly disrupted or traumatized community
- substance abuse/emotional avoidance
T or F
mot people exposed to trauma do NOT have prolonged psychological sequelae
T
What are resilience factors for PTSD?
- Seeking out support from other people, such as friends and family
- Finding a support group after a traumatic event
- Feeling good about one’s own actions in the face of danger
- Having a coping strategy, or a way of getting through the bad event and learning from it
- Being able to act and respond effectively despite feeling fear.
What are the Tx for PTSD?
exposure therap
cognitve restructuring
stress inoculation training
What is this:
This therapy helps people face and control their fear. It exposes them to the trauma they experienced in a safe way. It uses mental imagery, writing, or visits to the place where the event happened. The therapist uses these tools to help people with PTSD cope with their feelings.
Exposure therapy
What is this:
This therapy helps people make sense of the bad memories. Sometimes people remember the event differently than how it happened. They may feel guilt or shame about what is not their fault. The therapist helps people with PTSD look at what happened in a realistic way.
Cognitive restructuring
What is this:
This therapy tries to reduce PTSD symptoms by teaching a person how to reduce anxiety. Like cognitive restructuring, this treatment helps people look at their memories in a healthy way.CBT (exposure based therapy)
stress inoculation
How does talk therapy help people overcome PTSD?
-teach ways to react to frightening events that trigger PTSD symptoms
(how to relax, teach about trauma and its effects, provide tips for sleep, diet, exercise, identify feelings about event, change how people react to PTSD)
PTSD and tightly associated with what disorder?
substance abuse disorder
(blank) percent of people in addiction treatment have PTSD
60%
If you have PTSD and SUD what is your prognosis?
bad :(
What is an acute stress disorder?
Similiar to PTSD but only lasts from 3 days to one month and has 3 or more dissociative symptoms.
There is recall, avoidance, arousal
What are the dissociative symptoms?
- Numbing/ detachment
- Reduced awareness (“daze”)
- Derealization
- Depersonalization
- Dissociative amnesia
What is this:
Emotional or behavioral symptoms in response to an identifiable stressor, occurring within three months of the stressor.
Clinically significant, not normal bereavement.
adjustment disorder
In adjustment disorder, Once the stressor is terminated, symptoms resolve not longer than (blank).
6 months
What are the three dissociative disorders?
- dissociative amnesia
- depersonalization disorder
- dissociative identity disorder (DID, formerly Multiple Personality Disorder)
What is this:
- inability to recall important info
- usually related to a traumatic event, is abrupt and resolves quickly
Dissociative Amnesia
What is this:
- sudden, unexpected travel with INABILITY to recalls one past
- confusion about identiy or assumption of new identity
DIssociative amnesia with dissociative fugue
What is this:
- Extreme detachment (physical or mental) (“in a dream”)
- During detachment, reality testing is intact
- Transient depersonalization is not uncommon or pathological
Depersonalization Disorder
What is this:
Two or more distinct personality states
Different states take control over a person’s behavior
Inability to recall periods of time/ personal information
Associated with horrific childhood abuse
Dissociative identity disorder
People with dissociative identity disorder typically also have (blank)
dissociative amnesia.
