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Psych Exam 2 (A,S,L) > PTSD/Trauma (Lauren and Annie 🌭👵🏻) > Flashcards

PTSD/Trauma (Lauren and Annie 🌭👵🏻) Flashcards

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1
Q

After a traumatic event, “acute stress” lasts up to ________.

After that, it is PTSD

A

1 month

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2
Q

What are some of the long term physiological, emotional, and cognitive effects of Trauma?

A

Sensitized to threat- easily startled

Intense, all-or-nothing emotional reactions

Disruption of what we previously believed to be true about the world

Memory and cognitive impairments

All-or-nothing thinking

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3
Q

What areas of life does trauma disrupt?

A

Safety

Trust

Power and control- feel powerless

Esteem- self worth decreases

Intimacy

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4
Q

In sexual trauma, the perpetrators is frequently_____________

A

Someone you know and trust

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5
Q

True or false:

The younger you are when you are the victim of sexual trauma, the worse you’ll be affected for the rest of your life

A

True

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6
Q

PTSD is a ________

Sexual trauama is an ______________

A

Diagnosis

Experience

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7
Q

After a sexual trauma, what other conditions might someone be diagnosed with?>

A

PTSD

Depression

Substance abuse

Eating disorders

Dissociative disorders (out of body experiences)

Physical health problems (pelvic pain, back pain, headaches, etc)

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8
Q

What is the NUMBER ONE protective/resiliency factor to prevent the development of PTSD after a trauma?

A

SUPPORT SYSTEM ⭐️⭐️⭐️⭐️

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9
Q

Other than a strong support system, what are some other protective/resilience factors may prevent PTSD after a trauma?

A

Emotional regulation skills

Religion

High achievement/high self-regard

Being smart

Mobilization after a threat (getting away from a bad situation?)

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10
Q

What are the risk factors for developing PTSD?

A

SEVERE trauma

Physical injury

Ongoing stress

Stressful occupation!!!👮🏼‍♂️👩🏽‍🚒🚑

Young age

Psychiatric comorbidities

Shaming, blaming

Poor coping skills

Low SES, education, intelligence

Lack of social support

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11
Q

How will someone who is wearing the PTSD dinosaur suit act?🦖

A

They feel threatened all the time. They see everything as life or death. They always feel rage or terror.
Their reptilian brain is overactive

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12
Q

What is the name of the screening test you can use in Primary Care to screen for PTSD?

A

PC-PTSD lol

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13
Q

What are the 4 questions that are on the PC-PTSD?

A

In you life have you ever had an experience that was so awful, that in the past month you:

  1. Have had nightmares about it or thought about it when you didnt want to?
  2. Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?
  3. Were constantly on guard, watchful, or easily startled?
  4. Felt numb or detached from others, activities, or your surroundings?
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14
Q

What are the criteria for PTSD that can be remembered by the mnemonic DREAMS?

A

Detachment

Re-experiencing the event

Event had Emotional Effects

Avoidance

Month in duration

Sympathetic hyperactivity/hypervvigilance

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15
Q

Wanna see the DSM5 criteria for PTSD just for kicks?

A

ALL of the following must be met:

Exposure to a traumatic stressor (Index Event)

Re-experiencing symptoms (dreams, flashbacks)

Avoidance of memories or reminders

Negative alterations in cognition and mood

Alterations in arousal or reactivity (irritable, outbursts, reckless, startled, sleep problems)

Duration of ONE MONTH

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16
Q

If someone seems to check off all the symptoms for PTSD, but its only been going on for 3 weeks, what is their diagnosis?

A

Acute Stress Disorder

**

17
Q

How long must someone experience PTSD symptoms to get a diagnosis of PTSD

A

ONE MONTH

18
Q

What is the name of the screening test used to screen for depression?

A

PHQ9

19
Q

What is the name of the screening test used to test for generalized anxiety?

A

GAD7

20
Q

What is the name of the screening test used to screen for bipolar?

A

MDQ

Mood Disorder questionnaire

21
Q

What are the 2 most common psych comorboties that come along with PTSD?

A

Major depression 😰

Substance abuse 🥃

22
Q

What are some common health conditions that go along with PTSD

(No surprises here)

A

Heart disease

Autoimmune disease

Hyperlipidemia

Interstitial cystitis

Dementia

Fibromyalgia/chronic fatigue

Chronic pain

23
Q

How might a patient with PTSD present in the clinical setting?

A

NO-SHOWING APPOINTMENTS***

Not completing therapy assignments

Resisting therapy

Not taking meds/forgetting to take them

Labile mood, difficulty self-regulating

24
Q

What are some tips for PAs who are treating PTSD patients?

A

Introduce yourself to them🤝

Ask for permission before touching them👋🏻

Dont stand behind them or out of their sight 🕴

Let them choose the gender of their provider 🕺🏼💃

Dont ask them nosy questions about what happened 👃

VALIDATE VALIDATE VALIDATE

25
Q

Should you validate the feelings of people with PTSD?

A

YES

VALIDATE VALIDATE VALIDATE

26
Q

What are the 4 steps to treating PTSD?

A
  1. Educate them
  2. Treatment options (therapy +/- pharm)
  3. Develop common goals
  4. Develop a treatment plan
27
Q

What is the treatment goal with PTSD?

A

You have to take care of the TRAUMA and treat the comorbid conditions

Which will lead to less symptoms, improved functioning, etc.

28
Q

What is the initial treatment step for PTSD?

A

Psychotherapy + SSRI/SNRI

Most important treatment for PTSD!!!!!

29
Q

You’ve already tried psychotherapy and an SSRI/SNRI for a patient’s PTSD. What’s your next option if it isn’t working?

A

Switch the drug for something else

30
Q

You’ve already tried treating your patient’s PTSD with psychotherapy and all the SSRIs out there. What is the next option available to try?

A

Mirtazapine

Nefazodone

Or a TCA

+ psychotherapy

31
Q

What is the last-ditch options to treat PTSD when all previous treatment has failed?

A

Alternative med + TCA or phenelzine

+ psychotherapy

32
Q

For psychotherapy for PTSD it lists some options for treatment. What are the top 2 types of therapy that should be utilized?

What did Dr. Stoehr say you should probably do before just jumping into trauma therapy?

A

CBT and EMDR

Just talk therapy first to ease them in without traumatizing them over again

33
Q

What are the 2 SSRIs that are FDA approved for PTSD?

A

Sertraline

Paroxetine

34
Q

What 2 classes of drugs are NOT recommended for PTSD?

A

Antipsychotics

Benzos

35
Q

What drugs can help PTSD patients with the following symptoms?

Insomnia

Nightmares

Hyperarousal

A

Insomnia = trazodone

Nightmares = Prazosin

Hyperarousal = B Blockers

36
Q

What are the 3 scenarios where you WOULDN’T immediately refer for trauma therapy because you’d need to treat these first?

A
  1. Primary active substance abuse
  2. Cognitive impairment
  3. Intrusive/untreated psychosis
37
Q

What should you do if a PTSD patient just wants med increases during therapy?

A

Consider if it’s clinical necessary

They need to be able to learn coping skills without just medicating every time it gets uncomfortable

Psych Exam 2 (A,S,L) (3 decks)

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