Quiz 6 Flashcards
A) Exposure to actual or threatened death, serious injury, or sexual violation in one or more of the following ways:
1. Directly experiencing the traumatic event(s)
2. Witnessing, in person, the even(s) as it occurred to others
3. Learning that the event(s) occurred to a close family member or friend.
4. Experiencing repeated or extreme exposure to aversive details of the traumatic event(s)
B) Presence of nine (or more) of the following symptoms from any of the 5 categories of intrusion, negative mood, dissociation, avoidance, and arousal, beginning or worsening after the traumatic event(s) occurred.
Intrusion symptoms:
1. recurrent, involuntary, and intrusive distressing memories of the traumatic event(s)
2. Recurrent distressing dreams in which the content and/or affect of the dream are related to the event(s).
3.Dissociative reactions (flashbacks) in which the individual feels or acts as if the traumatic events were recurring
4. Intense or prolonged psychological distress or marked physiological reactions in response to internal or external cues that symbolize or resembled an aspect of the traumatic events
NEGATIVE MOOD:
5. persistent inability to experience positive emotions
DISSOCIATIVE SYMPTOMS:
6. an altered sense of the reality of one’s surroundings or oneself
7. Inability to remember an important aspect of the traumatic events
AVOIDANCE SYMPTOMS:
8. Efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic events
9. Efforts to avoid external reminders that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic events.
AROUSAL SYMPTOMS
10. Sleep disturbance
11. Irritable behavior and angry outbursts, typically expressed as verbal or physical aggression toward people or objects
12. hypervigilance
13. Problems concentrating
14. Exaggerated startle response
C. Duration of the disturbance is 3 days to 1 month after trauma exposure
D. The disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
E. The disturbance is not attributable to the physiological effects of a substance or another medical condition and is not better explained by brief psychotic disorder.
Acute stress disorder
A) Exposure to actual or threatened death, serious injury, or sexual violence in one or more ways:
1) directly experiencing the event
2) witnessing, in person, the events as it occurred to others
3) Learning that the traumatic events occurred to a close family member or close friend.
4) Experiencing repeated or extreme exposure to aversive details of the traumatic events.
B) Presence of 1 or more of the following intrusion symptoms associated with the event
1) recurrent, involuntary, and intrusive distressing memories of the event
2) Recurrent distressing dreams in which the content and/or affect of the dream are related to the event
3) dissociative reactions in which the individual feels or acts as if the traumatic events were recurring.
4) Intense or prolonged psychological distress at exposure to internal or external cues that symbolize or resemble an aspect of the event
5) Marked physiological reactions to internal or external cues that symbolize or resemble an aspect of the event.
C) Persistent avoidance of stimuli associated with the event
1) avoidance of or efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the event.
2) Avoidance or effort to avoid external reminders that arouse distressing memories, thoughts, or feelings in relation to the event.
D) Negative alterations in cognitions and mood associated with the traumatic events beginning or worsening after the traumatic events occurred
1) inability to remember an important aspect of the event typically due to dissociative amnesia and not to other factors like head injury.
2) persistent and exaggerated negative beliefs or expectations about oneself, others or the world
3) Persistent, distorted cognitions about the cause or consequences of the traumatic even that lead the individual to blame themselves or others.
4) Persistent negative emotional state
5) Markedly diminished interest or participation in activities
6) Feelings of detachment or estrangement from others.
7) persistent inability to experience positive emotions
E) Marked alterations in arousal and reactivity associated with the event
1) irritable behavior/angry outbursts
2) Reckless or self-destructive behavior
3) hypervigilance
4) exaggerated startle response
5) problems w/ concentration
6) sleep disturbance
F) Durance of the disturbance is more than 1 month
G) Disturbance causes clinically significant distress/impairment in social, occupational, or other important areas of functioning
H) Disturbance not attributable to physiological effects of a substance or another medical condition
PTSD
A) Marked fear or anxiety about a specific object of situation (flying, heights, etc)
B) The phobic object or situation almost always provokes immediate fear or anxiety
C) The phobic object or situation is actively avoided or endured with intense fear or anxiety
D) The fear or anxiety is out of proportion to the actual danger posed by the object or situation and to the sociocultural context.
E) fear, anxiety, or avoidance is persistent, typically lasting longer than 6 months
F) Fear, anxiety, or avoidance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
G) Disturbance is not better explained by the symptoms of another medical disorder, including fear, anxiety, and avoidance of situations associated with panic-like symptoms or other incapacitating symptoms (agoraphobia); objects or situations related to obsessions (OCD); reminders of traumatic events (PTSD); separation from home or attachment figures (sep. anx); or social situations.
Specific Phobia
A) excessive anxiety and worry, occurring more days than not for at least 6 months, about a number of events or activities
B) The individual finds it difficult to control the worry
C) The anxiety and worry are associated with three or more of the following symptoms present for more days than not
1) Restlessness or feeling keyed up or on edge
2) Being easily fatigued
3) Difficulty concentrating or mind going blank
4) Irritability
5) muscle tension
6) sleep disturbance
D) Anxiety or worry or physical symptoms cause clinically significant distress or impairment
E) Disturbance is not attributable to the physiological effects of a substance or another medical condition
F) Disturbance is not better explained by another mental disorder
Generalized anxiety disorder
A) Presence of obsessions, compulsions or both
-obsessions defined by 1 & 2
1) recurrent and persistent thoughts, urges, or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.
2) The individual attempts to ignore or suppress such thoughts, urges, or images or to neutralize them with some other thought or action (performing compulsion).
-Compulsions defined by 1 & 2
1) Repetitive behaviors or mental acts that the individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.
2) The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however the behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or precent, and are clearly excessive.
B) Obsessions or compulsions are time-consuming or cause clinically significant distress or impairment
C) The O-C symptoms are not attributable to the physiological effects of a substance or another medical condition
D) The disturbance is not better explained by the symptoms of another mental disorder
Obsessive-Compulsive Disorder
