Response to trauma Flashcards

1
Q

What is a centrifugal traumatic event? (and give an example)

A

Man-made

eg car crash

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2
Q

What is a centripetal traumatic event? (and give an example)

A

Natural disaster

eg earthquake

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3
Q

An unexpected single incident trauma is type 1/type 2 trauma?

A

Type 1

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4
Q

Repetitive trauma (eg ongoing abuse) is type 1/type 2 trauam?

A

Type 2

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5
Q

If threat is distant or inescapable, we flee/freeze ?

A

Freeze

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6
Q

If threat is nearby or escapable, we flee/freeze?

A

Flee

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7
Q

Which areas of the brain are responsible for active and passive defence responses?

A

Superior colliculi and periaqueductal gray (PAG)

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8
Q

How do we separate the pathological from the normal reactions to trauma?

A

By severity, frequency, duration

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9
Q

PTSD - definition

A

Post traumatic stress disorder

Overwhelming of the stress response

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10
Q

PTSD has a stronger association with suicide than any other anxiety disorder. True or false?

A

True

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11
Q

In PTSD, cortisol levels are HIGH/LOW ?

A

Low

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12
Q

PTSD - impairment of emotional event memory is related to damage of the ?

A

Amygdala

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13
Q

PTSD - acute onset

A

Less than 3 months

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14
Q

PTSD - chronic onset

A

Over 3 months

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15
Q

PTSD - clinical features (intrusive phenomena)

A

Recurrent distressing recollections
Nightmares
Flashbacks

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16
Q

PTSD - clinical features (avoidant and emotional numbing symptoms)

A

Avoidance of thinking/talking about event
Amnesia
Loss of interest in activities

17
Q

PTSD - clinical features (hyperarousal symptoms)

A

Sleep disturbance
Irritability
Concentration difficulties
Hypervigillance

18
Q

PTSD - management if mild and less than 4 weeks post trauma

A

Watchful waiting

19
Q

PTSD - management

A

Psychological therapy (CBT)

20
Q

Drug therapy should only be used in PTSD if there is failure to respond to psychological therapy. True or false?

A

True