Stress And Trauma Flashcards

1
Q

Immediate reaction to stressor

A

Acute

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2
Q

Ongoing reaction to same or multiple stressor

A

Chronic

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3
Q

Time-Limited

A

Acute

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4
Q

Persistent

A

Chronic

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5
Q

Flight/Fight/Freeze/Fawn

A

Acute

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6
Q

Toxic-Stress

A

Chronic

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7
Q

Physiological

A

Acute
Chronic

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8
Q

Risk for MH Concern

A

Acute
Chronic

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9
Q

PTSD is cause by ?

A

Acute

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10
Q

Sympathetic-Adrenal Medullary (SAM)

A

Acute

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11
Q

Faster Response

A

Acute

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12
Q

Norepinephrine & Epinephrine

A

Acute

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13
Q

Hypothalamic-Pituitary-Adrenal (HPA) Axis

A

Chronic

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14
Q

Slower Response

A

Chronic

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15
Q

Cortisol

A

Chronic

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16
Q

HPA Axis

A

Chronic

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17
Q

SAM

A

Acute

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18
Q

Rasie blood pressure dercrease bowels

A

Acute

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19
Q

Hans Selye General Adaptation Syndrome in order

a. Exhaustion Stage
b. Good Health
c. Breakdown (burnout)
d. Resistance Stage
e. Alarm Stage

A

b.
e.
d.
a.
c.

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20
Q

Same & Steady

A

Homeostasis

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21
Q

Day to day maintenance of bodily functions

A

Homeostasis

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22
Q

Environment is predictable

A

Homeostasis

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23
Q

Standard understanding of bodily regulation

A

Homeostasis

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24
Q

explains the expected ranges for vital signs

A

Homeostasis

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25
Different & Steady
Allostasis
26
Adaptation made in changing environment
Allostasis
27
Changing stressors resulting in changing baseline
Allostasis
28
hronic stress may result in higher baseline blood pressure in anticipation for stressful event
Allostasis
29
Exercise
Allostasis
30
Not inherently a problem or harmful
Allostasis
31
A way to figuratively quantify the amount of stress an individual has accumulated
Allostatic Load
32
Associated biomarkers in research
Allostatic Load
33
Stressor may no longer be present, but physiological effects persist
Allostatic Load
34
Elevated inflammatory response
Allostatic Load
35
Deals with rthritis, arterial disease, diabetes, abdominal fat, IBD
Allostatic Load
36
Loss of bone density
Allostatic Load
37
Hypertension
Allostatic Load
38
hyperlipidemia
Allostatic Load
39
Impacting Factors Allostatic Load 1. T 2. S 3. P 4. C 5. B
1. Type 2. Support 3. Perception 4. Coping 5. Biology
40
mpacting Factors Allostatic Load Epi/Genetics, SNS sensitivity, HPA activity 1. Type 2. Support 3. Perception 4. Coping 5. Biology
5. Biology
41
Adaptation & Resiliency Learning – change behavior for future stressor based on this experience
Adaptation
42
Adaptation & Resiliency Social – strengthen bonds with others
Adaptation
43
Adaptation & Resiliency Biology – return to homeostasis with removal of stressor
Adaptation
44
Adaptation & Resiliency Capacity to withstand stress & mobilize healthy coping strategies
Resiliency
45
Adaptation & Resiliency Can increase with time and adequate support
Resiliency
46
Behavioral or cognitive process done consciously or unconsciously in response to a stressor
Coping Strategies
47
Reaching out to a friend Avoid stressor Assuming worst possible outcome Use of psychoactive substance Exercising
Coping Strategies
48
A model about levels of stress from daily challengles, Moderate stress, and distress. Also talks about a person being calm to terror analysing from resilent to sensititized.
Bruce Perry's Model
49
Trauma informed Care 4 R's R R R R
Realize Recognize Respond Resist
50
The widespread impact of trauma and understand potential paths for recovery Realize Recognize Respond Resist
Realize
51
The signs and symptoms of trauma in clients Realize Recognize Respond Resist
Recognize
52
Fully integrating knowledge about trauma into practice Realize Recognize Respond Resist
Respond
53
Avoid re-traumatization of patients Realize Recognize Respond Resist
Resist
54
Inconsistent caregiving (Reactive Attachment Disorder) Criteria ? Stress DSM
Criteria A
55
Exposure to actual or threatened death, serious injury, or sexual violence (PTSD, Acute Stress Disorder) Criteria ? Stress DSM
Criteria A
56
“Identifiable stressor” (Adjustment Disorders, Other Specified or Unspecified Trauma- and Stressor Related Disorder) Criteria ? Stress DSM
Criteria A
57
Death of loved one (Prolonged Grief Disorder) Criteria ? Stress DSM
Criteria A
58
Recurrent intrusive memories and distressing dreams a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
a. Intrusion
59
Dissociative reaction when pt has flashbacks a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
a. Intrusion
60
Psychological distress & Physiological reaction when reminded of event. a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
a. Intrusion
61
? of thoughts and feeling resembling event a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
b. Avoidance
62
? Of reminders (ppl, places, activities, situation) resembling event a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
b. Avoidance
63
Can not remember event details a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
c. Negative Cognition & Mood Changes
64
Persistent negative beliefs of oneself a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
c. Negative Cognition & Mood Changes
65
Self blame about causing event a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
c. Negative Cognition & Mood Changes
66
Persistant negative emotional state - anger, fear a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
c. Negative Cognition & Mood Changes
67
Detachment from other a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
c. Negative Cognition & Mood Changes
68
Hard to experience positive emotions a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
c. Negative Cognition & Mood Changes
69
Irritable and Angry outburst a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
d. Altered Arousal & Reactivity
70
Recklessness and Hypervigilance a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
d. Altered Arousal & Reactivity
71
Starlie Response a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
d. Altered Arousal & Reactivity
72
is an involuntary, rapid reflex reaction triggered by a sudden, unexpected stimulus, causing muscle contraction, increased heart rate, and activation of the body’s “fight or flight” response.
Starle Response
73
Concentration Difficulties a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
d. Altered Arousal & Reactivity
74
Sleep Distrubances a. Intrusion b. Avoidance c. Negative Cognition & Mood Changes d. Altered Arousal & Reactivity
d. Altered Arousal & Reactivity
75
Post-Traumatic Stress Disorder:
Diagnostic Criteria Duration ? month
>1 Greater
76
Post-Traumatic Stress Disorder:
Diagnostic Criteria Significant ? impairment
Distress or functional
77
Post-Traumatic Stress Disorder:
Diagnostic Criteria Not due to ?
substance or medical condition
78
Intrusions into awareness and behavior preventing one from accessing information or controlling mental functioning a. Acute Stress Disorder b. Dissociative Disorders
b. Dissociative Disorders
79
A disconnection between patient’s perceptual experience and reality a. Acute Stress Disorder b. Dissociative Disorders
b. Dissociative Disorders
80
Often present with PTSD (but does not have to be) a. Acute Stress Disorder b. Dissociative Disorders
b. Dissociative Disorders
81
Depersonalization Derealization a. Acute Stress Disorder b. Dissociative Disorders
b. Dissociative Disorders
82
Sensation of being detached or outside of one’s body or thinking a. Depersonalization b. Derealization
a. Depersonalization
83
Sensation that surroundings are not real, distant, dreaming a. Depersonalization b. Derealization
b. Derealization
84
IPV/SA Interpersonal Violence Organized Violence Participation in crime Interpersonal Trauma is associated with which disorder
PTSD
85
PTSD risk factors 3 of trauma Violence/Trauma that is interpersonal in nature and intentional Familial dysfunction/disturbance Poor ?
Extent, duration, intensity social support
86
PTSD risk factors History of trauma in childhood ? of the trauma Pre-existing ? Concurrent ?
Perception mental illness TBI
87
Just read over several times Psychosocial Interventions Trauma-Focused CBT Exposure Response Therapy Acceptance and Commitment Eye Movement Desensitization and Reprocessing Trauma Resiliency Model (CRM sister) Family therapies Support Groups Psychoeducation & stress management
Read
88
Psychopharm FDA Approved Medications ? & ?
Sertraline & Paroxetine
89
Sertraline
Zoloft
90
Paroxetine
Paxil
91
Psychopharm ? for nightmares
Prazosin
92
Treats PTSD but off label and help with nightmares
Prazosin
93
Duration between 3 days-1month
Acute Stress Disorder
94
Acute Stress Disorder Duration between ?
3 days-1month
95
Duration of symptoms greater than a month?
PTSD
96
Significant Distress or functional impairment Not due to substance or medical condition
PTSD and ASD
97
This disorder does not have criteria a for stress d/o
Dissociative Disorders
98
Commonly have etiological trauma (the cause or causes of a disease)
Dissociative Disorders
99
Formerly called multiple personality disorder
Dissociative Disorders
100
At least two distinct personality or identity states
Dissociative Disorders
101
Inability to recall
Dissociative amnesia
102
Being detached from one’s body or reality
Depersonalization/derealization disorder