Stress and Trauma (Lewis) lecture Flashcards
What is disinhibited social engagement disorder?
Culturally inappropriate familiar behavior with relative strangers.
- violate social boundaries of the culture
What is adjustment disorder/
redefined as an array of stress-response syndromes occurring after exposure to a distressing event
-3 months after onset and lasting 6 months
what is acute stress disorder and how long does it last?
Stress after dramatic events were experience directly, witness or experiences indirectly.
- 3 days to 1 month
What is PTSD?
Significant reaction to serious traumatic event that involves actual or threatened death, serious injury or sexual violation.
What are the re-experience symptoms of a person with PTSD?
Avoidance
- persistent negative alteration in mood and cognition
- arousal- describes behavioral symptoms
What are some events that can cause direct experience PTSD?
Military
- personal assault
- accidents/disasters
What is the mnemonic for PTSD?
DREAMS
- Detachment
- Reexperience
- Even had emotional effects
- Avoidance
- Month in duration
- Sympathetic hyperactivity or hypervigilence
What are some assessment measures of PTSD?
MCMI-III
MMPI
Roschach
What neurotransmitters are involved in PTSD?
NE- to much
Causes
- hypervigalence, autonomic arousal, flashbacks, and intrusive memories
5-HT- too little
Causes
aggression, violence, impulsivity, depression, anxiety
When should critical incident stress debreifing happen?
withint the first 72 hrs
what are some risk factors for PTSD?
- Persons who had sexual assault
- Persons who seek general medical care
- mass casualties
- adverse childhood experiences
What % of PTSD suffers have a comorbidity?
80%- more in men
- AD, Affective disorder, SAD, Somatization and psychosis
What is the PTSD and suicide rate?
20%
How do you treat PTSD?
CBT
SSRI’s
Venlafaxine
How do you treat acute stress disorder?
CBT
pharmcotherpapy isn’t indicated
What are the treatment therapies for PTSD?
Exposure therapy
cognitive therapy
Stress inoculation training
What are some meds for children with PTSD?
FDA approved Prozac for depression in children
-FDA approved Zoloft for OCD in children
What is the prevalence of PTSD after treatment?
56% ad 67% met criteria for PTSD after uncompleted treatment and complete treatment respectively
