Stress Disorders Flashcards
What is Acute Stress Disorder?
Symptoms that match PTSD but they only last for < 1 month
How long must symptoms be present in order to diagnose Acute Stress Disorder?
LESS than 1 month
How long must symptoms be present in order to diagnose PTSD?
GREATER than 1 month
If a patient is having symptoms of PTSD, what time frame is PTSD and what is Acute Stress Disorder?
< 1 month = Acute Stress Disorder
> 1 month = PTSD
List symptoms of PTSD/Acute Stress Disorder
Intrusions = flashbacks, memories, nightmares
Avoidance of stimuli related to event
Mood change
Dissociation
Increased arousal = hyper-vigilance, easily startles
List symptoms of PTSD/Acute Stress Disorder
Intrusions = flashbacks, memories, nightmares
Avoidance of stimuli related to event
Mood change
Dissociation
Increased arousal = hyper-vigilance, easily startles
What is the treatment for PTSD?
Psychotherapy and SSRIs
What type of psychotherapy is the best for PTSD?
Group therapy
What drug class is initially the best for PTSD?
SSRIs
What specific drug can help with the nightmares with PTSD?
Prazosin = alpha 1 antagonist
What can Prazosin be used for and whats its MOA?
Nightmares with PTSD
MOA = alpha 1 antagonist
Describe Adjustment Disorder
A life stressor occurs and then within 3 months a mood change occurs that does not qualify for a mood disorder diagnosis
How long are symptoms present to diagnose an Adjustment Disorder?
LESS than 6 months
When must the mood change arise with an Adjustment Disorder?
Within 3 months of the life stressor
What is the duration of an Adjustment Disorder?
LESS than 6 months
What is the treatment for an Adjustment Disorder?
NO TREATMENT - will resolve
What 2 disorders can arise due to abuse or neglect in infancy?
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
What 2 disorders can arise due to abuse or neglect in infancy?
Reactive Attachment Disorder
Disinhibited Social Engagement Disorder
What is Reactive Attachment Disorder?
Abuse/neglect in infancy leads to never pairing to anyone in adulthood
What is Disinhibited Social Engagement Disorder?
Abuse/neglect in infancy leads to pairing too much in adulthood
When must Reactive Attachment Disorder and Disinhibited Social Engagement Disorder be diagnosed?
BEFORE 5 years old!
What is the treatment for Reactive Attachment Disorder and Disinhibited Social Engagement Disorder?
Treatment is directed towards the caregiver to be a better parent
