Stress-Related D/o Flashcards
____-____% of acute stress d/o lead to PTSD
25-30%
What is an acute stress d/o resultant from? (x3)
Exposure to actual or threatened death, serious injury, or sexual violation, in 1+:
Direct experience or witnessing in person, events occurring to others
Learning about something violent or accidental happening to a loved one
Extreme or repeated exposure to aversive details of traumatic events (1st responders, child abuse investigators, crime scene investigators)
T/F: Media exposure does not apply as an acute stress d/o, unless the exposure is work-related
True
To be dx’d with an acute stress d/o, at least __(#)__ sx must be present for ___-___ days
Presence of at least 9 of the following sx, for 3-30 days
What are the 5 categories of stress d/o sx?
Intrusion, Negative, Avoidant, Dissociative, Arousal
What are 4 examples of Intrusion sx?
Intrusive Thoughts or Memories
Recurrent dream/nightmare (>2x)
Flashbacks (dissociative sx)
Intense psychological distress to environmental reminders/cues
What is an example of a negative mood sx?
Anhedonia
Describe what avoidance sx could be characterized by?
Avoiding reminders/distressing memories/ thoughts/feelings related to the event
What are some examples of dissociative sx?
Derealization or Depersonalization
Cannot remember important aspects of trauma (not due to meds/substance, TBI)
What are some examples of arousal sx? Which sx is seen specifically in pts with PTSD?
Insomnia
Irritable behavior + angry outbursts w/ little or no provocation
Hypervigilance, problems w/ concentration
Exaggerated startle response (seen specifically in PTSD)
What is the dx of Unspecified Trauma/Stressor Related D/o dependent upon? In what setting is this diagnosis usually made?
Characteristic sx predominate, do not meet criteria for another d/o, info/context is missing
Provisional dx pending further eval, usually used for acute presentations in ER
To have a dx of other specified stressor related d/o, characteristic sx must predominate, and the patient does not meet criteria for _________ d/o. These pts will have a delayed onset of adjustment sx for ____ months of stressor, and prolonged duration of sx _____ months after stressor.
Trauma/Stressor Related d/o
Delayed onset of adjustment sx >3 mo of stressor, prolonged duration (sx >6 mo after stressor)
Two examples of “other specified stressor related d/o” include _____ and _____
Culture-Bound Syndromes (Ataque de nervios or Koro), Persistent Complex Bereavement
Reactive attachment d/o, otherwise known as Disinhibited social engagement d/o, is a dx of individuals ____ y/o, and is characterized by what?
<18 y/o (pediatric dx)
Reflections of Relational Trauma (especially in the 1st year of life)
Typically occur in contexts of early life neglect
Seen in some children w/ frequent changes in caregivers (foster care), extended placements in institutional settings
Reactive attachment
Reactive attachment is characterized by what two qualities?
Minimal social/emotional responsiveness
Disturbed interpersonal relatedness
What is meant by Disinhibited Social Engagement? What will the patient behave like?
indiscriminate attachment behavior (they love you, but just met you)
What is adjustment d/o? (definition, time frame for dx, description of s/disturbances)
Development of emotional/behavioral sx in response to identifiable stressor occurring w/in 3 mo of stressor onset
Sx do not persist >6 months after stressor terminated
Sx out of proportion to severity/intensity of stressor, when context and culture are taken into account
Sx do not represent normal bereavement
Sx impair social, occupational, other areas of fxning
Disturbance does not meet criteria for another mental d/o and not merely exacerbation of a pre-existing mental d/o
What are 6 examples of specific adjustment d/o?
W/ mixed anxiety/depressed mood W/ anxiety W/ disturbance in conduct W/ depressed mood W/ mixed disturbance of emotions and conduct Unspecified
