Stressor Related Disorders

Question 1

Length of time for PTSD

Answer 1

Longer than 1 month

Question 2

PTSD more common in males or females?

Answer 2

Females , most commonly from sexual assault. Men are less common but they get it from combat.

Question 3

Timeline for acute stress disorder

Answer 3

3 days to 1 month. If 1-2 days, not diagnosable.

Question 4

Timeline for Adjustment disorder

Answer 4

Development of emotional or behavioral symptoms in response to identifiable stressor occurring within 3 months of its onset. Once stressor is terminated, symptoms do not persist for more than an additional 6 months.

Question 5

Sx of ataque de nervios

Answer 5

Emotional upset, shouting uncontrollably, attacks of crying , trembling, aggression, heat rising from chest to the head.

Question 6

What to do with methadone prior to liver transplant.

Answer 6

Keep the same dose if pt is stable.

Question 7

Child PTSD stuff

Answer 7

PTSD child rates are 8%

Children with preexisting anxiety disorders are at increased risk to develop PTSD following trauma exposure

Parental emotional response to a child’s traumatic experience predicts the child’s PTSD severity

Question 8

Factors that make dissociation more likely than psychosis

Answer 8

• sudden shifts in identity states
• reversible amnesia
• evidence of dissociative behavior that predates the clinical or forensic presentation
• high scores on measures of dissociation and hypnotizability.

Question 9

Hydrocortisone and PTSD

Answer 9

Hydrocortisone is the correct answer because studies show that its use can reduce the severity of symptoms and decrease the risk of developing PTSD.

Question 10

What is a good method to diagnose PTSD?

Answer 10

The Structured Clinical Interview of DSM-5 Disorders provides reliable diagnostics of PTSD and most other psychiatric conditions

Question 11

What can be used to augment for PTSD?

Answer 11

Risperidone and other atypicals.

Question 12

When do symptoms first start? What percent of PTSD sx resolve completely within that time frame?

Answer 12

First 3 months. Complete recovery occurs within 3 months in about one-half of the adults

Question 13

Within 1 month of PTSD sx, what therapy is good if symptoms are intense?

Answer 13

Trauma-focused CBT. If not intense, you can do wait and watch

Question 14

What does the PTSD brain look like on imaging?

Answer 14

Reduced anterior cingulate cortex (ACC) volume, reduced hippocampal volume

Question 15

Which NT is increased in PTSD?

Answer 15

There is an increase in the excretion of the dopamine and its metabolites in the urine of patients with PTSD.