Trauma

Question 1

classification of trauma?

Answer 1

type 1 trauma- unexpected and once
type 2 trauma- repetitive trauma

Question 2

in which part of brain does fight and flight response and other similar response originate in?

Answer 2

PAG (periaqueductal gray) or ventral tegmental area

Question 3

PTSD is inversely correlated with what brain structure?

Answer 3

Hippocampus

Question 4

criteria for PTSD

Answer 4

• symptoms for 1 month
• intrusive phenomena (nightmares, flashbacks)
• avoidance
• negative alterations (amnesia, fear, numbing)
• alterations in arousal and reactivity (sleep disturbance, irritability)

Question 5

Complex PTSD

Answer 5

• core PTSD symptoms plus
• negative self concept (low self esteem, self blame)
• emotional dysregulation (violent or emotional outbursts)
• chronic interpersonal difficulties (issues with trust, maintaining relationship)

Question 6

management of PTSD

Answer 6

• trauma based CBT (1st line)
• EMDR (2nd line)
• antidepressants- venlafaxine or SSRI (sertraline)
• antipsychotics- risperidone (severe hyperarousal)
• mood stabilisers- carbamazepine
• prazosin (global PTSD)