trauma Flashcards
describe type 1 trauma
single traumatic event
describe type 2 trauma
repetitive trauma
is panic common in response to trauma
no - most people behave rationally
what side of the hippocampus shows volume reduction in adult and childhood trauma respectively
adult - right sided
child - left sided
how long must symptoms from trauma be ongoing for for a PTSD diagnosis
> 4 weeks
is trauma symptoms less than 4 weeks what is diagnosis
acute stress disorder
is a low or high cortisol a risk factor for developing PTSD after trauma
a low cortisol is risk factor
what areas of the brain have increased blood flow in PTSD
limbic areas and amygdala
what areas of the brain show decreased blood flow in PTSD
insula lobe (dissociation) and brooks area ( indescribable trauma )
how many intrusive symptoms must be present for a diagnosis of PTSD and examples of symptoms
min 1 recurrent distressing recollections nightmares flashbacks (any sensory modality) distress alongside reminders physiological reactions (increased HR)
how many avoidant symtoms must be present for PTSD diagnosis and example
min 1
avoidance fo thoughts or feelings about event
avoidance of external reminders
how many alterations in arousal and receptivity symtoms must be present in PTSD
min 2 sleep disturbance irritabilit/aggression concentration difficulties hypervigilance exaggerated startle response risky or destructive behaviour
treatment for PTSD 1st and 2nd
1st- CBT
2nd - EMDR( eye movement desensitising and reprocessing )
medical treatment in PTSD
symptom treatment eg melatonin
anti- depressants - Venlafaxine or SSRI