Trauma and Related Disorders

Question 1

Besides major depressive disorder what is a rule out for prolonged grief?

Answer 1

Trauma or PTSD

Question 2

Are acute stress disorder and PTSD on the same continuum?

Answer 2

Yes, acute stress disorder can turn into PTSD however acute stress disorder has an immediate response to one month (within at least 3 days) while PTSD exceeds one month (but you can have a delayed onset after 6 months)

Question 3

Describe Adjustment Disorder

Answer 3

It is a trauma stressor diagnosis and it is different from the other trauma disorders because it occurs within 3-6 months. Plus the onset does not occur immediately you have to have symptoms for at least 3 days. The event is not considered traumatic per say (dont have compromised personal integrity)

Question 4

What are the features of Adjustment disorder?

Answer 4

You can have a mixed feature of anxiety and or depression, as well as conduct and behavior

Question 5

What is the difference between flashbacks and nightmares (dreams)?

Answer 5

You are awake for flashbacks

Question 6

What is the time frame that is necessary to diagnose a child with PTSD?

Answer 6

less than a year.

Question 7

what are some of the common symptoms that you would see in a child exhibiting PTSD symptoms?

Answer 7

irritability

Question 8

What is the difference between grief and bereavement?

Answer 8

Bereavement: state of experiencing grief, mourning, and deprivation as a result of the death of a loved one (immediate: circumstances of the loss of a loved one)
Grief: psychological response to bereavement. It is normal reaction to loss and is a blend of yearning and sadness

Question 9

Can grief be expedited

Answer 9

No

Question 10

Does grief impair ones functioning?

Answer 10

No

Question 11

What is the main components of Reactive Attachment Disorder?

Answer 11

Categorized by difficulty forming an attachment to attachment figures. This is often linked to severe neglect. Evident before age 5 and symptoms manifest between the ages of 9 months and 5 years

Question 12

What are some of the symptoms of RAD?

Answer 12

• child rarely or minimally seeks comfort when distressed
• limited positive affect

Question 13

What are the main components of Disinhibited Social Engagement Disorder?

Answer 13

Excessive friendliness and lack of reticence with unfamiliar adults. Stems from early neglect and can be demonstrated in as early as 2 years old present for 12 + months. Child has to be at least 9 months.

Question 14

What are some of the symptoms of DSED?

Answer 14

• lack of stranger danger
• diminished or absent checking back with an adult caregiver
• willingness to go off with an unfamiliar adult with minimal or no hesitation

Question 15

What are some components of Adjustment Disorder?

Answer 15

Triggered by non life threatening stressors leading to emotional or behavioral symptoms that cause distress. within 3 months of onset.

Question 16

What are some of the symptoms of Adjustment Disorder?

Answer 16

• distress out of proportion to severity and intensity
• significant impairment in social occupational ect.
• symptoms typically resolve ones stressor is removed or the individual adapts

Question 17

What are the components of Acute Stress Disorder?

Answer 17

Exposure to an actual threat (death injury or sexual violence). Individual is either a direct witness, learning that an event occurred to close family member or friend, repeated vicarious exposure without actively seeing it). Occurs 3 days - 1 month

Question 18

What are the symptoms of Acute Stress Disorder?

Answer 18

• fear based symptoms flashbacks, dissociation, distressing memories, recurrent nightmares, avoiding thoughts/people/situations.
  In Kids:
• trauma reenactment
• socially withdrawn
• less positive emotions
• increased negative emotions and increase in negative emotions

Question 19

What are the components of PTSD

Answer 19

It beyond the 1 month period. death injury or sexual violence). Individual is either a direct witness, learning that an event occurred to close family member or friend, repeated vicarious exposure without actively seeing it). Can have a delayed onset 6 months after the traumatic event

Question 20

What are the symptoms of PTSD?

Answer 20

• fear based symptoms flashbacks, dissociation, distressing memories, recurrent nightmares, avoiding thoughts/people/situations.
  In Kids:
• trauma reenactment
• socially withdrawn
• less positive emotions
• increased negative emotions and increase in negative emotions

Question 21

What are the components of Prolonged Grief Disorder?

Answer 21

Characterized by intense persistent grief that extends beyond cultural norms of mourning. In adults it occurs 12 + months after the death in children is is 6 + months after the death.

Question 22

What are the symptoms of Prolonged Grief Disorder?

Answer 22

• deep yearning or longing for the deceased
• intense emotional pain, difficulty moving forwards, feeling like life is meaningless without that person
• cause significant functional impairment
  In children:
• focus on the circumstances of death

Question 23

does grief respond to depression medication?

Answer 23

No it requires time and healing as it is not a mental illness