Trauma and Related Disorders Flashcards
Besides major depressive disorder what is a rule out for prolonged grief?
Trauma or PTSD
Are acute stress disorder and PTSD on the same continuum?
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)
Describe Adjustment Disorder
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)
What are the features of Adjustment disorder?
You can have a mixed feature of anxiety and or depression, as well as conduct and behavior
What is the difference between flashbacks and nightmares (dreams)?
You are awake for flashbacks
What is the time frame that is necessary to diagnose a child with PTSD?
less than a year.
what are some of the common symptoms that you would see in a child exhibiting PTSD symptoms?
irritability
What is the difference between grief and bereavement?
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
Can grief be expedited
No
Does grief impair ones functioning?
No
What is the main components of Reactive Attachment Disorder?
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
What are some of the symptoms of RAD?
- child rarely or minimally seeks comfort when distressed
- limited positive affect
What are the main components of Disinhibited Social Engagement Disorder?
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.
What are some of the symptoms of DSED?
- 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
What are some components of Adjustment Disorder?
Triggered by non life threatening stressors leading to emotional or behavioral symptoms that cause distress. within 3 months of onset.
What are some of the symptoms of Adjustment Disorder?
- 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
What are the components of Acute Stress Disorder?
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
What are the symptoms of Acute Stress Disorder?
- 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
What are the components of PTSD
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
What are the symptoms of PTSD?
- 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
What are the components of Prolonged Grief Disorder?
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.
What are the symptoms of Prolonged Grief Disorder?
- 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
does grief respond to depression medication?
No it requires time and healing as it is not a mental illness
