Trauma and Related Stress Disorder

Question 1

What is post traumatic stress disorder? (PTSD)

Answer 1

• Disturbing pattern of behaviours demonstrated by one who has witnessed or been confronted with a traumatic event such as a natural disaster, combat or an assault
• Exposed to an event that posed actual or threatened death or serious injury and responded with intense fear, helplessness or terror
• Disorder associated with a history of an event exposure

Question 2

What are the four subcategories of symptoms for PTSD?

Answer 2

• Reexperiencing the trauma through dreams or recurrent and intrusive thoughts,
• Avoidance/Emotional numbness: avoids stimuli associated with the trauma, feelings of detachment, numbing responses, unable to gain control over life, avoidance behaviours
• Negative cognition, thoughts
• Hyperarousal: persistently reexperiences the trauma through memories, dreams, flashbacks, or reactions to external cues about the event
  Signs of increased arousal: insomnia, irritability angry outbursts

Question 3

What is acute stress disorder?

Answer 3

• Occurs after a traumatic event
• Reexperiencing, avoidance, and hyperarousal that occur from 3 days to 4 weeks following trauma
• Can be a precursor to PTSD

Question 4

What is reactive attachment disorder(RAD)?

Answer 4

disturbed inappropriate social relatedness minimal social and emotional responses to others, may be sad, irritable or afraid for no apparent reason

Question 5

What id disinhibited social engagement disorder(DSED)?

Answer 5

unselective socializations allowing social interaction with both caregivers and strangers.Lack hesitation in interacting with strangers.

Question 6

How are RAD and DSED connected?

Answer 6

occur before age 5 response to child abuse or neglect

Question 7

What is the treatment for PTSD?

Answer 7

• Counselling
• Outpatient therapy
• medication

Question 8

What is the medication used for PTSD?

Answer 8

• SSRI/ SSNRI (serotonin and norepinephrine reuptake inhibitors/antidepressants - combination therapies work best

Question 9

What is dissociative disorders?

Answer 9

• Subconscious defence mechanism that helps a person protect their emotional self from recognizing the full effects of some horrific or traumatic event by allowing the mind to forget or remove itself from the painful situation or memory
• Timing and Occurrence

Question 10

What is the treatment and interventions of dissociative disorders?

Answer 10

1. Group or individual therapy (community setting)
2. Medications (anxiety/depression or both)
3. Short term hospitalization for survivors of Trauma and Abuse

Question 11

What is the cause of PTSD?

Answer 11

PTSD follows a causative trauma or event (not the case with anxiety disorders)

Question 11

What is the cause of PTSD?

Answer 11

PTSD follows a causative trauma or event (not the case with anxiety disorders)

Question 12

What are the three types of dissociative disorders?

Answer 12

1. Dissociative Amnesia
2. Dissociative Identity disorder (multiple person disorder)
3. Depersonalization/derealization

Question 13

What are the three types of dissociative disorders?

Answer 13

1. Dissociative Amnesia
2. Dissociative Identity disorder (multiple person disorder)
3. Depersonalization/derealization

Question 14

The assessment of a client with PTSD will include which of the following? Select all that apply
A. Inability to relax
B. Discussing problems to friends
C. Increased consumption of alcohol
D. Insomnia even when fatigues
E. Suspicion of strangers

Answer 14

A. Inability to relax
C. Increased alcohol consumption
D. Insomnia even when fatigued
E. Suspicion of strangers