Trauma and Stress Disorders

Question 1

What are the DSM-5 diagnostic criteria to be used as?

Answer 1

guidelines for informed clinical judgement. NOT a symptom checklist

Question 2

What are some protective factors leading to increased resiliency in people?

Answer 2

• supportive, cohesive family
• external support system
• intelligence
• hardiness (strong genetic endowment)
• positive social orientation

Question 3

What is the prime cause for many psychiatric diseases?

Answer 3

Stress

Question 4

disorder caused by emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of onset of stressor
-when stress is gone, patient recovers within 6 months

Answer 4

Adjustment disorder

Question 5

Are suicidal intent, marked self-neglect, persistent feelings of worthlessness, and intense unreasonable guilt “normal bereavement/guilt?

Answer 5

NO!

Question 6

How long does acute stress disorder generally last? Who is it common in?

Answer 6

3 days-1 month

*common in first responders and victims of disaster

Question 7

• arousal
• intrusion
• avoidance
• negative emotional and cognitive changes

Answer 7

PTSD

Question 8

What are some examples of arousal in PTSD?

Answer 8

sleep problems, startle, irritability, self destructive behavior, poor concentration, hypervigilance

Question 9

What are some examples of intrusion in PTSD?

Answer 9

nightmares, flashbacks, forced recollection, physiologic reactivity

Question 10

What are some examples of avoidance in PTSD?

Answer 10

internal memories, external clues or reminders

Question 11

What are some examples of negative emotional and cognitive change in PTSD?

Answer 11

amnesia, negative beliefs, guilt, fear, anger, shame, loss of interest, detachment/estrangement, lack of positive emotion

Question 12

What is acute stress disorder?

Answer 12

condition occurring directly after a stressful or traumatic event that lasts 3 days to 1 month. Patients will have anxiety, intrusive thoughts, or other emotional responses like angry outbursts.
Can have nightmares, flashbacks, or re-live the event.

Question 13

What is complicated grief?

Answer 13

signs of intense guilt, prolonged anhedonia, inability to find any meaning in life, suicidal ideation

Question 14

What is normal grief?

Answer 14

Variable time course that is hard to define

Question 15

What is anticipatory grief?

Answer 15

Grief first addressed by the physician to help prepare the family before an event known to cause grief will occer (death of a loved one)

Question 16

What is demoralization?

Answer 16

form of patterned maladaptation in circumstances that overwhelm normal coping
Demoralized people often feel trapped, experience subjective incompetence, believe that can’t master what troubles them.

Question 17

What is adjustment disorder?

Answer 17

reactions to an identifiable stressor event or situation with the reaction exceeding a normally expected response (either in intensity or duration)
*occur within 3 mo of event and can last more than 6 mo (Chronic)