Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Case Files Psychiatry > Trauma and Stress Disorders > Flashcards

Trauma and Stress Disorders Flashcards

1
Q

What other critera must be present?

A

Avoidance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What examples of negative alterations in thinking and mood that can be associated with PTSD?

A
  1. Can remeber the event
  2. Negative beliefs about self, others, or world
  3. Blaming self or others
  4. Negative emotional state
  5. Detachment
  6. Inability to experince positive emotions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are examples of increased arousal associated with PTSD?

A
  1. Irritability or angry outbursts
  2. Reckelss or destructive behavior
  3. Hypervigilance
  4. Startle response
  5. Concentration problems
  6. Sleep distrubance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How long do the symptoms need to be present to make a dx of PTSD?

A

1+ months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the broad critera considered for PTSD?

A
  1. Exposure
  2. Reexperiencing (1)
  3. Avoidance
  4. Negative alterations in thinking or mood (2)
  5. Increased arousal (2)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the risk factors for PTSD?

A
  1. Female
  2. Childhood emotional problems
  3. Previous psychiatric illness
  4. Lower education level or SES
  5. Exposure
  6. Family psychiatric history
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are common comorbidities in patients with PTSD?

A

MDD
Anxiety
Substance absue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What should be on the DDX for someone with PTSD?

A
  1. Partial complex seizures
  2. GAD or panic disorder
  3. MDD
  4. Borderline personality disorder
  5. Dissociative disorders
  6. Acute inoxication or withdrawal
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the treatment appraoch for PTSD?

A

Mutimodal

  • Pharmacotherapy
  • Psychotherapy
  • Social intervention
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What medications are primarily used to treat PTSD?

A

SSRIs

  • Sertraline
  • Paroxetine
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What medications are particulary good at reducing symptoms clusters associated with PTSD (reexperiencing, avoidance, alterations in cognition and mood, hyperarousal)?

A

SNRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How long may it take to see a full response from pharmacotherapy when treating PTSD?

A

24 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What medication is really good at treating nightmares, reexperiences, and arousal symptoms clusters associated with PTSD?

A

Prazosin

- Alpha 1 blocker

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What psychotherapy has been used to treat PTSD?

A

CBT

  • Cognitive processing therapy
  • Prolonged exposure therapy
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is social intervention used to treat PTSD?

A

Shelter
Food
Clothing
ie give a sense of safety and security

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What should be the first treatment intervention in trauma-realted disorders?

A

Establish safety

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Withing what timeframe does the stressor have to happen inorder for it to be considered the source of the patients adjustment disorder?

18
Q

How long do the symptoms have to resolve after the stressor is removed?

19
Q

What are some specifiers for adjustment disorder?

A

With:

  • Anxiety
  • Depressed mood
  • Mixed anxiety and depressed mood
  • Disturbance of conduct
20
Q

What qualifys symptoms as clinically significant?

A

Marked impact on functioning in a variety of settings

21
Q

What is the basis of supportive psychotherapy?

A

Patients are taught how to confront issues

  • Phobias
  • Stressors
22
Q

When is it appropiate to make the dx of MDD instead of adjustment disorder with depressed mood even if a stressor is present?

A

Marked difficulties are present

- SiG E CAPS

23
Q

In children with depression, what emotion is often present instead of depressed mood?

A

Irritablity or anger

24
Q

What is the treatment of choice for adjustment disorders?

A

Psychotherapy

- Supportive

25
What other techinques can be used to treat adjustment disorder, especially for actue stressors?
Relaxation training Reassurance Environmental modification
26
Perception that the environement is somehow different or strange, although the individual cannot account for the changes.
Derealization
27
Memory loss of some component of an event, which in the case of ASD is usually traumatic.
Dissociative amnesia
28
What are the core components of ASD?
1. Exposure 2. Intense fear and feelings of helplessness 3. Dissociative symptoms
29
What activates the fear response in ASD? | ie physiological basis
Hypothalamic-pituitary-adrenal axis | Locus ceruleus/norepinephrine system
30
What are the time constraints on ASD?
Occurs within 4 weeks | Lasts at least 3 days
31
What are the 5 categorical symtpoms involved in making an ASD dx?
1. Intrusion symptoms 2. Negative mood 3. Dissociative symptoms 4. Avoidance symptoms 5. Arousal symptoms
32
How many symptoms must be present from any of the categories?
9
33
ASD intrusion symptoms
Memories Dreams Reoccurring- as in the event is reoccurring Response to external cues
34
ASD negative mood
Inability to feel positive emotions
35
ASD dissociative symptoms
Altered sense of reality | Amnesia related to the event
36
ASD avoidance symptoms
Avoid memories, thoughts, or feelings | Avoid external reminders
37
ASD arousal symptoms
``` Sleep disturbance Irritabile or angery outburst Hypervigilance Concentration Startle response ```
38
What areas need to investigated when someone has a traumatic event?
1. Head injury 2. Substance abuse- Self-treatment - Cocaine 3. Panic disorder 4. Dissociative disorders 5. Malingering
39
What is the main treatment for ASD?
``` Supportive intervention - Family - Religion - Community Education - Symptoms - Coping skills Critical incident stress debriefing - Talking about the event and processing the thoughts ```
40
What can be used to treat insomnia and hypervigilance associated with ASD?
Hypnotics Anxiolytics Beta-blockers
41
What are some examples of reexperiencing associated with PTSD?
1. Intrusive memories 2. Distressing dreams 3. Flashbacks 4. Distress when exposed to cues 5. Physiological reactions when exposed to cues

Case Files Psychiatry (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions