Trauma and Stress Related Disorders Flashcards
What is Reactive Attachment Disorder?
A. withdrawn behavior w/ adult caregivers: 1. rarely seeks comfort 2. rarely responds to comfort
B. Social/emotional disturbance: minimal response, fearfulness in interaction w/adult caregivers, no pos affect
*evident before age 5
What is Disinhibited social engagement disorder?
behavior with unfamiliar adults: 2 or more
- no reluctance in approaching strangers
- overly familiar verbal/physical behavior
- no checking back w/adult after leaving
- willingness to go off with stranger
B. bhv not limited to impulsivity
What are similarities between Reactive attachment and disinhibited social engagement disorder?
child experienced insufficient care: 1 or more
- social neglect of emotional needs
- change in caregivers = no attachment
- reared in unusual settings
care responsible for behavior
must have developmental age of at least 9 months
What are the specifiers for Reactive attachment and disinhibited social engagement disorder?
persistent (1 year +)
severe= all Sx at high levels
What is Adjustment Disorder?
emotional/behavior Sx w/in 3 months of a stressor (no longer than 6 months)
distress out of proportion to stressor & impaired functioning
no bereavement
Most likely trigger and biggest predictor for PTSD?
rape & childhood sexual abuse
A traumatic event can be THREAT of or ACTUAL serious injury, harm or death
True
What is the difference between Acute Stress Disorder and PTSD?
Acute = 3 days - 1 month PTSD = 1 month +
What are the similar symptoms of Acute Stress Disorder and PTSD? Provide examples
Intrusive (memories, flashbacks, dreams)
Negative mood (no positive emotions)
Dissociation (altered sense of reality, can’t remember)
Avoidance (avoid memories, external reminders)
Arousal (anger, no sleep , startle response, hypervigilance)
What are the 4 ways you can develop PTSD?
- direct experience
- witness in person
- learn it happened to close friend
- exposure to aversive details
What are the symptom qualifications for Acute Stress Disorder VS. PTSD?
Acute = 9 Sx from any category
PTSD = 6 Sx
(1) intrusion
(2) neg. mood
(1) avoidance
(2) arousal
What are the specifiers of PTSD?
Dissociative Sx (detached from body/unreality)
Delayed Expression = 6 months post event
What forms of therapy are used in treating PTSD?
CBT
Exposure Therapy
Eye Movement Desensitization (EMDR)
PTSD is more prevalent among?
women
You have to have a previous pathology in order to develop PTSD?
False
