Trauma And Stresser Related Disorder Flashcards
A: A consistent pattern of inhibited emotionally withdrawn behavior toward adult caregivers manifested by both of the following:
1. The child rarely seeks comfort when distressed
2. The child rarely responds to comfort when distressed
Criteria A, reactive attachment disorder
Criteria A- C reactive attachment disorder
A: A consistent pattern of inhibited emotionally withdrawn behavior toward adult caregivers manifested by both of the following:
1. the child rarely seeks comfort when distress
2. the child rarely responds to comfort when distressed
B: A persistent social and emotional disturbance characterized by at least two of the following:
1. Minimal social and emotional responsiveness to others
2. Limited positive affect
3. Episodes of unexplained irritability sadness or fearfulness that are evidence even during non-threatening interactions with adult caregivers
C: The child has experienced a pattern of extremes of insufficient care as evidenced by at least one of the following:
1. Social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort stimulation and affection by caregiving adults
2. Repeated changes of primary caregivers that limit opportunities to form stable attachments
3. Rearing in unusual settings that severely limit opportunities to form selective attachments
Criteria A-C disinhibited social engagement disorder
A: A pattern of behavior in which a child actively approaches and interacts with unfamiliar adults and exhibit at least two of the following:
1. Reduced or absent reticence an approaching and interacting with unfamiliar adults
2. Overly familiar verbal or physical behavior
3 Diminished or absent checking back with adult caregiver after venturing away even an unfamiliar settings
4. Willingness to go off with an unfamiliar adult with minimal or no hesitation
B: The behaviors and criteria a are not limited to impulsivity but include socially inhibited behavior
C: The child has experienced a pattern of extremes of insufficient care as evidenced by at least one of the following:
1. Social neglect or deprivation in the form of persistent lack of having basic emotional needs for comfort stimulation and affection met by caregiving adults
2. Repeat it changes of primary caregivers
3. Unusual rearing settings
Criteria A. PTSD
A: Exposure to actual or threatened death serious injury or sexual violence in one (or more) of the following ways:
1. Directly experienced the traumatic event
2. Witnessing in person the events as it occurred to others
3. Learning that the traumatic events occurred to a close family member or close friend and cases of actuallt or threatened death of a family member or friend the events must have been violent or accidental
4. Experiencing repeated or extreme exposure to aversive details of the traumatic events.
—applies only to 6years +
Criteria B. Ptsd
Presence of one or more of the following intrusion symptoms associated with the traumatic events:
1. Recurrent involuntary and intrusive distressing memories of the traumatic event
2. Recurrent distressing dreams in which the Content and/or affect of the dream or related to the traumatic event
3. Dissociative reactions (flashbacks) in which the individual feels or acts as if the traumatic event were reoccurring
4. Intense or prolonged psychological distress exposure to internal or external cues that symbolize aspects of the traumatic event
5. Marked physiological reactions to internal or external cues that symbolize aspects of the traumatic event
Criteria C Ptsd
C: persistent avoidance of stimuli associated with the traumatic event evidenced by one, or both, of the following:
1. Avoidance of or efforts to avoid distressing memories thoughts or feelings about or closely associated with the traumatic events
2. Avoidance of or efforts to avoid external reminders (people, places, situations) that arouse distressing memories thoughts or feelings about or closely associated with the traumatic events
Criteria D, PTSD
D: negative alterations in cognition and mood associated with a traumatic events as evidenced by two or more of the following:
1. Inability to remember an important aspect of the traumatic event
2. Persistent negative beliefs about one’s self, others, or the world
3. Persistent distorted cognitions about the cause or consequence of the traumatic event that lead the individual to blame himself or others
4. Persistent negative emotional state
5. Markedly diminished interest or participation in activities
6. Feelings of detachment or estrangement from others
7. Persistent and ability to experience positive emotions
Criteria E, PTSD
Marked alterations in arousal and reactivity associated with the traumatic events evidenced by two of the following:
1. Irritable behavior and angry outburst
2. Reckless or self-destructive behavior
3. Hypervigilance
4. Exaggerated startle response
5. Problems with concentration
6. Sleep disturbances
PTSD specifiers
W Dissociative symptoms:
1. Depersonalization (Feeling detached from one’s mental processes or body)
2. De realization ( Unreality of surroundings)
W delayed expression
PTSD criteria, 6 years or younger
A: Exposure to actual or threatened that serious injury or sexual violence and at least one of the following ways:
-directly experiencing the traumatic event
-witnessing the event
-learning that the event occurred to a parent or caregiver
B: presence of at least one of the following intrusion symptoms associated with the event:
-Reoccurrence involuntary and intrusive distressing memories of the event
-recurrent distressing dreams -dissociative reactions
-intense or prolonged psychological distress at exposure to internal cues -marked physiological reactions to reminders of the traumatic event
Criteria A acute stress disorder
Exposure to actual or threatened death serious injury or sexual violence in one of the following ways
1. directly experiencing the event
2. Witnessing the events as it occurs to others
3. Learning the event has occurred to a close family member
4. Experiencing repeated or extreme exposure to aversive details of the traumatic event
Criteria B, acute stress disorder
B: presence of nine or more of the following symptoms from any of the five categories (intrusion, negative mood, dissociative, avoidance, arousal)
Intrusive symptoms:
-Involuntary distressing memories -distressing dreams
-dissociative reactions(flashbacks) -intense psychological distress in response to cues
Neg. Mood:
- persistent in ability to experience positive emotions
Dissociative symptoms:
-An altered sense of reality
-Inability to remember an important aspect of the traumatic event
Avoidance symptoms:
- Efforts to avoid distressing memories feelings
- Efforts to avoid external reminders
Arousal symptoms:
- Sleep disturbances
-irritable behavior
-hyper-vigilance
-problems with concentration -exaggerated startle response
Criteria for adjustment disorders
A: The development of emotional or behavioral symptoms in response to an identifiable stressor occurring within three months of the onset of the stressor
B: The symptoms or behaviors are clinically significant as evidenced by one or both of the following:
1. Marked distressed that is out of proportion to the severity or intensity of the stressor
2. Significant impairment and social occupational or other important areas a functioning
Adjustment disorder specifiers
With depressed mood
with anxiety
with mixed anxiety and depressed mood
with disturbance of conduct
with mixed disturbance of emotions and conduct
unspecified
Acute
Persistent
Criteria A- C prolong grief disorder
A: The death at least 12 months ago of a person who was close to the bereaved individual
B: Since the death the development of a persistent grief response characterized by one or both of the following symptoms:
1. Intense yearning for deceased
2. Preoccupation w thoughts of deceased person
C: since the death, atleast 3 of the following symptoms have been present:
1. Identity disruption
2 marked sense of disbelief about the death
3 avoidance of reminders
4. intense emotional pain
5. difficulty re-integrating into one’s relationships
6. emotional numbness
7. feeling that life is meaningless
8. intense loneliness
