trauma and stressor

Question 1

Reactive Attachment Disorder RAD

Answer 1

pattern of inhibited, emotionally withdrawn behavior towards adult caregivers

Question 2

Disinhibited Social Engagement Disorder

Answer 2

child actively approaches and interacts with strange adults

Question 3

when did ptsd first appear in DSM

Answer 3

1980, 1970s post vietnam syndrome really pushed it

Question 4

PTSD DSM

Answer 4

directly experiencing trauma, witnessing, learning i happened to a loved one, extreme exposure

Question 5

most comon traumas

Answer 5

natural disasters
abuse
war related

Question 6

4 symptom clusters of PTSD

Answer 6

intrusion
avoidance
negativity
arousal

Question 7

intrusion cluster

Answer 7

recurrent, involuntary, intrusive distressing memories. dissociative and psychological reactions as if event were happening

Question 8

avoidance cluster

Answer 8

avoiding memories or external reminders of trauma

Question 9

negativity cluster

Answer 9

cannot remember important aspect of trauma

distorted cognition about cause/consequences about event that leads victim to blame himself or others

Question 10

arousal cluster

Answer 10

hypervigilance, sleep disturbance, exaggerated startle response, irritable outbursts and behavior

Question 11

how many people in US have reported trauma

Answer 11

50-60%

Question 12

lifetime prevalence of PTSD

Answer 12

8% population

Question 13

acute stress disorder

Answer 13

less sever PTSD, occurs immediately after trauma but goes away within a month

Question 14

drug treatments

Answer 14

antidepressants serotonin reuptake inhibitor (SSRI)

Prazosin, ADMS

Question 15

therapy treatments

Answer 15

social support
prolonged exposure with emotional processing
disclosure

Question 16

Just world phenomenon

Answer 16

trauma shatters basic assumptions

Question 17

coping styles

Answer 17

dissociation, detach from what happened

Question 18

maladaptive cognitive schemas

Answer 18

exaggerates risk, overgeneralizes emotional response

Question 19

pre-exising factors

Answer 19

early stress childhood, high anxiety/negativity personality

Question 20

brain regions implicated

Answer 20

amygdala, hippocampus, anterior cingulate gyrus

Question 21

biological psychological hyperactivity

Answer 21

neurotransmitters- high epinephrine, low cortisol

Question 22

4 stages to psychological debriefing

Answer 22

1. normalize response to disaster
2. encourage expression of emotions
3. teach self help
4. provide referrals

Question 23

adjustment disorder

Answer 23

not an extreme stressor such as ptsd
symptoms that can occur after you go through a stressful life event. The symptoms occur because you are having a hard time coping.