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DSM FINAL > Trauma and Stressor Related Disorders > Flashcards

Trauma and Stressor Related Disorders Flashcards

1
Q

Attachment disorders are prevalent in:

A

Children who have been severely neglected.

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2
Q

Clients with attachment disorders have what characteristics?

A

Lack of necessary, healthy emotional attachments

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3
Q

T/F: Attachment disorders are relatively rare.

A

True

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4
Q

What are two attachment disorders within the main disorder?

A

Reactive Attachment Disorder and Disinhibited Social Engagement Disorder

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5
Q

What attachment disorder involved attachment insecurity, hyper vigilance, and behavior toward caregivers may vary?

A

Reactive Attachment Disorder (RAD)

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6
Q

What is Disinhibited Engagement Disorder?

A

Inability to form committed intimate social relationships, no preference for caregivers over strangers, excessive comfort seeking and inappropriate contact with strangers.

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7
Q

Counselor considerations for attachment disorders involved what?

A
  • Assess prudently and rule out other disorders
  • There is no universally screening assessment
  • May be helpful to use a multimodel assessment strategy
  • Interview primary caregivers
  • Children should be directly observed interacting with their primary caregivers and interacting with strangers to assess behaviors
  • Cultural factors
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8
Q

Essential elements of treatment for what disorder includes: Assessment for client safety, proper diagnosis, establishing a secure and nurturing environment, providing empirically-based parent training, addressing family systems issues, and providing therapy that extends into the natural environments of children and family.

A

Attachment Disorders

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9
Q

What is medication used for when treating clients with attachment disorders?

A

Co-occurring symptoms: explosive anger, insomnia, depression, anxiety or hyperactivity

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10
Q

Which trauma disorders are serious and debilitating reactions to trauma that endure over time and significantly impair functioning?

A

Acute Stress Disorder and Posttraumatic Stress Disorder

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11
Q

Results from exposure to trauma that presents threats of severe injury or death is a characteristic of what trauma disorders?

A

Acute Stress Disorder and PTSD

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12
Q

What are symptoms of ASD and PTSD?

A

Intrusion, avoidance, negative changes in cognition or mood, and altered states of arousal or reactivity. Can be specified as depersonalization or derealization.

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13
Q

T/F: Different people may experience the same type of traumatic event with different reactions to that event.

A

True

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14
Q

Concepts of what types of trauma have been proposed?

A

Developmental Trauma, Complex Trauma, or Complex Trauma Disorder

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15
Q

What must the counselor consider before the assessment begins with trauma patients?

A

Client safety, attend to cultural factors, and direct sensitivity toward the potential for clients to experience psychological and/or physiological arousal

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16
Q

Conducting an accurate assessment, working as a team (as appropriate) and providing a consistent and safe space with a nurturing relationship are counselor considerations for which trauma disorders?

A

ASD and PTSD

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17
Q

Prolonged Exposure Therapy (PET), Cognitive Processing Therapy (CPT), Stress Inoculation Training (SIT), Eye Movement Desensitization Reprocessing (EMDR), Trauma-Focused CBT, Cognitive Behavioral Intervention for Trauma in Schools (CBITS), Support for Students Exposed to Trauma (SSET), Trauma Recovery and Empowerment Model (TREM; M-TREM), Trauma Center-Trauma Sensitive Yoga (TC-TSY), Psychopharmacotherapy are all treatments for which trauma disorders?

A

ASD and PTSD

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18
Q

What medication is used for ASD and PTSD?

A

SSRIs in conjunction with therapy

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19
Q

T/F: There has been been medication identified to adequately treat PTSD symptoms.

A

False

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20
Q

What is the purpose of PET as a treatment for ASD and PTSD?

A

To help clients recall trauma and associated fears, develop new information about trauma and responses, and learn new coping strategies

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21
Q

What is the most effective of all CBT approaches?

A

Prolonged Exposure Therapy (PET)

22
Q

Early intervention using what treatment for those with ASD with high risk of developing PTSD?

A

PET

23
Q

What concepts are used when using PET as a treatment for ASD and PTSD?

A
  • Confront feared event, identify and acknowledge fears

- Reevaluate negative cognitions about trauma and develop new perspectives

24
Q

CPT is used to support what type of clients who have ASD and PTSD?

A

Civilian and Military clients

25
Q

What is the purpose of CPT therapy when treatment clients with ASD and PTSD?

A
  • Psychoeducation, exposure to traumatic memories through writing, reflection upon emotions and cognitions associated with trauma, challenge maladaptive thoughts and assumptions
  • Examine irrational beliefs related to safety, trust, power, control, esteem, and intimacy
26
Q

What are the phases of Stress Inoculation Training?

A

conceptualization, skills acquisition and rehearsal, and application

27
Q

What population does SIT effectively help with?

A

Female victims of sexual assault

28
Q

How many phases are part of EMDR?

A

8

29
Q

What is EMDR?

A

Integrates exposure, cognition, relaxation, and guided eye movements to help clients learn to access, process, and resolve traumatic memories

30
Q

TF-CBT has been shown to help treat what population?

A

Traumatized Children

31
Q

What does TF-CBT integrate?

A

Trauma-sensitive interventions, CBT Techniques, humanistic principles and family involvement

32
Q

Employment of cognitive behavioral approaches like psychoeducation, relaxation training, cognitive restricting, revisiting and processing trauma, and engaging in social problem solving is a characteristic of what treatment for ASD and PTSD?

A

CBITS (elementary and middle school students)

33
Q

What treatment is a nonclinical adaption of CBITS for middle school treatments?

A

Support for Students Exposed to Trauma (SSET)

34
Q

Trauma Recovery and Empowerment model is primarily used for what population?

A

women survivors of physical and sexual abuse; M-TREM is an adaption of the TREM for male trauma survivors

35
Q

Group-based intervention that employs cognitive restructuring, psychoeducation, skill building, and the development of coping skills and support networks is a characteristic of what treatment for ASD/PTSD?

A

Trauma Recovery Empowerment Model (TREM; M-TREM)

36
Q

Which treatment for ASD/PTSD encourages clients to be present in the moment, make intentional choices, take action, and establish personal rhythms?

A

Trauma Center-Trauma Sensitive Yoga (TC-TSY)

37
Q

Adjustment Disorders include what as a result of an indefinable stressors?

A

Maladaptive emotional or behavior symptoms

38
Q

Symtpoms for Adjustment disorder develop within ____ months and dissipate within ____ months after the stressor diminishes

A

3; 6

39
Q

Six subtypes of what Trauma Disorder include: depressed mood, with anxiety, with mixed anxiety and depressed mood, with disturbance of conduct, with mixed disturbance of emotions and conduct, and unspecified.

A

Adjustment Disorder

40
Q

T/F: When treatment Adjustment Disorders, symptoms impact clients’ lives but do not meet criteria for other diagnoses.

A

True

41
Q

Substance use history should be considered by the counselor when seeing a client with what Trauma disorder?

A

Adjustment Disorder

42
Q

Counselor considerations for what trauma disorder include:
• Education clients about the nature of these disorders and demonstrate confidence that the client’s functioning will be restored
• Normalizing and validating the client’s concerns can be empowering
• Encouragement of social supports can be a coping strategy
• Be attuned to signs of suicidal ideation

A

Adjustment Disorder

43
Q

Treatments for Adjustment Disorder include what?

A

CBT, Interpersonal Psychotherapy (IPT), Solution-Focused Brief Therapy (SFBT), Brief Psychodynamic Psychotherapy, Psychopharmacotherapy

44
Q

What are emerging treatments for Adjustment Disorder?

A

Mindfulness and computer-based interventions

45
Q

T/F: Counseling is the modality of choice for adjustment disorders but medication can help reduce symptoms.

A

True

46
Q

Which treatment for adjustment disorder seeks to enable the reduction or removal of the stressor, facilitate adjustment to stressor, and alter response to stressor

A

CBT

47
Q

What is Interpersonal Psychoherapy?

A
  • Time limited and systematic approach aimed at restoring control over mood and functioning
  • Views problems from interpersonal perspective, explores alternative to dysfunctional patterns
  • May be especially well suited for adjustment disorder with depressive symptoms
48
Q

Characteristics of what treatment for adjustment disorders involves quickly identifying goals and plans of action, brief, goal oriented, and strengths-based, positive and optimistic emphasis to empower clients to become active in treatment and development solutions?

A

Solution-Focused Brief Therapy

49
Q

Clients who are vulnerable to maladaptive reactions to stressors related to underlying personality pathology may benefit from what?

A

More long-term psychodynamic treatment

50
Q

T/F: Medication to treat adjustment disorders is used to treat co-occurring symptoms, but not the disorder itself.

A

True

DSM FINAL (8 decks)

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