Trauma and Stressor-Related disorders Flashcards

1
Q

Experiencing repeated or extreme exposure to aversive details of the traumatic event(s)

NOTE

A

Note: This does not apply to exposure through electronic media, television, movies, or pictures, unless this exposure is work related.

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2
Q

Acute Stress Disorder
vs
PTSD
vs
Adjustment disorder

A

3 days - 1 month

PTSD: more than 1 month

Adjustment disorder: identifiable stressor, but doesn’t meet criteria A of PTSD (stressor, not a trauma)

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3
Q

Prolonged Grief Disorder and DSM 5 TR

A

its a new diagnosis

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4
Q

Trauma and Medication-induced specifiers/disorders

A

Lots of trauma related don’t have medication specifier, because we know causation (trauma)***  note which ones

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5
Q

4 characteristics of PTSD

A

Intrusions
Avoidance
Negative alterations in cognitions and mood
arousal/reactivity

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6
Q

PTSD (older than 6)

A

Exposure to actual or threatened death, serious injury or sexual violence (in the following ways)

Presence of 1/5 intrusions symptoms

Persistent avoidance of stimulis associated with traumatic event character by 1/2

Negative alterations in cognitions and mood (2/7)

Marked alterations in arousal and reactivity (2/6)

duration of disturbance is more than 1 month

clinically significant distress

not attributable to physiological effects of substance

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7
Q

PTSD: Exposure to actual or threatened death, serious injury or sexual violence (in the following ways)

A

1/4

  1. Directly experiencing the traumatic event(s).
  2. Witnessing, in person, the event(s) as it occurred to others.
  3. Learning that the traumatic event(s) occurred to a close family member or close friend.
  4. Experiencing repeated or extreme exposure to aversive details of the traumatic event(s)
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8
Q

PTSD: Presence of intrusions symptoms

A

1/5 needed

recurrent intrusive distressing memories

recurrent distressing dreams

dissociative reactions where feel like its happening again

Intense distress at exposure to internal or external cues

Marked physiological reactions to internal or external cues

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9
Q

PTSD: Avoidance symptoms

A

1/2

avoidance of memories, thoughts, feelings

avoidance of external reminders

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10
Q

PTSD: Negative alterations in cognitions and mood symptoms

A

2/7

inability to remember

exaggerated negative beliefs about oneself or world

persistent distorted cognitions about cause of traumatic event that leads to blame

Negative emotional state

marked diminished interest in activities

detachment or estrangement

inability to experience positive emotions

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11
Q

PTSD: Marked alterations in arousal and reactivity

A

2/6

Irritable behavior and angry outbursts

reckless or self-destructive

hyper-vigilance

exaggerate startle response

problems with concentration

sleep disturbance

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12
Q

PTSD under 6

A

it different

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13
Q

Dissociative Identity Disorder

A

was multiple personality disorder

Disruption of identity characterized by 2 or more distinct personality states

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14
Q

Acute Stress Disorder

A

Exposure to actual or threatened death, serious injury, or sexual violence (1/4 options, same as PTSD)

Presence of 9/14 symptoms from five categories (intrusion, negative mood, dissociative symptoms, avoidance symptoms, arousal symptoms)

Duration is 3 days to 1 month

clinically significant distress

No physiological effects of substance or another medical condition

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15
Q

Acute stress disorder: intrusion symptoms

A

Intrusion Symptoms

  1. Recurrent, involuntary, and intrusive distressing memories of the traumatic event(s).
  2. Recurrent distressing dreams
  3. Dissociative reactions (e.g., flashbacks) in which the individual feels or acts as if the traumatic event(s) were recurring.
  4. Intense or prolonged psychological distress or marked physiological reactions in response to internal or external cues that symbolize or resemble an aspect of the traumatic event(s).
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16
Q

Acute stress disorder: negative mood

A
  1. Persistent inability to experience positive emotions
17
Q

Acute stress disorder: dissociative symptoms

A

Dissociative Symptoms

  1. An altered sense of reality of one’s surroundings or oneself
  2. Inability to remember important aspects of the traumatic event(s) (typically due to dissociative amnesia and not to other factors such as head injury, alcohol, or drugs).
18
Q

Acute stress disorder: avoidance symptoms

A
  1. Efforts to avoid distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).
  2. Efforts to avoid external reminders (people, places, conversations, activities, objects, situations) that arouse distressing memories, thoughts, or feelings about or closely associated with the traumatic event(s).
19
Q

Acute stress disorder

A

Arousal Symptoms

  1. Sleep disturbance (e.g., difficulty falling or staying asleep, restless sleep).
  2. Irritable behavior and angry outbursts (with little or no provocation), typically expressed as verbal or physical aggression toward people or objects.
  3. Hypervigilance.
  4. Problems with concentration.
  5. Exaggerated startle response.
20
Q

Adjustment disorder

A

Development of emotional or behavioral symptoms in response to identifiable stressor within 3 months of stressor

Symptoms are clinically signifiant, with 1/2: (1) marked distress out of proportion to severity, (2) significant impairment

not meet another mental disorder

not normal bereavement and not prolonged grief disorder

Once stressor is over, symptoms don’t last 6 months

21
Q

Prolonged Grief Disorder

A

Death 12 months ago of close individuals (6 months for children)

Development of persistent grief response with 1/2: intense longing for person, preoccupation with memories of person

Since death, 3/8 following for last month

Significant distress

Duration/severity of bereavement is clearly exceeded expectations

Not substance/mental disorder

22
Q

Prolonged Grief Disorder: Symptoms

A

Need 3/8 for last month

identity disruption

disbelief about death

avoidance of reminders

emotional pain

hard to reintegrate into relationships/activities

Emotional numbness

life is meaningless

loneliness

22
Q

Prolonged Grief Disorder: Symptoms

A

Need 3/8 for last month

identity disruption

disbelief about death

avoidance of reminders

emotional pain

hard to reintegrate into relationships/activities

23
Q

Reactive Attachment vs disinhibited social engagement

A

Disinhibited: child actively approaches and interacts with unfamiliar adults