Trauma And Stressor Related Disorders

Question 1

Define stressor

Answer 1

Any situation or event that requires the individual to make an adjustment

Question 2

What is a stress response

Answer 2

A sum total of all the psychological, behavioural and physiological adjustments

Question 3

Criteria for PTSD

Answer 3

TRAUMA

Traumatic event
Re-experience the event
Avoidance of stimuli associated with the trauma
Unable to function
More than a month
Arousal increased
+ negative alterations in cognition and mood

Question 4

What are the intrusive symptoms associated with the traumatic event in PTSD?

Answer 4

RIMIND

Recurrent, intrusive, involuntary distressing memories
Marked physiological reactions to internal/external cues that symbolise aspect of trauma
Intense or prolonged psychological distress at exposure to internal or external cues that symbolise event
Nightmares (recurrent and distressing) of content related to traumatic event
Dissociative reactions (ie flashbacks) in which the individual feels or acts as if the traumatic event is recurring

Question 5

DSM for PTSD

Answer 5

A: experience a trauma
B: experience intrusive symptoms relating to trauma
C: effort to avoid stimuli of trauma
D: negative cognitive and mood symptoms
E: marked alterations in arousal or reactivity associated with the trauma
F: duration of disturbance >1 month
G: significant impairment or distress
H: not attributable to physiological effects of substance or another medical condition

Question 6

Specifiers for PTSD

Answer 6

With dissociative symptoms
With depersonalisation
With Derealisation
With delayed expression

Question 7

What is adjustment disorder

Answer 7

Difficulty coping with a stressful life event or situation = develop acute often transient, emotional or behavioural symptoms that resemble less severe versions of other psychiatric conditions

Question 8

DSM for adjustment disorder

Answer 8

A: development of emotional or behavioural symptoms in response to an identifiable stressor, occurring within 3 months of onset of the stressor
B: clinically significant emotional and behaviour symptoms causing 1) impaired functioning, 2) marked distress in excess of what would be expected
C: disturbance does not meet criteria for another mental disorder and is not exacerbation of pre-existing mental disorder
D: is not normal bereavement
E: one stressor is terminated, symptoms do not persist for more than additional6 months

Question 9

Specifiers for adjustment disorder

Answer 9

With depressed mood
With anxiety
With mixed anxiety/depression
With conduct disturbance
With mixed disturbance of conduct/emotions
Unspecified

Question 10

What are the types of exposures in PTSD

Answer 10

Actual or threatened death
Serious injury
Sexual violence