Trauma And Stressor Related Disorders

Question 1

These diagnoses belong to which group?
- Reactive Attachment Disorder
- Disinhibited Social Engagement Disorder
- Posttraumatic Stress Disorder
- Acute Stress Disorder
- Adjustment Disorders

Answer 1

Trauma and Stressor Related Disorders

Question 1

The following criteria are for which diagnosis?
- Markedly disturbed (withdrawn) attachment
behaviors (due to patterns of insufficient care)
- Persistent social and emotional disturbances
- The child has experienced a pattern of extremes of insufficient care

Answer 1

Reactive Attachment Disorder

Question 2

The following criteria meet which diagnosis?
- Overly familiar behavior with strangers (similar
to former RAD disinhibited)
- Behaviors are not limited to impulsivity
- The child has experienced a pattern of extremes of insufficient care
- The child has a developmental age of at least 9 months

Answer 2

Disinhibited Social Engagement Disorder

Question 3

What are the specifiers for Disinhibited Social Engagement Disorder?

Answer 3

• Persistent; > 12 moths
• Severe; when the child exhibits
  all symptoms of the disorder at relatively high levels

Question 4

The following criteria meet which diagnosis?
- Exposure to trauma
- Intrusion symptoms (memories, dreams,
flashbacks, physical & emotional distress)
- Avoidance of associated stimuli
- Negative changes in cognitions and mood
- Alterations in arousal and reactivity
- Duration over 1 month

Answer 4

Posttraumatic Stress Disorder

Question 5

What is the mnemonic for PTSD (CIAA)?

Answer 5

Cognition & Mood: Recall difficulty, Emotions negative, Interests lost, Blame self & others, Alienation, Beliefs - about self & world, Affect constricted
Intrusion (1 or more): Dreams – nightmares, Exposure distress, Flashbacks, Dissociative, Physiological reactivity, Memories
Avoidance (1 or both): External reminders, Thoughts and feeling
Arousal & Reactivity (2 or more): Sleep disturbance, Hypervigilance, Exaggerated startle response, Concentration, Irritable, Aggressive Bx, Reckless Self-Destructive Bx

Question 6

The following criteria meet which diagnosis?
- The development of characteristic anxiety,
dissociative, and other symptoms that occurs
within 1 month after exposure to an extreme
traumatic stressor.
- Traumatic event is persistently reexperienced
- Avoidance of associated stimuli and numbing of
responsiveness
- Increased arousal
- Duration between 3 days and 1 month

Answer 6

Acute Stress Disorder

Question 7

The following criteria meet which diagnosis?
- Clinically significant emotional or behavioral
symptoms in response to an identifiable
psychosocial stressor(s)
- Symptoms must develop w/in 3 mos
- Marked distress (more than expected) or sig.
impairment
- Not Bereavement
- Resolves w/in 6 months from end of stressor
(otherwise use Other Specified Trauma and
Stressor Related Disorder per 2018 update)

Answer 7

Adjustment Disorders