Trauma and Stressor Related Disorders

Question 1

There is evidence of pathogenic care in a child who habitually doesn’t seek comfort from parents or surrogates (begins before age 5; child has developmental age of at least 9 months)

Answer 1

Reactive attachment disorder

Specify:
Persistent. symptoms are present longer than 1 year
Severe: all symptoms are present at a high level of intensity

Question 2

There is evidence of pathogenic care in a child who fails to show normal reticence in the company of strangers (child has developmental age of at least 9 months)

Answer 2

Disinhibited social engagement disorder

Specify:
Persistent. symptoms are present longer than 1 year
Severe: all symptoms are present at a high level of intensity

Question 3

These adolescents or adults repeatedly relive a severely traumatic event, such as combat or a natural disaster, take steps to avoid the horror, lose interest in otherwise important activities and feel detached from other people, experience symptoms of hyperarousal (1+ months)

Answer 3

Posttraumatic stress disorder

Specify:
With delayed expression (symptoms started 6+ months after the event)

With dissociative symptoms:

• Depersonalization: feelings of detachment, as dreaming, from the patient’s own mind/body
• Derealization: surroundings seem distant, distorted, dreamlike, or unreal

Question 4

Children repeatedly relive a severely traumatic event, such as car accidents, natural disasters, or war

Answer 4

Posttraumatic stress disorder in preschool children

Question 5

This condition is much like PTSD, except that it begins during or immediately after the stressful event. (Duration: 3 days to 1 month)

Answer 5

Acute stress disorder

Question 6

Following a stressor, an individual develops symptoms that disappear once the cause of stress has subsided. (Duration: starts within 3 months of stressor’s onset, stops within 6 months of stressor’s end)

Answer 6

Adjustment disorder

Specify:
Acute. The condition has lasted less than 6 months
Persistent (or chronic) 6+ months duration of symptoms, though still not lasting more than 6 months after the stressor has ended.

Question 7

Patients whose stress or trauma appears related to other presentations may be classified in one of these categories

Answer 7

Other specified, or unspecified, trauma- and stressor- related disorder

Question 8

An astonishing number of Z-codes (V-codes in ICD-9) cover the categories of difficulties that arise from neglect or from physical or sexual abuse of children or adults

Answer 8

Problems related to abuse or neglect

Question 9

The patient becomes anxious when separated from parents, other attachment figure, or home

Answer 9

Separation anxiety disorder