trauma and stressor-related disorders Flashcards
mental disorder
syndrome characterized by clinically significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes underlying mental functioning
specifiers
added after rendering a diagnosis to address the severity and/or chronicity of the disorder
adjustment disorder
emotional or behavioral symptoms in response to an identifiable stressor occurring within 3 months of the onset of the stressor;
when stress is gone, symptoms don’t linger more than 6 months
acute stress disorder
symptoms precipitated by an acute street or trauma, starting no later than 3 days after the trauma and last up to one month and cause significant distress and impairment
includes intrusive thoughts, flashbacks, and guilt;
common in first responders or victims of a disaster
PTSD symptoms
arousal: sleep problems, startle, irritability, self-destructive behavior, poor concentration
intrusion: nightmares and flashbacks
avoidance: internal (memories) or external (cues/reminders)
negative emotional and cognitive change: amnesia, negative beliefs; guilt, fear, shame; lack of positive emotion
trauma informed care
addresses the survivors need to be respected, informed, and hopeful
staying calm, not getting upset with the patient
recognizes the relationship between trauma and behavioral symptoms
works in a collaborative way with survivors, family and friends of the survivor
sees the world through the patients eyes
complicated grief
significantly and functionally impaired by prolonged grief symptoms for at least one month after 6 months of bereavement
anticipatory grief
occurs before an impending loss
demoralization
a state of perceived incompetence, inability to cope, hopelessness, existential despair, and meaninglessness frequently prompting individuals to seek mental health treatment.