Trauma and Stressor Related Disorders

Question 1

Key Features

Answer 1

Most in young adults

Men from trauma from combat

Women from assault

More likely in single, divorced, widowed or socially w/d or low SES

Question 2

alexithymia and pathology

Answer 2

Alexithymia - inability ot ID or verbalize emotional states

increased acitivty of the autonomic nervous system, speciically HC and amygdala

Question 3

PTSD dsm5

Answer 3

Expsosure to actual or threatened death, serious injury, or sexual violence…could be direct, witness, learning

Presence fo intrusion symptoms after event

Avoidance of stimuli associated iwth event

Negatvie alterations in cognitions and mood associated with the events

Alterations in arousal and reactivity associated with events

Duration more than 1 month

CSI

Question 4

PTSD Dissociative sx

Answer 4

Can have depersonalization or derealization

Question 5

PTSD ddx, timeline, sx, good prognosis

Answer 5

HEad injry

1 week to 30 years after event

Flucutate

Rapid onset, short duration

Question 6

PTSD tx

Answer 6

Emphaiss on support if recent..if past then pharm and psyco

SSRIs are first line

CBT/hpnosis

Question 7

Acute stress disorder

Answer 7

Exposrue to actual or threatened death, etc.

Presence of mult sx from intrusion, negative mood, dissociation, avoidance3 and arousal

Duration is 3 days to 1 month

CSI

Question 8

Adjustment disorder

Answer 8

Development of emotionla or behavioral sx in response to stressor within 3 mos of onset of stressor

Does not meet criteria for another disorder

Stops after 6 mos after stressor begins

Question 9

Adjustments disorder txs and other things

Answer 9

Most well after 5 years

Antidepressants or anxiolyitcs may help

Tx mostly try to reduce stressor, enahnce coping