Trauma Disorders Flashcards
What is Reactive Attachment Disorder?
Inhibited and Emotionally Withdrawn behavior toward adult caregivers
Dec Pos Affect
Child Had extremes of poor care: Lack of emotional needs for comfort
What causes Reactive attachment Disorder?
Change in Primary Caregiver every 6 months (One change is ok)
What is Disinhibited Social Engagement Disorder?
Child actviely interacts with unfamiliar adults
Child had extremes of poor care at young age.
What is the Tx of RADO and DSEDO?
Keep child safe in the home
What are the traits of PTSD?
A) Exposure to Threat of Death, Injury, Sexual Violence
B) Intrusion symptoms associated w/ and after event
C) Avoidance of stimuli assoc with event
D) Neg alt in Cog and Mood 2+
E) Alt in Arousal and Reactivity
F) B, C, D, E >1 mon
After what age can PTSD occur?
After 1 yo
What are the Risk factors of PTSD?
Severity, duration, proximity Prior exposure to trauma Female Emotional/Beh problems Lower SES, lower Education Lower Intelligence Self blaming coping style Lack of socal support
What is the Tx of PTSD?
Trauma focused CBT *** Re-exposure to traumatic memories but must be be Theraputic Pharma: SSRI/SNRI but not as good as CBT PRAZOSIN good for nightmares! Avoid Benzos
What are good prognostic indicators for PTSD?
1) Rapid onset and Short duration
2) Rapid start of Tx
3) Early and sust Social support
4) No re-trauma
5) High level of funct pre-trauma
6) Absence of other issues
7) No subst abuse
What is the central trait of Complex PTSD?
Chronic Trauma involving totalitarian control for ext period: Hostages, POWs, Religious cults, Org sexual exploits, domestic battering, childhood sexual abuse
What are other traits of Complex PTSD?
Affect Regulation: Chronic Suicidality, self injury
Self perception: Defiled, stigmatized, unlike other people
Many symptoms in many areas
What is Acute Stress Disorder?
SAME AS PTSD
3 DAYS TO 1 MONTH FOLLOWING TRAUMA
not >1 month
What is the Tx of Acute Stress Disorder?
Similar to PTSD
2^ Prevention of PTSD
What is Adjustment Disorder?
Emotional and Beh symptoms in response to IDable stressor within 3 months of Stressor onset
Inc Risk of Suicide
What is the Tx of Adjustment Disorder?
Psychotherapy
ID and Clarification of Feelings
Encourage Resilience: Faith, humor, role models, facing fears
