Trauma Disorders Flashcards
What percent of people worldwide are exposed to trauma?
In the united states?
Worldwide: 60-70%
United States: 75-85%
How prevalent is PTSD in the United States?
8-10%
Which is least likely to result in PTSD……
A) Severe Trauma
B) Being close (in proximity) to a traumatic event
C) Multiple Military Deployments
D) Weight Gain
D) Weight Gain
Which of the following is not pre-trauma ‘vulnerability’……
A) Good Mental State
B) Depression
C) Low Cognitive Status
D) Childhood Trauma
A) Good Mental Status
Which of the following would NOT be “symptoms or behaviors’ post-trauma…..
A) Substance Abuse
B) Numbness
C) Hyperarousal
D) Increased Appetite
D) Increased Appetite
Reactive Attachment Disorder is a ______ (pediatric/adult) diagnosis
Pediatric Diagnosis
Which of the following children is most likely to have reactive attachment disorder?
A) Foster Children
B) Only Child
C) Children with multiple siblings
A) Foster Children
Reactive attachment disorder typically results from early childhood _______ (love/neglect)
Neglect
________ disorders result in developing emotional or behavioral symptoms in response to an identifiable stressor that has occurred within the last 3 months
Adjustment Disorders
Symptoms of adjustment disorder are typically _________ (proportional/out of proportion) to the stressor
Out of Proportion
T/F: Symptoms of adjustment disorder do NOT impair social or occupational function
False
They do
T/F: Symptoms of adjustment disorder persist beyond 6 months of the stressor
False
They typically do not persist beyond 6 months
Adjustment disorders can be associated with what types of specifiers?
Adjustment Disorder with…….
Depression
Anxiety
Disturbance in Conduct
How does acute stress disorder occur?
Exposure to actual or threatened death, serious injury, or sexual violation, in one of more of the following ways…..
Direct Experience
Witnessing
Learning about the event
Which of the following occupations is LEAST likely to experience acute stress disorder?
A) Military
B) Accountant
C) EMT
D) Crime Scene Investigator
B) Accountant
There are MANY symptoms acute stress disorder…..
To be diagnosed with this disorder you must have at least __ symptoms for __ to __ days.
9 Symptoms
3 to 30 days
__________ (Other specified/Unspecified) Trauma and Stressor related disorder is defined as characteristic symptoms predominate but do not meet criteria for any Trauma or Stressor Related Disorder
Other Specified Trauma and Stressor Related Disorder
__________ (Other specified/Unspecified) Trauma and Stressor related disorder is defined as characteristic symptoms predominate, do not meet criteria for another disorder, and information or context is missing
Unspecified Trauma and Stressor Related Disorder
Which nervous system is responsible for “flight or Flight?”
Sympathetic
Which nervous system is responsible for “rest or digest?”
Parasympathetic
T/F: In PTSD, there is dysfunction and dysregulation of systemic feedback loops
True
To be diagnosed with PTSD patients must have disturbances for more than __ month.
More than 1 month
T/F: Symptoms of PTSD do NOT cause a disturbance in functioning
False
They do
What must be present to be diagnosed with PTSD with dissociative symptoms?
Depersonalization
Derealization
What must be present to be diagnosed with PTSD with delayed expression?
Criteria are met 6 months after traumatic event
PTSD in children stem from traumatic events via what route?
Caregiver Experiences
T/F: Hygiene and general appearance are often affected in trauma disorders
True
What are examples of somatic complaints and medical conditions associated with traumatic disorders?
HTN CVD Headaches Peptic Ulcers IBS
T/F: There are validated lab tests neuroimaging for PTSD work up
False
There are not
Should you preform a minimental status exam when working up PTSD?
What things may you see?
Yes!
Orientation/Short-Term Memory Impairment
Poor Concentration
Alterations in speech, volume
Flashbacks
+/- SI and HI
Individuals with PTSD are at a higher risk for what?
Impulsive Behavior Anxiety Depression Somatization Suicide Homicide
T/F: Patients with PTSD are at an increased risk for HTN, CHF, PVD, MI
True
What ‘substances’ are patients with PTSD at risk for abusing?
Alcohol
Opioids
In the united states, suicide is the __th leading cause of death
10th
Is depression more common in males or females?
What is the most common route of suicide for females?
Females (3x as common)
Most Common: Overdose
Is suicide completion more common in males or females?
What is the most common method of suicide in males?
Males
Most Common: Firearms
Firearms are involved in what percent of suicides?
50%
Intoxication is involved in what percentage of suicides?
25-50%
Which of the following is NOT a risk factor for suicide?
A) Firearms B) Living Alone C) Trauma D) Loss of a parent early in life E) These are all risk factors
E) These are all risk factors
__% of completed suicides preceded prior attempts
80%
What is the most common symptom MOST CLOSELY associated with suicide?
Hopelessness
What are examples of factors that are consider ‘protective’ against suicide?
Coping Skills Religion Family Support Social Support Mental Health Support
Which of the following scenarios would warrant patient admission?
Verbalization of a plan that is capable or carrying out
-OR-
Lack of serious plan and unlikely ability to carry out the plan
Verbalization of a plan that is capable or carrying out
The other would warrant outpatient treatment with a crisis plan
T/F: PTSD is typically treated with a combination of therapy and medications
True
What are the first THREE components that need to be addressed in PTSD treatment?
Safety
Sleep
Substance Abuse
Patients with PTSD are _____ (less likely/more likely) to use health care systems, but are _______ (less likely/more likely) to seek mental health care
More likely to use the healthcare system but less likely to seek mental health care
What medication classes are typically used in PTSD management?
SSRIs
SNRIs
Alpha-1/2 Receptor Antagonists - (Tx of hyperarousal, sleep disorders in PTSD)
Beta-Blockers - (Tx adrenaline/hyperarousal)
BZDs - (Short-term relief)
Which of the following factors is NOT associated with a GOOD prognosis?
A) Rapid Treatment
B) Previous Depression
C) Social Support
D) Avoiding Re-traumatization
B) Previous Depression
