Trauma Or Stressor Related Disorder

Question 1

Define Reactive attachment disorder

Answer 1

Appears infancy or early childhood and is characterised by a sere impairment in the ability to relate because of grossly pathological caregiving.

Question 2

Define Disinhibited social engagement disorder

Answer 2

Child or adolescent has a deep seated fear of interacting with strangers, especially adults usually due to traumatic upbringing

Question 3

Define PTSD

Answer 3

• Trauma event where belief that life is at risk or witness someone else
• Symptoms start soon after but can be later
• Pt reacted to trauma with fear
• reexperiences symptoms over time :
• Or has avoidance and hyperarousal
• Negative alteration in cognition and mood
  And symptoms persist for >1 month and significant impact on function.

Question 4

Define acute stress disorder

Answer 4

Same as PTSD but only for 3 to 30 days after

Question 5

Define adjustment disorder

Answer 5

Maladaptive reactions to clearly defined life stress. 
Subgrouped by major symptom
- anxiety
- depression
- both
- disturbance of conduct 
- disturbance of emotion
- both.

Question 6

Define Persistent complex bereavement disorder

Answer 6

Chronic and persistent grief that is characterised by bitterness, anger, or ambivalent feelings toward the dead accompanied by intense and prolonged withdrawal characterise persistent complex bereavement disorder.

Question 7

Tx of PTSD

Answer 7

Psychotherapy - Trauma focussed CBT, Eye movement desensitisation, and reprocessing
In chronic - symptom coping
Pharmacotherapy - SSRI, or Mirtazapine or TCA(amitriptyline)