Trauma/Stress Flashcards
Trauma
event in life - perceptual intense stress
Thinking brain
prefrontal cortex
decisions, mems, info processing
Survival brain
amygdala - limbic system
Fight/Flight/Freeze
The Mediato
Thalamus
receives all sensory info to both survival/survival
Post Traumatic Stress
(Cause)
Cause: Exposure to death, injury, sexual violence
CAN BE INDIRECT
Significant distress in functioning!!!!
PTSD Manifestations (5)
Manifestations:
Arousal/Reactivity issues (hyper vigilance/exaggerated startle)
Flashbacks
Avoidance of stimuli
Perceptual changes of cognition
Dissociative Sx
PTSD Timing
Diagnostic - 1mo sx
Acute <3mo
Chronic >3mo
Delayed 6mo post event
Isolation
PTSD
splitting off emotional components of a thought
Repression
PTSD
forget thoughts to protect yourself
PTSD Pediatric
reduced play, repetitive play (of event), social withdrawal, fear, aggression
Reactive attacchment disorder
inhibited- emotionally withdrawn
does not seek comfort when distressed
cause: lack of bonding by age 8mo
Disinhibited social engagement
Friendly/confident, no normal fear of strangers, no normal boundaries, unfazed by separation with caregiver
Genetics Childhood PTSD
prenatal stress
NURTURING CAN HELP
Childhood PTSD Neurobiological
< age 5
Trauma interupts networks in limbic system
Dissociation
“the ACE effect”
allostatic overload
- exagerated inflammatory response increasing risk of morbidities
PTSD treatment : Children
safety, regulate emotions
Skill catch up
“Window of tolerance”
Improve relationship/connections
CBT/EMDR
NO MEDICATIONS (ssri may help)
Goals PTSD
Manage anxiety
increase self-esteem
improve coping
PTSD Treatment: Adults
CBT, group
Exposure therapy
Establish therapeutic relationship
Bilateral stimulation
visual/auditory/tactile rhythmic stim in side-side pattern
tapping, drawing, butterfly hug, EMDR
EMDR
Eye movement desensitization/reprocessing
bar/lazer
Dissociative Disorder
after trauma, interruption of consciousness
Depersonalization
Unreality
out-of-body experience
Reality testing intact BUT causes distress in function
Dissociative amnesia
localized - cant recall trauma
selective - recall incident associated w event
generalized - identity/life hx
Dissociative Fugue
New ID - cannot recall past
Spontaneous travel from customary place
Disssociative Identity
two or more personalities
SWITCHING occurs – rapid eye blinking, affect, thought changes
one at a time! cant remember what other does
DID psychological
mindflight! –> pirmary ego defense
DID Biological
limbic system –> massive release of neurotransmitters during threat
DID assessment
Temporal lobe epilepsy
memory gaps
injury
impact family
DID treatment
Optimize function/potential
intefration/collaboration of both personalities
Abreaction –> awareness of other personalities
Interventions for Dissociative disorder
Reconnect brain to restore normal thought process
GROUNDING techniques
Grounding techniques
increase body awareness, mindfulness
shower, deep breathing, touch fabric, exercise, stomp feet
Treatment for dissociative disorders
EMDR
CBT
Hypnotherapy
Neurofeeback
(Antianxity/depressants)
