Trauma/Stress

Question 1

Trauma

Answer 1

event in life - perceptual intense stress

Question 2

Thinking brain

Answer 2

prefrontal cortex

decisions, mems, info processing

Question 3

Survival brain

Answer 3

amygdala - limbic system
Fight/Flight/Freeze

Question 4

The Mediato

Answer 4

Thalamus
receives all sensory info to both survival/survival

Question 5

Post Traumatic Stress

(Cause)

Answer 5

Cause: Exposure to death, injury, sexual violence
CAN BE INDIRECT

Significant distress in functioning!!!!

Question 6

PTSD Manifestations (5)

Answer 6

Manifestations:
Arousal/Reactivity issues (hyper vigilance/exaggerated startle)

Flashbacks
Avoidance of stimuli
Perceptual changes of cognition
Dissociative Sx

Question 7

PTSD Timing

Answer 7

Diagnostic - 1mo sx
Acute <3mo
Chronic >3mo
Delayed 6mo post event

Question 8

Isolation

Answer 8

PTSD
splitting off emotional components of a thought

Question 9

Repression

Answer 9

PTSD
forget thoughts to protect yourself

Question 10

PTSD Pediatric

Answer 10

reduced play, repetitive play (of event), social withdrawal, fear, aggression

Question 11

Reactive attacchment disorder

Answer 11

inhibited- emotionally withdrawn
does not seek comfort when distressed
cause: lack of bonding by age 8mo

Question 12

Disinhibited social engagement

Answer 12

Friendly/confident, no normal fear of strangers, no normal boundaries, unfazed by separation with caregiver

Question 13

Genetics Childhood PTSD

Answer 13

prenatal stress
NURTURING CAN HELP

Question 14

Childhood PTSD Neurobiological

Answer 14

< age 5
Trauma interupts networks in limbic system
Dissociation

Question 15

“the ACE effect”

Answer 15

allostatic overload
- exagerated inflammatory response increasing risk of morbidities

Question 16

PTSD treatment : Children

Answer 16

safety, regulate emotions
Skill catch up
“Window of tolerance”
Improve relationship/connections
CBT/EMDR

NO MEDICATIONS (ssri may help)

Question 17

Goals PTSD

Answer 17

Manage anxiety
increase self-esteem
improve coping

Question 18

PTSD Treatment: Adults

Answer 18

CBT, group
Exposure therapy
Establish therapeutic relationship

Question 19

Bilateral stimulation

Answer 19

visual/auditory/tactile rhythmic stim in side-side pattern

tapping, drawing, butterfly hug, EMDR

Question 20

EMDR

Answer 20

Eye movement desensitization/reprocessing

bar/lazer

Question 21

Dissociative Disorder

Answer 21

after trauma, interruption of consciousness

Question 22

Depersonalization

Answer 22

Unreality
out-of-body experience

Reality testing intact BUT causes distress in function

Question 23

Dissociative amnesia

Answer 23

localized - cant recall trauma
selective - recall incident associated w event
generalized - identity/life hx

Question 24

Dissociative Fugue

Answer 24

New ID - cannot recall past
Spontaneous travel from customary place

Question 25

Disssociative Identity

Answer 25

two or more personalities
SWITCHING occurs – rapid eye blinking, affect, thought changes

one at a time! cant remember what other does

Question 25

DID psychological

Answer 25

mindflight! –> pirmary ego defense

Question 26

DID Biological

Answer 26

limbic system –> massive release of neurotransmitters during threat

Question 27

DID assessment

Answer 27

Temporal lobe epilepsy
memory gaps
injury
impact family

Question 28

DID treatment

Answer 28

Optimize function/potential

intefration/collaboration of both personalities

Abreaction –> awareness of other personalities

Question 29

Interventions for Dissociative disorder

Answer 29

Reconnect brain to restore normal thought process
GROUNDING techniques

Question 30

Grounding techniques

Answer 30

increase body awareness, mindfulness

shower, deep breathing, touch fabric, exercise, stomp feet

Question 31

Treatment for dissociative disorders

Answer 31

EMDR
CBT
Hypnotherapy
Neurofeeback

(Antianxity/depressants)