trauma/stressor/dissociative (1) Flashcards
which part of the brain is the “thinking brain”
prefrontal cortex
which parts of the brain are the “survival brain” (fight/flight/freeze)
amygdala (mid brain) brain stem, and limbic system
Which part of the brain receives all sensory information such as senses and relays it to both the thinking and survival brains
thalamus “the mediator”
What disorder happens when exposure to an actual or threatened death, serious injury, or sexual violence triggers a person to respond with intense fear, helplessness, or horror
PTSD
Describe flashbacks with PTSD
Feels or acts as if the event is reoccurring, physical sensations of terror
Describe hypervigilance related to Ptsd
Always aware and on edge
What does dissociative symptoms can someone with PTSD have
Generalized Numbing, feeling detached from others, empty inside
What kind of insight do people with PTSD have on the future
Sense of a foreshortened future
What are comorbidities on ptsd
Depression, substance abuse, anger and aggressive behavior, relationship problems
How long must symptoms be present to classify as PTSD
Greater than a month
How long do symptoms last in acute ptsd
Less than three months
How long do symptoms last in chronic ptsd
Three months or longer
describe delayed onset PTSD
Onset six months after the event
What is the involuntary exclusion of a painful or conflictual thought, impulse, or memory from awareness
repression
What ego defense mechanism used in PTSD is the splitting off of emotional components of a thought
isolation
Which attachment disorder is characterized by inhibited and emotionally withdrawn behavior, they do not seek comfort and distress, and it is caused by a lack of bonding with primary caregiver by 8 months old
Reactive attachment disorder
Which attachment disorder is characterized by people being remarkably friendly and confident, no fear strangers, no boundaries, unfazed by separation with adult caregivers
Disinhibited social engagement disorder
Describe neurobiological risk factors of PTSD in children
Less than H5, trauma disrupts integration of neuronal networks in limbic system, brainwill dissociate
What kind of experiences change neurobiological, epigenetic, and adaptive stress hormones responses in the developing brain
Anverse childhood experiences, the ace effect
What causes exaggerated inflammatory responses in the kids with adverse childhood experiences
Allostatic overload of the nervous system
Describe the ace scoring system
Ask a variety of questions about your childhood and gives you a score, the higher the score the greater risk for long term psychological and physical health problems
What should be done about the window of tolerance in children of PTSD
The window of tolerance needs to be widened to help balance arousal and help self regulate
What therapies are used for children with ptsd
CBT and EMDR
Are there any medications FDA approved for PTSD?
no
What trait is the ability to regain mental health despite adversity
resilience
what is the most common used ptsd treatment
CBT
Which medication for P T S D may help with anxiety and depression symptoms
SSRIs
which medication for ptsd addresses hyper arousal and intrusive symptoms
clonidine
What medication for P T S D is used for nightmares and sleep disturbances
prazosin
which medication for ptsd is for hyper arousal and panic physically helps symptoms of panic
propranolol
What method to help PTSD is the use of visual, auditory, or tactile external stimuli occurring in a rhythmic side to side pattern
bilateral stimulation
What are methods of bilateral stimulation
-tapping
-drawing
-butterly hug
-EMDR
Describe eye movement desensitization and processing, EMDR
Patient concentrates on an emotion or sensation surrounding a traumatic event, patient focuses on movement on therapist’s fingers moving left to right, desensitization
exaplin trauma informed care and how to use it
do not ask the, what is wrong with them or what happened
-explain why we are asking things or doing things
-ask them if there is anything they need to avoid or what we can do to make it easier for them
What is an interruption of consciousness that happens after trauma, unconscious defense mechanism
dissociative disorders
Which part of depersonalization - derealization disorder Is characterized by detachment from oneself or one’s body, thoughts, feelings, sensations, and actions
- On reality, observing oneself from outside the body
depersonalization
What part of depersonalization-derealization disorder is an altered perception of external environment, objects or people may seem altered, environment automated or mechanical
Derealization
What kind of amnesia is the inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness, substance, or neurological or medical condition
dissociative amnesia
What kind of amnesia is where you are unable to recall incidents associated with traumatic events
localized amnesia
What kind of amnesia is where you can only recall certain incidents associated with an event for specific period after the event
selective amnesia
what kind of amnesia is for identity and life history
generalized amnesia
What is the sudden, unexpected travel away from a customary place of daily activities or bewildered wandering, Unable to recall some or all of past, assumption of a new identification
dissociative fugue
will people with depersonalization derealization disorder remember all of what they forgot?
not always
what are examples of meds used to treat depersonalization derealization disorder
Antidepressants, mood stabilizers, anticonvulsants, antipsychotics
What disorder was formally known as multiple personality disorder
dissociative identity disorder, DID
which associated disorder is where there are two or more distinct personalities that switch between each other
dissociative identity disorder
What is it called when you transition from one personality to another, usually sudden, often dramatic
switching
What are important items to collect in your assessment for dissociative disorders
Life events, history of abuse, recent injury, temporal lobe epilepsy, memory
What is the goal of dissociative identity disorder treatment
Optimize function and potential
what are the two options to help solve associative identity disorder
Integration versus collaboration
What is the goal of grounding techniques for dissociative disorders
Increased body awareness and mindfulness
