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trauma/stressor/dissociative (1) Flashcards

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1
Q

which part of the brain is the “thinking brain”

A

prefrontal cortex

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2
Q

which parts of the brain are the “survival brain” (fight/flight/freeze)

A

amygdala (mid brain) brain stem, and limbic system

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3
Q

Which part of the brain receives all sensory information such as senses and relays it to both the thinking and survival brains

A

thalamus “the mediator”

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4
Q

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

A

PTSD

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5
Q

Describe flashbacks with PTSD

A

Feels or acts as if the event is reoccurring, physical sensations of terror

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6
Q

Describe hypervigilance related to Ptsd

A

Always aware and on edge

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7
Q

What does dissociative symptoms can someone with PTSD have

A

Generalized Numbing, feeling detached from others, empty inside

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8
Q

What kind of insight do people with PTSD have on the future

A

Sense of a foreshortened future

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9
Q

What are comorbidities on ptsd

A

Depression, substance abuse, anger and aggressive behavior, relationship problems

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10
Q

How long must symptoms be present to classify as PTSD

A

Greater than a month

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11
Q

How long do symptoms last in acute ptsd

A

Less than three months

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12
Q

How long do symptoms last in chronic ptsd

A

Three months or longer

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13
Q

describe delayed onset PTSD

A

Onset six months after the event

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14
Q

What is the involuntary exclusion of a painful or conflictual thought, impulse, or memory from awareness

A

repression

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15
Q

What ego defense mechanism used in PTSD is the splitting off of emotional components of a thought

A

isolation

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16
Q

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

A

Reactive attachment disorder

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17
Q

Which attachment disorder is characterized by people being remarkably friendly and confident, no fear strangers, no boundaries, unfazed by separation with adult caregivers

A

Disinhibited social engagement disorder

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18
Q

Describe neurobiological risk factors of PTSD in children

A

Less than H5, trauma disrupts integration of neuronal networks in limbic system, brainwill dissociate

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19
Q

What kind of experiences change neurobiological, epigenetic, and adaptive stress hormones responses in the developing brain

A

Anverse childhood experiences, the ace effect

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20
Q

What causes exaggerated inflammatory responses in the kids with adverse childhood experiences

A

Allostatic overload of the nervous system

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21
Q

Describe the ace scoring system

A

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

22
Q

What should be done about the window of tolerance in children of PTSD

A

The window of tolerance needs to be widened to help balance arousal and help self regulate

23
Q

What therapies are used for children with ptsd

A

CBT and EMDR

24
Q

Are there any medications FDA approved for PTSD?

A

no

25
Q

What trait is the ability to regain mental health despite adversity

A

resilience

26
Q

what is the most common used ptsd treatment

A

CBT

27
Q

Which medication for P T S D may help with anxiety and depression symptoms

A

SSRIs

28
Q

which medication for ptsd addresses hyper arousal and intrusive symptoms

A

clonidine

29
Q

What medication for P T S D is used for nightmares and sleep disturbances

A

prazosin

30
Q

which medication for ptsd is for hyper arousal and panic physically helps symptoms of panic

A

propranolol

31
Q

What method to help PTSD is the use of visual, auditory, or tactile external stimuli occurring in a rhythmic side to side pattern

A

bilateral stimulation

32
Q

What are methods of bilateral stimulation

A

-tapping
-drawing
-butterly hug
-EMDR

33
Q

Describe eye movement desensitization and processing, EMDR

A

Patient concentrates on an emotion or sensation surrounding a traumatic event, patient focuses on movement on therapist’s fingers moving left to right, desensitization

34
Q

exaplin trauma informed care and how to use it

A

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

35
Q

What is an interruption of consciousness that happens after trauma, unconscious defense mechanism

A

dissociative disorders

36
Q

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

A

depersonalization

37
Q

What part of depersonalization-derealization disorder is an altered perception of external environment, objects or people may seem altered, environment automated or mechanical

A

Derealization

38
Q

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

A

dissociative amnesia

39
Q

What kind of amnesia is where you are unable to recall incidents associated with traumatic events

A

localized amnesia

40
Q

What kind of amnesia is where you can only recall certain incidents associated with an event for specific period after the event

A

selective amnesia

41
Q

what kind of amnesia is for identity and life history

A

generalized amnesia

42
Q

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

A

dissociative fugue

43
Q

will people with depersonalization derealization disorder remember all of what they forgot?

A

not always

44
Q

what are examples of meds used to treat depersonalization derealization disorder

A

Antidepressants, mood stabilizers, anticonvulsants, antipsychotics

45
Q

What disorder was formally known as multiple personality disorder

A

dissociative identity disorder, DID

46
Q

which associated disorder is where there are two or more distinct personalities that switch between each other

A

dissociative identity disorder

47
Q

What is it called when you transition from one personality to another, usually sudden, often dramatic

A

switching

48
Q

What are important items to collect in your assessment for dissociative disorders

A

Life events, history of abuse, recent injury, temporal lobe epilepsy, memory

49
Q

What is the goal of dissociative identity disorder treatment

A

Optimize function and potential

50
Q

what are the two options to help solve associative identity disorder

A

Integration versus collaboration

51
Q

What is the goal of grounding techniques for dissociative disorders

A

Increased body awareness and mindfulness

52
Q
A

Psych (19 decks)

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