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Psychiatry Week 2 2018/19 > 2: Response to trauma > Flashcards

Flashcards in 2: Response to trauma Deck (17)
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1

What is a

a) centrifugal

b) centripetal

disaster?

a) People involved don't know one another

b) People involved are in the same community

2

What is Type 1 trauma?

Single event, unexpected, life changing

3

What is Type 2 trauma?

Repetitive, ongoing trauma

e.g betrayal of trust in a caring relationship, being a hostage, ongoing abuse...

4

People who experience Type 2 trauma are more at risk of which psychiatric disorder?

Post-traumatic stress disorder

5

Patients admitted to ___ ___ may develop PTSD.

intensive care

6

Which groups in society are much more likely to be victims of major incidents?

Poor

Marginalised

7

Which psychiatric disorders may have a background of childhood trauma?

Depression

Bipolar disorder

8

How is childhood trauma addressed in patients with depression or bipolar disorder?

CBT

9

Why are anxiety and fear helpful in controlled episodes?

Promote survival

10

The freeze response to a distant threat is (voluntary / involuntary).

voluntary

11

What type of freeze response occurs in response to an inescapable threat?

Tonic immobility

Involuntary, associated with increased pain threshold, thought to increased survival

12

In which modern context may tonic immobility occur due to an inescapable threat?

Sexual assault

13

Where in the brain do instinctual freeze responses originate?

Brainstem

PAG, VTA

14

What is the emotional reaction to a traumatic event?

Intense fear, helplessness or horror

15

What is the official definition of a traumatic event?

Experience of threat of death or serious injury (self/others)

16

What is the primary cause of PTSD?

The traumatic event

17

What are some normal responses to trauma?

Fear, numbness, hopelessness

Anger

Guilt

Avoidance behaviour

Hypervigilance