PTSD part II Flashcards

1
Q

What is this:
A. Develops after exposure to actual or threatened death, serious injury, or sexual violence in one or more of the following ways:
The event happened to you, or you witnessed it in person, you learned that it happened to a close friend or family member…in cases of actual or threatened death of a family member or friend, the events must have been violent or accidental.
Experiencing repeated or extreme exposure to aversive details of the traumatic events (first responders, police officers).

A

PTSD

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2
Q

What are the components of a PTSD disorder?

A
  • Develops after trauma (happened to you, witnessed, or learned)
  • presence of one or more intrusion symptoms
  • persistent avoidance of stimuli
  • negative alterations in cognitions and mood (DETACHMENT)
  • alterations in arousal and reactivity
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3
Q

What is the time frame for acute PTSD?
CHronic?
Delayed expression?

A

Acute (symptoms last up to 3 months)
Chronice (symptoms last over 3 months)
Delayed expression (symptoms dont appear until 6+ months after stressor)

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4
Q

After PTSD where can you get dysfunction?

A

Dysfunction

  • Interpersonal (marriages/ families)
  • Occupational
  • Self-esteem
  • Emotional control
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5
Q

(blank) of soldiers and marines will ultimately suffer from PTSD, about 300,000 people (NYT, 2009).
Treatments can lead to complete remission (blank) of the time.

A

35%

30-50%

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6
Q

Over (blank)% of the U.S. population experience traumatic events in their lifetimes; the rate of people exposed to trauma who then develop Post-Traumatic Stress Disorder (PTSD) is (blank)% for men and (blank) for women

A

50%
5%
10.4%

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7
Q

Being in the ICU is considered a (blank) event and (blank) percent of family members have PTSD

A

traumatic

35%

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8
Q

What is this:

the feeling that one knows the right thing to do but is unable to do so because of institutional constraints

A

Moral distress

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9
Q

What are risk factors for developing PTSD?

A
  • Living through dangerous events and traumas
  • Having a history of mental illness
  • Getting hurt
  • Seeing people hurt or killed
  • Feeling horror, helplessness, or extreme fear
  • Having little or no social support after the event
  • Dealing with extra stress after the event, such as loss of a loved one, pain and injury, or loss of a job or home.
  • weak deteriorating psychosocial resources (support)
  • highly disrupted or traumatized community
  • substance abuse/emotional avoidance
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10
Q

T or F

mot people exposed to trauma do NOT have prolonged psychological sequelae

A

T

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11
Q

What are resilience factors for PTSD?

A
  • Seeking out support from other people, such as friends and family
  • Finding a support group after a traumatic event
  • Feeling good about one’s own actions in the face of danger
  • Having a coping strategy, or a way of getting through the bad event and learning from it
  • Being able to act and respond effectively despite feeling fear.
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12
Q

What are the Tx for PTSD?

A

exposure therap
cognitve restructuring
stress inoculation training

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13
Q

What is this:
This therapy helps people face and control their fear. It exposes them to the trauma they experienced in a safe way. It uses mental imagery, writing, or visits to the place where the event happened. The therapist uses these tools to help people with PTSD cope with their feelings.

A

Exposure therapy

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14
Q

What is this:
This therapy helps people make sense of the bad memories. Sometimes people remember the event differently than how it happened. They may feel guilt or shame about what is not their fault. The therapist helps people with PTSD look at what happened in a realistic way.

A

Cognitive restructuring

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15
Q

What is this:
This therapy tries to reduce PTSD symptoms by teaching a person how to reduce anxiety. Like cognitive restructuring, this treatment helps people look at their memories in a healthy way.CBT (exposure based therapy)

A

stress inoculation

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16
Q

How does talk therapy help people overcome PTSD?

A

-teach ways to react to frightening events that trigger PTSD symptoms
(how to relax, teach about trauma and its effects, provide tips for sleep, diet, exercise, identify feelings about event, change how people react to PTSD)

17
Q

PTSD and tightly associated with what disorder?

A

substance abuse disorder

18
Q

(blank) percent of people in addiction treatment have PTSD

A

60%

19
Q

If you have PTSD and SUD what is your prognosis?

A

bad :(

20
Q

What is an acute stress disorder?

A

Similiar to PTSD but only lasts from 3 days to one month and has 3 or more dissociative symptoms.
There is recall, avoidance, arousal

21
Q

What are the dissociative symptoms?

A
  • Numbing/ detachment
  • Reduced awareness (“daze”)
  • Derealization
  • Depersonalization
  • Dissociative amnesia
22
Q

What is this:
Emotional or behavioral symptoms in response to an identifiable stressor, occurring within three months of the stressor.
Clinically significant, not normal bereavement.

A

adjustment disorder

23
Q

In adjustment disorder, Once the stressor is terminated, symptoms resolve not longer than (blank).

A

6 months

24
Q

What are the three dissociative disorders?

A
  • dissociative amnesia
  • depersonalization disorder
  • dissociative identity disorder (DID, formerly Multiple Personality Disorder)
25
Q

What is this:

  • inability to recall important info
  • usually related to a traumatic event, is abrupt and resolves quickly
A

Dissociative Amnesia

26
Q

What is this:

  • sudden, unexpected travel with INABILITY to recalls one past
  • confusion about identiy or assumption of new identity
A

DIssociative amnesia with dissociative fugue

27
Q

What is this:

  • Extreme detachment (physical or mental) (“in a dream”)
  • During detachment, reality testing is intact
  • Transient depersonalization is not uncommon or pathological
A

Depersonalization Disorder

28
Q

What is this:
Two or more distinct personality states
Different states take control over a person’s behavior
Inability to recall periods of time/ personal information
Associated with horrific childhood abuse

A

Dissociative identity disorder

29
Q

People with dissociative identity disorder typically also have (blank)

A

dissociative amnesia.