032615 PTSD

Question 1

PTSD DSM 5 def

Answer 1

exposure to actual or threatened death, serious injury, or sexual violence (directly, witnessing in others, learning it occurred to someone close)

Question 2

intrusions

Answer 2

traumatic event is persistently reexperienced (can be all 5 senses)

Question 3

avoidance

Answer 3

persistent avoidance of stimuli assoc w the trauma

negative alterations in cognition and mood (inability to recall aspects of trauma, persistent and exaggerated negative beliefs about self/others/world, distorted cognitions about the cause or consequences of event, negative emotional state, anhedonia, feeling isolated, inability to experience positive emotions)

Question 4

Horowitz theory of integration

Answer 4

if over control, get neg alternations in mood and cognitions

if under control, get intrusions

Question 5

duration of symptoms for PTSD

Answer 5

more than 1 month (prior to 1 month, it’s acute stress disorder)

Question 6

neurobiology of trauma-three key players that contribute to PTSD

Answer 6

amygdala (hyperactivation in response to trauma)
hippocampus (reduced volumes)
prefrontal cortex (LESS activation)

Question 7

role of hippocampus

Answer 7

contexualizes fear and regulates it on the basis of the situation

Question 8

role of prefrontal cortex

Answer 8

prefrontal cortex and amygdala are reciprocally related (when PFC is activated, amygdala is inhibited so it’s harder to express fear)

Question 9

tx for PTSD

Answer 9

behavioral deconditioning (flooding/implosive therapy, systematic desensitization)

cognitive behavioral tx (was demonstrated in the video)

Question 10

physician screening tool for PTSD (type I trauma-a single incident)

Answer 10

ask:

• have you experienced any vivid thoughts about accident?
• what do you believe is the cause of the accident?
• are you able to return to the place of the accident?
• what do you think could be done to prevent the accident?

look for symptoms

Question 11

physician screening tool for type II trauma (multiple or prolonged trauma)

Answer 11

-somatic complaints
-chronic depression or anxiety
-difficulty sleeping and concentrating
-memory problems (chunks of time during childhood that aren’t remembered)
-flashback, nightmares
-startle response
-difficult with food that is unappealing
-problems knowing who to trust
etc