(A) PTSD- Lewis Flashcards
Reactive Attachment
- emotionally withdrawn behavior toward adult caregivers
- persistent social and emotional disturbance
- child experienced a patter of extremes of insufficient care (repeated changes of primary caregivers)
Disinhibited social engagement disorder
overly familiar behavior with relative strangers (culturally inappropriate)
Adjustment disorders and what is the time line?
- array of stress-response syndromes occurring after exposure to a distressing event
- begins with-in 3 months of stressor and lasts no longer than 6 months
Acute stress disorder, specific timeline?
3 days to 1 month
specify qualifying traumatic events as experienced directly, witnessed, or experienced indirectly
Ways to experience traumatic events that may lead to PTSD?
Experience directly
Witnessed
Experienced indirectly
Experienced repeatedly
Types of symptoms of PTSD?
Intrusive
Avoidance Reminders
Negative alterations to cognition and mood
Alterations of arousal and reactivity
How long do symptoms need to last to be classified at PTSD?
At least one month!!!
before 1 month it is an Acute stress disorder
Specifiers with PTSD?
With dissociation symptoms
Delayed expression (after 6 months)
Acute < 3 months
Chronic > 3 months
What does DREAMS stand for?
Detachment Re-experiencing the event Event had emotional effects Avoidance Month in duration Sympathetic hyperactivity or hyper vigilance
What neurotransmitters are involved in PTSD?
Too much NE - mobilized fear, flight response, sym. activation
Too little 5-HT - aggression, violence, impulsivity, depression
Prevelance of PTSD is higher in….
people who see general medial care
Exposed to sexual assualt
Mass casualties
Underlying vulnerabilities (adverse childhood experiences, comorbid diagnosis)
What are common comorbities to PTSD?
Women = anxiety and depression Men = irritability, impulsiveness, substance abuse
What percent of PTSD patients have a comorbid disorder?
80%!!!!!
