Stress and Trauma (Lewis) lecture Flashcards
What is disinhibited social engagement disorder?
Culturally inappropriate familiar behavior with relative strangers.
- violate social boundaries of the culture
What is adjustment disorder/
redefined as an array of stress-response syndromes occurring after exposure to a distressing event
-3 months after onset and lasting 6 months
what is acute stress disorder and how long does it last?
Stress after dramatic events were experience directly, witness or experiences indirectly.
- 3 days to 1 month
What is PTSD?
Significant reaction to serious traumatic event that involves actual or threatened death, serious injury or sexual violation.
What are the re-experience symptoms of a person with PTSD?
Avoidance
- persistent negative alteration in mood and cognition
- arousal- describes behavioral symptoms
What are some events that can cause direct experience PTSD?
Military
- personal assault
- accidents/disasters
What is the mnemonic for PTSD?
DREAMS
- Detachment
- Reexperience
- Even had emotional effects
- Avoidance
- Month in duration
- Sympathetic hyperactivity or hypervigilence
What are some assessment measures of PTSD?
MCMI-III
MMPI
Roschach
What neurotransmitters are involved in PTSD?
NE- to much
Causes
- hypervigalence, autonomic arousal, flashbacks, and intrusive memories
5-HT- too little
Causes
aggression, violence, impulsivity, depression, anxiety
When should critical incident stress debreifing happen?
withint the first 72 hrs
what are some risk factors for PTSD?
- Persons who had sexual assault
- Persons who seek general medical care
- mass casualties
- adverse childhood experiences
What % of PTSD suffers have a comorbidity?
80%- more in men
- AD, Affective disorder, SAD, Somatization and psychosis
What is the PTSD and suicide rate?
20%
How do you treat PTSD?
CBT
SSRI’s
Venlafaxine
How do you treat acute stress disorder?
CBT
pharmcotherpapy isn’t indicated
