Trauma + Stress Related Disorders

Question 1

What is PTSD?

Answer 1

person exposed to a traumatic event where person experienced/witness actual or threatened death/injury/integrity of self or others

duration of > 1 month

Question 2

What does a pt experinces with PTSD?

Answer 2

re-experience event

avoid stimuli associated to the event

sx of increased arousal

Question 3

What negative cognitions are associated with PTSD?

Answer 3

sense of blame of self or others

estrangement from others

diminished interest in activities

inability to remember key aspects of the event

Question 4

How do you tx PTSD?

Answer 4

SSRIs

Cognitive processing therapy (support groups, EMDR)

*avoid addictive Rx due to inc risk of substance abuse

Question 5

Acute stress disorder sx are similar to …

Answer 5

PTSD

duration differs though: 3 days - 1 mo post trauma for Acute stress disoder

Question 6

What is adjustment disorder?

Answer 6

development of emotional/behavioral sx in response to an identifiable stressor

occuring within 3mo of stressor

Question 7

What are the time frames for:

1. PTSD
2. Acute Stress Disorder
3. Adjustment Disorder

Answer 7

1. lasts > 1mo post event
2. 3 days - 1 mo post event
3. within 3 mo of event; usually doesn’t persist past 6mo

Question 8

What is seen in adjustment disorder?

Answer 8

significant distress out of proportion to severity of stressor

impairment in function

Question 9

What behaviors can be seen with adjustment disorder?

Answer 9

depressed mood

anxiety

mixed anxiety and depressed mood

disturbance of conduct

mixed disturbance of emotions and conduct

Question 10

What are the diagnostic criteria for Conversion Disorder?

Answer 10

1. one or more sx or deficit affecting voluntary motor or sensory function
2. Psych factors associated with sx or deficit
3. Sx or deficit is not intentional
4. Sx or deficit cannot be fully explained by a general medical condition, or by substnace, or a cultural behavior
5. Sx or deficit causes significant distress or impairment in social, occupational, or other areas
6. Sx or deficit not limited to pain or sexual dysfunction, doesn’t occur exclusively during couse of Somatizaiton disorder, and isn’t better accounted for by dif dx

Question 11

What sx are associated with conversion disorder?

Answer 11

paresthesias and anesthesias

weakness

paralysis

pseudoseizures/psychogenic seizures

involuntary movements

sensory disturbances (blindness, mutism)

Question 12

How is somatoform disorder tx?

Answer 12

therapeutic relationship

team approach (pain management, neurology, psych)

CBT

Hypnosis

Anti-anxiety medications (clonazepam)

Question 13

Define dissociative amnesia

Answer 13

inability to recall important, personal info

often related to trauma

Question 14

What is dissociative fugue?

Answer 14

sudden, unexpected travel away from home

inability to recall one’s past/personal identity

Question 15

What is dissociative identity disorder?

Answer 15

multiple personality disorder

often survivors of sexual abuse