Approach to Trauma & Stress DOs Flashcards
What is the difference between PTSD and Acute Stress DO?
PTSD - duration of disturbance & symptoms are more than 1 mo
Acute stress - duration of disturbance & symptoms are less than 1 mo
How do you tx PTSD?
- SSRIs
- Cognitive processing therapy
** avoid addictive drugs (benzos)
What is Adjustment DO?
Development of emotional/behavioral symptoms in response to identifiable stressor
Occurs within 3 mo of stressor and results in sig. distress out of proportion of severity of stressor, &/or impairment of functioning
What are the Somatoform DOs (5)
- Somatic Symptom DO (Pain DO)
- Conversion DO
- Illness Anxiety DO (hypochondriasis)
- Body dysmorphic DO
- Somatoform DO
What is the characteristic presentation of Somatic Symptom DO (Pain DO)?
A pt in chronic pain out of proportion with presentation. Pain is REAL and pt is not faking. 1 or more somatic symptoms
What is the characteristic presentation of Conversion DO?
One or more symptoms/deficits affecting voluntary motor/sensory function suggesting a neurologic or other medical condition.
Psychologic factor ass. with symptom/deficit
What is the characteristic presentation of Illness Anxiety DO?
Pt who is preoccupied with having/acquiring a serious illness. They have high anxiety.
- Care seeking type
- Care avoidant type
What is the characteristic presentation of Factitious DO?
Person fakes illness/makes themselves sick. Muchausen’s DO or Muchausen’s by proxy
What are the dissociative DOs? (5)
- Dissociative amnesia
- Dissociative fugue
- Dissociative identity DO
- Depersonalization DO
- Dissociative DO, NOS
Areas of the brain involved in PTSD? (HPA axis, 3 areas of brain and NT involved)
HPA axis is hyperactive
The amygdala is overactive, the prefrontal cortex is under active and the hippocampus
NT: NE, DA and endogenous opiods
