Anxiety disorders - PTSD Flashcards
(12 cards)
What is the difference between PTSD and acute stress disorder?
Symptoms lasting at least 1 month = PTSD
Symptoms lasting <1 month is acute stress disorder
How many PTSD be seperated into mild, moderate, severe ptsd?
Mild : symptoms last <4 weeks
Moderate : Any PTSD pstient with symptoms <1 month
Severe : distress is umanageable by patient or causing impairment in funtioning for up to 3 months after event.
What is involved in Eye movement desensitisation and reprocessing for PTSD?
For severe PTSD after trauma CBT already tried
Original trauma is deliberately re-experienced in as much detail as possible. Whilst the patient does this, they fix their eyes on the therapist’s finger as it quickly passes from side to side in front of them. This aids memory processing.
If PTSD is not improving with both CBT + EMDR?
If CBT + EMDR is unscessful
SSRI or Venlafaxine
What is involved in trauma focused CBT?
1st line psychotherapy offered to all patients with PTSD with symptoms lasting more than 1 month
It is combined exposure therapy + trauma focused therapy
What are the clinical features of PTSD? (HARE)
H - hypervigilence : constantly on guard for threat, exaggerated startle response, sleep problems, irritability and difficulty concentrating.
A - avoidance : avoiding people, situations or circumstances resembling or associated with the event
R - Intrusive re-experiencing of event : distressing involuntary memories, flashbacks, nightmares.
E - Emotional numbing : lack of ability to experience feelings, feeling detached.
What is the acronym for clinical features of ptsd?
(HARE)
H - hypervigilence : constantly on guard for threat, exaggerated startle response, sleep problems, irritability and difficulty concentrating.
A - avoidance : avoiding people, situations or circumstances resembling or associated with the event
R - Intrusive re-experiencing of event : distressing involuntary memories, flashbacks, nightmares.
E - Emotional numbing : lack of ability to experience feelings, feeling detached.
What is the ICD-10 PTSD defination?
Delayed response to a stressful event of situation of an exceptionally threatening or catastrophic nature
How to manage moderate PTSD?
Trauma focused CBT (1st line psychotherapy)
All patients with symptons 1+ month need this
PTSD timeline critiera?
Occurs within 6 months of a traumatic event with symptoms lasting at least 1 month (this differentiates it from acute stress disorder)
How to manage mild PTSD?
Watchful waiting + sleep hygiene
Follow up in 1 month
How to manage severe PTSD?
As well as trauma based CBT
Eye Movement Desensitisation and Reprocessing (EMDR) → adults with a diagnosis of PTSD who have presented >3 months after non-combat related trauma.
