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Block 8; Week 6-M > Anxiety, PTSD-Kohlenberg > Flashcards

Anxiety, PTSD-Kohlenberg Flashcards

1
Q

What are the exposure criteria for PTSD?

A

A. Develops after exposure to actual or threatened death, serious injury, or sexual violence in one or more of the following ways:
The event happened to you, or you witnessed it in person, you learned that it happened to a close friend or family member…in cases of actual or threatened death of a family member or friend, the events must have been violent or accidental.
Experiencing repeated or extreme exposure to aversive details of the traumatic events (first responders, police officers).

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2
Q

Pt is 34 yo F who has continuous nightmares following a graphic war movie. Should she be diagnosed w/ PTSD?

A

NO.

didn’t experience firsthand OR didn’t happen to a close family member

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3
Q

What are other symptoms required for PTSD diagnosis?

A
  • *intrusive symptoms: memories, dreams, flashbacks after being exposed to cues that resemble an aspect of trauma
  • *avoidance of stimuli associated w/ trauma
  • *detachment: neg. alterations in cognition, inability to remember etc.
  • *marked alterations in arousal & reactivity–angry & irritable toward people, sleep problems etc.
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4
Q

What is the timeframe requirement for PTSD diagnosis?

A

> 3 months

can be months after the stressor (delayed expression)

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5
Q

What is PTSD that is less than 3 months called?

A

acute stress disorder

if it is 3 days–>1 month

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6
Q

What % of soldiers & marines suffer from PTSD?

A

35%

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7
Q

What is the success rate of treatment for PTSD?

A

complete remission 30-50%

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8
Q

What % of Americans experience a traumatic experience over their lifetime? What % of men & women develop PTSD?

A

50% experience traumatic events
5%–men develop PTSD
10.4%–women develop PTSD

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9
Q

T/F Hx of mental illness is a risk factor for developing PTSD.

A

True.

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10
Q

T/F Being in the ICU does NOT qualify as a traumatic event for family members.

A

False. It does. And for the patient.

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11
Q

T/F Healthcare providers experience high rates of trauma.

A

True.

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12
Q

Moral distress contributes to the traumatic experience of healthcare providers. What is this?

A

feeling that you know the right thing to do but you are unable to do so b/c of institutional constraints

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13
Q

What are some post-trauma risk factors to consider for development of PTSD?

A

Weak/ deteriorating psychosocial resources (support)
Highly disrupted or traumatized community
Substance abuse/emotional avoidance

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14
Q

T/F Most people exposed to a traumatic event develop PTSD.

A

False. Most people do not. They are resilient.

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15
Q

What are some resilience factors?

A
  • *Seeking out support from other people, such as friends and family
  • *Finding a support group after a traumatic event
  • *Feeling good about one’s own actions in the face of danger
  • *Having a coping strategy, or a way of getting through the bad event and learning from it
  • *Being able to act and respond effectively despite feeling fear.
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16
Q

T/F It is important to feel what you feel after a trauma.

A

True.

Not a good idea to cover up those emotions with substances.

17
Q

What are some cognitive treatments that help with PTSD?

A

exposure therapy
cognitive restructuring
stress inoculation training

18
Q

Is it a good idea to give trazodone to veterans struggling with flashbacks & nightmares?

A

maybe b/c sleep better

but maybe not b/c can’t feel the horror & feel fully human anymore–some patients report

19
Q

What is exposure therapy for PTSD?

A

This therapy helps people face and control their fear. It exposes them to the trauma they experienced in a safe way. It uses mental imagery, writing, or visits to the place where the event happened. The therapist uses these tools to help people with PTSD cope with their feelings.

20
Q

What is cognitive restructuring for PTSD?

A

This therapy helps people make sense of the bad memories. Sometimes people remember the event differently than how it happened. They may feel guilt or shame about what is not their fault. The therapist helps people with PTSD look at what happened in a realistic way.

21
Q

What is stress inoculation training?

A

Similar to cognitive restructuring.
This therapy tries to reduce PTSD symptoms by teaching a person how to reduce anxiety. Like cognitive restructuring, this treatment helps people look at their memories in a healthy way.CBT (exposure based therapy)

22
Q

How is talk therapy helpful for PTSD?

A

Teach about trauma and its effects.
Use relaxation and anger control skills.
Provide tips for better sleep, diet, and exercise habits.
Help people identify and deal with guilt, shame, and other feelings about the event.
Focus on changing how people react to their PTSD symptoms. For example, therapy helps people visit places and people that are reminders of the trauma.

23
Q

What is the relationship b/w addiction treatment & PTSD?

A

60% of people receiving addiction treatment have PTSD

**worsens treatment outcomes for both

24
Q

What is acute stress disorder?

A 
similar to PTSD
3 days-->1 month
\+ 3 or more dissociative symptoms:
numbing/detachment
reduced awareness (daze)
derealization
depersonalization
dissociative amnesia
recall/avoidance/arousal
25
Q

What are adjustment disorders?

A

Emotional or behavioral symptoms in response to an identifiable stressor, occurring within three months of the stressor.
Clinically significant, not normal bereavement.
Once the stressor is terminated, symptoms resolve not longer than 6 months.

26
Q

What are some dissociative disorders?

A

Dissociative Amnesia
Depersonalization Disorder
Dissociative Identity Disorder
DID, formerly Multiple Personality Disorder

27
Q

What is dissociative amnesia?

A

Inability to recall important info

Usually related to a traumatic event, is abrupt and resolves quickly

28
Q

What is dissociative amnesia w/ dissociative fugue?

A

Sudden, unexpected travel with inability to recall one’s past
Confusion about identity or assumption of new identity

29
Q

What is depersonalization disorder?

A 
Extreme detachment (physical or mental) (“in a dream”)
During detachment, reality testing is intact
Transient depersonalization is not uncommon or pathological
30
Q

What is dissociative identity disorder?

A

Two or more distinct personality states
Different states take control over a person’s behavior
Inability to recall periods of time/ personal information
Associated with horrific childhood abuse

Block 8; Week 6-M (13 decks)

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