[CLMD] Trauma and Stress Disorders [Hill]

Question 1

What are the characteristics of PTSD?

Answer 1

“Person exposed to a traumatic event”

• Persistently re-experience traumatic event
• Persistent avoidance of stimuli
• Persistent symptoms of increased arousal such as difficulty sleeping, irritability, difficulty concentrating, hyperviligance

Question 2

What are negative cognitions associated with PTSD?

Answer 2

• Persistent and distorted sense of blame of self or others
• Estrangement from others
• Markedly diminished interest in activities
• Inaility to remember key aspects of the event

Question 3

What is the duration of PTSD symptoms required in order to diagnose?

Answer 3

More than 1 month

Question 4

How is PTSD treated?

Answer 4

SSRIs

Cognitive processing therapy

Question 5

What are specific examples of cognitive processing therapy?

Answer 5

Support groups

Eye movement desensitization and reprocessing (EMDR)

Question 6

What should you avoid prescribing in a PTSD patient long term?

Answer 6

Avoid addictive Rx such as benzodiazepines

Question 7

What are examples of trauma?

Answer 7

• Domestic/family violence, dating violence
• Community violence
• Sexual or physical abuse
• Natural disaster
• Car accident
• Sudden death
• Serious injury
• Major surgery

Question 8

What particular population should clinicians know are particularly suseptible to PTSD?

Answer 8

Military

Question 9

What is the time frame for acute stress disorder?

Answer 9

3 days to 1 month after trauma exposure

Question 10

What is an adjustment disorder?

Answer 10

Development of emotional/behavioral symptoms in response to identifiable stressor

Occuring within 3 months of stressor

(eg getting diagnosed with cancer, adjusting to this)

Question 11

What are the symptoms of adjustment disorders?

Answer 11

Depressed mood

Anxiety

Disturbance of conduct (aka being an asshole)

Question 12

What are examples of somatoform disorers?

Answer 12

Somatic symptom disorder (pain disorder)

Conversion disorder

Pain disorder

Illness anxiety disorder (hypochondriasis)

Body dysmorphic disorder

Somatoform disorder

Question 13

What are the dianostic criteria for conversion disorder (aka functional neurological symptom disorder)?

Answer 13

One or more symptoms or deficits affecting voluntary motor or sensory function that suggest a neurological or other general medical condition

Question 14

What are some examples of symptoms associated with conversion disorder symptoms?

Answer 14

Paresthesias and anesthesias

Weakness

Paralysis

Pseudoseizures/psychogenic seizures

Involuntary movements

Sensory disturbances (blindness, mutism)

Question 15

What are factitious disorders?

Answer 15

Patients make themselves ill to go see the doctor

(eg. self injected feces or saliva, bizarre or unusual symptoms)

Question 16

What is munchausen by proxy?

Answer 16

Production of intentional symptoms in another individual (usually a child) for the purpose of having the other person assume the sick role

Question 17

What is dissociative amnesia?

Answer 17

Inability to recall important personal information

Usually information regarding traumatic experience

Question 18

What is dissociative fugue?

Answer 18

Sudden, unexpected travel away from home

Inability to recall one’s past/personal identity

Question 19

What is dissociative identity disorder?

Answer 19

Formerly known as “multiple personality disorder”

Often survivors of sexual abuse