Responses to Trauma Flashcards
When is psychotherapy introduced to a pt with CHRONIC depression; as an adjunct to pharmacotherapy?
- hx of EARLY LIFE trauma
A high percentage of patients with what mental disorder is a.w childhood DEPRIVATION or ABUSE?
BIPOLAR DISORDER
What is TONIC immobility a form of?
- —a form of FREEZE response
- involuntary; when in contact with predator
What fts are seen in TONIC immobility?
- decr. volcalisation
- intermittent eye contact
- rigidity and paralysis
- MUSCLE tremors of extremities
- CHILLS
- unresponsive to pain
According to DSM V, what is seen on PTSD?
- at least 1 INTRUSIVE sx
- at least 1 AVOIDANCE sx
- at least 1 (-)ve alterations in MOOD and cognitions
- at least 2 INCR. AROUSAL and reactivity
What are example of intrusive symptoms?
- NIGHTMARES
- FLASHBACKS
- recurring distressing recollections
- DISTRESS with every reminder
- physiological rxn
What are exs of AVOIDANCE sx?
- avoidance of THOUGHTS/ feelings (don’t want to talk about it)
- avoidance of EXTERNAL reminders (people/places/activities)
Name some examples of NEGATIVE alterations in MOOD and cognitions.
- amnesia! (of the important trauma)
- anhedonia
- pessimistic feelings of self and world
- feeling of ISOLATION
- poor affect
- self-blame
- negative affect (fear/ horror/ guilt/shame)
Name some alterations in reactivity?
- hypervigilance
- destructive behaviour
- aggressive /irritable
- SLEEP disturbance
- conc. difficulties
What associated sx are seen with PTSD?
- DISSOCIATIVE symptoms
depersonalisation and derealisation
Are co-morbidities common with PTSD?
- YES
- 80% of pts have at least 1 co-morbid psychiatric condition
What impact does PTSD have on an individual?
- physical health
- interpersonal relationships
- employment
- financial
- QOL
Which are the primary areas of the brain to be affected by PTSD?
- Hippocampus (role in declarative memory and stress resp.)
- Amygdala (instills fear during trauma AND its recollection)
What is seen with cortisol levels in PTSD pts?
- cortisol levels are LOW in PTSD pts
What is seen in hippocampus size and PTSD?
- those with a SMALL hippocampus are at a risk of LACK of RECOVERY from PTSD
