Trauma and Stressor Related and Obsessive-Compulsive Disorders Flashcards
(34 cards)
Adjustment Disorder
- duration/onset
Symptoms must develop within 3 months of stressor
Adjustment Disorder
- symptoms
Marked by a psychological stressor that leads to functioning impairment
Marked by a psychological stressor that leads to functioning impairment
Adjustment Disorder
Adjustment Disorder
- specifiers
depressed mood
anxiety
mixed anxiety/depressed
disturbance of conduct
mixed disturbance of emotions and conduct
Adjustment disorder
-differential dx
PTSD Normative stress reaction Acute stress disorder MDD Personality disorder Psychological factors affecting medical condition
Adjustment disorder
- interventions
CBT, REBT, ACT relaxation/mindfulness stress inoculation therapy grief therapy interpersonal therapy
Acute Stress disorder
- duration/onset
3 days to one month
Acute Stress disorder
- symptoms
exposure to actual or threatened death, serious injury or sexual violence Intrusions Avoidance Cognition/Mood Arousal lasting 3 days to 1 month
Acute Stress Disorder
- differential Dx
PTSD Adjustment D/O Panic D/O psychotic D/O Dissociative ID D/O OCD Traumatic brain injury
Acute Stress Disorder
-interventions
expressive outlet for trauma psychiatrist identify support system support group EMDR or hynosis stress inoculation anxiety management training identify cognitive distortions
exposure to actual or threatened death, serious injury or sexual violence Intrusions Avoidance Cognition/Mood Arousal lasting 3 days to 1 month
Acute Stress Disorder
PTSD
- duration
greater than one month
PTSD
- symptoms
INTRUSION - recurring memories; dreams; flashbacks/dissociation
AVOIDANCE - avoid reminders, thoughts
COGNITION/MOOD - unable to recall; negative beliefs of self; blame self/others; diminished interest; withdrawn; unable to experience positive emotions
AROUSAL - irritability; anger; self-destructive/reckless behavior; hypervigilance; startle response; poor concentration; sleep disturbance
PTSD
- specifiers
w/ dissociative symptoms
w/ delayed expression - full criteria met at least 6 months after event
PTSD
- differential
adjustment disorder acute stress disorder anxiety disorder OCD MDD TBI Personality disorder Dissociative disorder conversion disorder Psychotic disorder
PTSD
- intervetions
coping skills systematic desensitization guided imagery group therapy cognitive processing therapy narrative therapy to address intrusive thoughts Trauma-focused CBT CBT EMDR mindfulness anxiety management bibliotherapy
Disinhibited Social Engagement Disorder
- duration/onset
Age of at least 9 months
Disinhibited Social Engagement Disorder
- Symptoms
Child approaches and interacts with unfamiliar adults
not limited to impulsivity (as in ADHD)
child experienced neglect and/or repeated changes in caregiver
Disinhibited Social Engagement Disorder
- specifiers
Persistent - greater than 12 months
Reactive Attachment D/O
- duration/onset
developmental age 9 months to 5 years
Reactive Attachment Disorder
- symptoms
emotionally withdrawn toward caregiver: rarely seeks or responds to comfort when distressed
social/emotional disturbance: minimal response to others; limited positive affect; unexplained irritability, sadness or fearfulness with caregiver
insufficient care: social/emotional neglect, repeated changes in caregiver, rearing in institution
Reactive Attachment Disorder
- specifiers
Persistent (symptoms present for greater than 12 months)
Reactive Attachment Disorder
- differential
Autism
Intellectual Disability
Depressive Disorder
emotionally withdrawn toward caregiver: rarely seeks or responds to comfort when distressed
social/emotional disturbance: minimal response to others; limited positive affect; unexplained irritability, sadness or fearfulness with caregiver
insufficient care: social/emotional neglect, repeated changes in caregiver, rearing in institution
symptoms present at older than 9 months and younger than 5 years old
Reactive Attachment Disorder
- symptoms
