Trauma and Stressor Related Disorders

Question 1

Attachment disorders are prevalent in:

Answer 1

Children who have been severely neglected.

Question 2

Clients with attachment disorders have what characteristics?

Answer 2

Lack of necessary, healthy emotional attachments

Question 3

T/F: Attachment disorders are relatively rare.

Answer 3

True

Question 4

What are two attachment disorders within the main disorder?

Answer 4

Reactive Attachment Disorder and Disinhibited Social Engagement Disorder

Question 5

What attachment disorder involved attachment insecurity, hyper vigilance, and behavior toward caregivers may vary?

Answer 5

Reactive Attachment Disorder (RAD)

Question 6

What is Disinhibited Engagement Disorder?

Answer 6

Inability to form committed intimate social relationships, no preference for caregivers over strangers, excessive comfort seeking and inappropriate contact with strangers.

Question 7

Counselor considerations for attachment disorders involved what?

Answer 7

• Assess prudently and rule out other disorders
• There is no universally screening assessment
• May be helpful to use a multimodel assessment strategy
• Interview primary caregivers
• Children should be directly observed interacting with their primary caregivers and interacting with strangers to assess behaviors
• Cultural factors

Question 8

Essential elements of treatment for what disorder includes: Assessment for client safety, proper diagnosis, establishing a secure and nurturing environment, providing empirically-based parent training, addressing family systems issues, and providing therapy that extends into the natural environments of children and family.

Answer 8

Attachment Disorders

Question 9

What is medication used for when treating clients with attachment disorders?

Answer 9

Co-occurring symptoms: explosive anger, insomnia, depression, anxiety or hyperactivity

Question 10

Which trauma disorders are serious and debilitating reactions to trauma that endure over time and significantly impair functioning?

Answer 10

Acute Stress Disorder and Posttraumatic Stress Disorder

Question 11

Results from exposure to trauma that presents threats of severe injury or death is a characteristic of what trauma disorders?

Answer 11

Acute Stress Disorder and PTSD

Question 12

What are symptoms of ASD and PTSD?

Answer 12

Intrusion, avoidance, negative changes in cognition or mood, and altered states of arousal or reactivity. Can be specified as depersonalization or derealization.

Question 13

T/F: Different people may experience the same type of traumatic event with different reactions to that event.

Answer 13

True

Question 14

Concepts of what types of trauma have been proposed?

Answer 14

Developmental Trauma, Complex Trauma, or Complex Trauma Disorder

Question 15

What must the counselor consider before the assessment begins with trauma patients?

Answer 15

Client safety, attend to cultural factors, and direct sensitivity toward the potential for clients to experience psychological and/or physiological arousal

Question 16

Conducting an accurate assessment, working as a team (as appropriate) and providing a consistent and safe space with a nurturing relationship are counselor considerations for which trauma disorders?

Answer 16

ASD and PTSD

Question 17

Prolonged Exposure Therapy (PET), Cognitive Processing Therapy (CPT), Stress Inoculation Training (SIT), Eye Movement Desensitization Reprocessing (EMDR), Trauma-Focused CBT, Cognitive Behavioral Intervention for Trauma in Schools (CBITS), Support for Students Exposed to Trauma (SSET), Trauma Recovery and Empowerment Model (TREM; M-TREM), Trauma Center-Trauma Sensitive Yoga (TC-TSY), Psychopharmacotherapy are all treatments for which trauma disorders?

Answer 17

ASD and PTSD

Question 18

What medication is used for ASD and PTSD?

Answer 18

SSRIs in conjunction with therapy

Question 19

T/F: There has been been medication identified to adequately treat PTSD symptoms.

Answer 19

False

Question 20

What is the purpose of PET as a treatment for ASD and PTSD?

Answer 20

To help clients recall trauma and associated fears, develop new information about trauma and responses, and learn new coping strategies

Question 21

What is the most effective of all CBT approaches?

Answer 21

Prolonged Exposure Therapy (PET)

Question 22

Early intervention using what treatment for those with ASD with high risk of developing PTSD?

Answer 22

PET

Question 23

What concepts are used when using PET as a treatment for ASD and PTSD?

Answer 23

• Confront feared event, identify and acknowledge fears

- Reevaluate negative cognitions about trauma and develop new perspectives

Question 24

CPT is used to support what type of clients who have ASD and PTSD?

Answer 24

Civilian and Military clients

Question 25

What is the purpose of CPT therapy when treatment clients with ASD and PTSD?

Answer 25

- Psychoeducation, exposure to traumatic memories through writing, reflection upon emotions and cognitions associated with trauma, challenge maladaptive thoughts and assumptions - Examine irrational beliefs related to safety, trust, power, control, esteem, and intimacy

Question 26

What are the phases of Stress Inoculation Training?

Answer 26

conceptualization, skills acquisition and rehearsal, and application

Question 27

What population does SIT effectively help with?

Answer 27

Female victims of sexual assault

Question 28

How many phases are part of EMDR?

Answer 28

8

Question 29

What is EMDR?

Answer 29

Integrates exposure, cognition, relaxation, and guided eye movements to help clients learn to access, process, and resolve traumatic memories

Question 30

TF-CBT has been shown to help treat what population?

Answer 30

Traumatized Children

Question 31

What does TF-CBT integrate?

Answer 31

Trauma-sensitive interventions, CBT Techniques, humanistic principles and family involvement

Question 32

Employment of cognitive behavioral approaches like psychoeducation, relaxation training, cognitive restricting, revisiting and processing trauma, and engaging in social problem solving is a characteristic of what treatment for ASD and PTSD?

Answer 32

CBITS (elementary and middle school students)

Question 33

What treatment is a nonclinical adaption of CBITS for middle school treatments?

Answer 33

Support for Students Exposed to Trauma (SSET)

Question 34

Trauma Recovery and Empowerment model is primarily used for what population?

Answer 34

women survivors of physical and sexual abuse; M-TREM is an adaption of the TREM for male trauma survivors

Question 35

Group-based intervention that employs cognitive restructuring, psychoeducation, skill building, and the development of coping skills and support networks is a characteristic of what treatment for ASD/PTSD?

Answer 35

Trauma Recovery Empowerment Model (TREM; M-TREM)

Question 36

Which treatment for ASD/PTSD encourages clients to be present in the moment, make intentional choices, take action, and establish personal rhythms?

Answer 36

Trauma Center-Trauma Sensitive Yoga (TC-TSY)

Question 37

Adjustment Disorders include what as a result of an indefinable stressors?

Answer 37

Maladaptive emotional or behavior symptoms

Question 38

Symtpoms for Adjustment disorder develop within ____ months and dissipate within ____ months after the stressor diminishes

Answer 38

3; 6

Question 39

Six subtypes of what Trauma Disorder include: depressed mood, with anxiety, with mixed anxiety and depressed mood, with disturbance of conduct, with mixed disturbance of emotions and conduct, and unspecified.

Answer 39

Adjustment Disorder

Question 40

T/F: When treatment Adjustment Disorders, symptoms impact clients' lives but do not meet criteria for other diagnoses.

Answer 40

True

Question 41

Substance use history should be considered by the counselor when seeing a client with what Trauma disorder?

Answer 41

Adjustment Disorder

Question 42

Counselor considerations for what trauma disorder include: • Education clients about the nature of these disorders and demonstrate confidence that the client’s functioning will be restored • Normalizing and validating the client’s concerns can be empowering • Encouragement of social supports can be a coping strategy • Be attuned to signs of suicidal ideation

Answer 42

Adjustment Disorder

Question 43

Treatments for Adjustment Disorder include what?

Answer 43

CBT, Interpersonal Psychotherapy (IPT), Solution-Focused Brief Therapy (SFBT), Brief Psychodynamic Psychotherapy, Psychopharmacotherapy

Question 44

What are emerging treatments for Adjustment Disorder?

Answer 44

Mindfulness and computer-based interventions

Question 45

T/F: Counseling is the modality of choice for adjustment disorders but medication can help reduce symptoms.

Answer 45

True

Question 46

Which treatment for adjustment disorder seeks to enable the reduction or removal of the stressor, facilitate adjustment to stressor, and alter response to stressor

Answer 46

CBT

Question 47

What is Interpersonal Psychoherapy?

Answer 47

* Time limited and systematic approach aimed at restoring control over mood and functioning * Views problems from interpersonal perspective, explores alternative to dysfunctional patterns * May be especially well suited for adjustment disorder with depressive symptoms

Question 48

Characteristics of what treatment for adjustment disorders involves quickly identifying goals and plans of action, brief, goal oriented, and strengths-based, positive and optimistic emphasis to empower clients to become active in treatment and development solutions?

Answer 48

Solution-Focused Brief Therapy

Question 49

Clients who are vulnerable to maladaptive reactions to stressors related to underlying personality pathology may benefit from what?

Answer 49

More long-term psychodynamic treatment

Question 50

T/F: Medication to treat adjustment disorders is used to treat co-occurring symptoms, but not the disorder itself.

Answer 50

True