Trauma/Stress/Grief DOs

Question 1

PTSD ss last ____mo+

Answer 1

1

Question 2

PTSD Tx (1st Line)

Answer 2

Psychotherapy
SSRI

Question 3

PTSD Tx for nightmares

Answer 3

Prazosin (BP med)

Question 4

PTSD Tx for Psychosis

Answer 4

SSRI + 1st Gen “Typical” Antipsychotic

Question 5

PTSD Tx if:
Partial response to therapy?
Poor response to therapy?

Answer 5

Partial -> ADD another therapy
Poor -> swtich therapy + ADD SSRI

Question 6

PTSD Tx if:
Poor response to SSRI?
2 Failed SSRIs?

Answer 6

Poor -> Switch SSRI
2 failed -> Swtich to 2nd gen “Atypical” antipsychotic

Question 7

Adjustment DO Dx:

Stressor -> ss within ___mo -> stessor ENDS -> ss up to ___mo

Answer 7

Onset: within 3mo
Lasts: ≤ 6mo

Question 8

Adjustment DO Tx 1st line

Answer 8

Pyschotherapy
SSRI or SNRI

Question 9

Reactive attachment DO Onset: ___mo - ___yo

Answer 9

9mo-5yo

Question 10

You must be at least ____mo old to have Disinhibited Social Engagement DO

Answer 10

≥ 9mo

Question 11

Acute Stress DO only lasts for _____ after the traumatic event

Answer 11

3 days - 1mo

Question 12

Adjunctive Pharm Tx for Acute Stress DO

Answer 12

Benzos

Question 13

Prolonged Grief DO lasts for
≥ __mo (Child)
≥ ___yr (Adult)

Answer 13

≥ 6mo (Child)
≥ 1yr (Adult)

Question 14

Which DOs include SSRIs in their Tx?

• PTSD
• Adjustment DO
• Reactive Attachment DO
• Disinhibited Social Engagement DO
• Acute Stress DO
• Prolonged Grief DO

Answer 14

• PTSD
• Adjustment DO

The rest is therapy mostly

Question 15

PTSD vs Adjustment DO Timeframes

Answer 15

• PTSD = 1mo+
• Adjustment DO = Stressor -> ss within 3mo -> stressor END -> ss up to 6mo