trauma/stressor/dissociative (1)

Question 1

which part of the brain is the “thinking brain”

Answer 1

prefrontal cortex

Question 2

which parts of the brain are the “survival brain” (fight/flight/freeze)

Answer 2

amygdala (mid brain) brain stem, and limbic system

Question 3

Which part of the brain receives all sensory information such as senses and relays it to both the thinking and survival brains

Answer 3

thalamus “the mediator”

Question 4

What disorder happens when exposure to an actual or threatened death, serious injury, or sexual violence triggers a person to respond with intense fear, helplessness, or horror

Answer 4

PTSD

Question 5

Describe flashbacks with PTSD

Answer 5

Feels or acts as if the event is reoccurring, physical sensations of terror

Question 6

Describe hypervigilance related to Ptsd

Answer 6

Always aware and on edge

Question 7

What does dissociative symptoms can someone with PTSD have

Answer 7

Generalized Numbing, feeling detached from others, empty inside

Question 8

What kind of insight do people with PTSD have on the future

Answer 8

Sense of a foreshortened future

Question 9

What are comorbidities on ptsd

Answer 9

Depression, substance abuse, anger and aggressive behavior, relationship problems

Question 10

How long must symptoms be present to classify as PTSD

Answer 10

Greater than a month

Question 11

How long do symptoms last in acute ptsd

Answer 11

Less than three months

Question 12

How long do symptoms last in chronic ptsd

Answer 12

Three months or longer

Question 13

describe delayed onset PTSD

Answer 13

Onset six months after the event

Question 14

What is the involuntary exclusion of a painful or conflictual thought, impulse, or memory from awareness

Answer 14

repression

Question 15

What ego defense mechanism used in PTSD is the splitting off of emotional components of a thought

Answer 15

isolation

Question 16

Which attachment disorder is characterized by inhibited and emotionally withdrawn behavior, they do not seek comfort and distress, and it is caused by a lack of bonding with primary caregiver by 8 months old

Answer 16

Reactive attachment disorder

Question 17

Which attachment disorder is characterized by people being remarkably friendly and confident, no fear strangers, no boundaries, unfazed by separation with adult caregivers

Answer 17

Disinhibited social engagement disorder

Question 18

Describe neurobiological risk factors of PTSD in children

Answer 18

Less than H5, trauma disrupts integration of neuronal networks in limbic system, brainwill dissociate

Question 19

What kind of experiences change neurobiological, epigenetic, and adaptive stress hormones responses in the developing brain

Answer 19

Anverse childhood experiences, the ace effect

Question 20

What causes exaggerated inflammatory responses in the kids with adverse childhood experiences

Answer 20

Allostatic overload of the nervous system

Question 21

Describe the ace scoring system

Answer 21

Ask a variety of questions about your childhood and gives you a score, the higher the score the greater risk for long term psychological and physical health problems

Question 22

What should be done about the window of tolerance in children of PTSD

Answer 22

The window of tolerance needs to be widened to help balance arousal and help self regulate

Question 23

What therapies are used for children with ptsd

Answer 23

CBT and EMDR

Question 24

Are there any medications FDA approved for PTSD?

Answer 24

no

Question 25

What trait is the ability to regain mental health despite adversity

Answer 25

resilience

Question 26

what is the most common used ptsd treatment

Answer 26

CBT

Question 27

Which medication for P T S D may help with anxiety and depression symptoms

Answer 27

SSRIs

Question 28

which medication for ptsd addresses hyper arousal and intrusive symptoms

Answer 28

clonidine

Question 29

What medication for P T S D is used for nightmares and sleep disturbances

Answer 29

prazosin

Question 30

which medication for ptsd is for hyper arousal and panic physically helps symptoms of panic

Answer 30

propranolol

Question 31

What method to help PTSD is the use of visual, auditory, or tactile external stimuli occurring in a rhythmic side to side pattern

Answer 31

bilateral stimulation

Question 32

What are methods of bilateral stimulation

Answer 32

-tapping -drawing -butterly hug -EMDR

Question 33

Describe eye movement desensitization and processing, EMDR

Answer 33

Patient concentrates on an emotion or sensation surrounding a traumatic event, patient focuses on movement on therapist's fingers moving left to right, desensitization

Question 34

exaplin trauma informed care and how to use it

Answer 34

do not ask the, what is wrong with them or what happened -explain why we are asking things or doing things -ask them if there is anything they need to avoid or what we can do to make it easier for them

Question 35

What is an interruption of consciousness that happens after trauma, unconscious defense mechanism

Answer 35

dissociative disorders

Question 36

Which part of depersonalization - derealization disorder Is characterized by detachment from oneself or one's body, thoughts, feelings, sensations, and actions - On reality, observing oneself from outside the body

Answer 36

depersonalization

Question 37

What part of depersonalization-derealization disorder is an altered perception of external environment, objects or people may seem altered, environment automated or mechanical

Answer 37

Derealization

Question 38

What kind of amnesia is the inability to recall important personal information that is too extensive to be explained by ordinary forgetfulness, substance, or neurological or medical condition

Answer 38

dissociative amnesia

Question 39

What kind of amnesia is where you are unable to recall incidents associated with traumatic events

Answer 39

localized amnesia

Question 40

What kind of amnesia is where you can only recall certain incidents associated with an event for specific period after the event

Answer 40

selective amnesia

Question 41

what kind of amnesia is for identity and life history

Answer 41

generalized amnesia

Question 42

What is the sudden, unexpected travel away from a customary place of daily activities or bewildered wandering, Unable to recall some or all of past, assumption of a new identification

Answer 42

dissociative fugue

Question 43

will people with depersonalization derealization disorder remember all of what they forgot?

Answer 43

not always

Question 44

what are examples of meds used to treat depersonalization derealization disorder

Answer 44

Antidepressants, mood stabilizers, anticonvulsants, antipsychotics

Question 45

What disorder was formally known as multiple personality disorder

Answer 45

dissociative identity disorder, DID

Question 46

which associated disorder is where there are two or more distinct personalities that switch between each other

Answer 46

dissociative identity disorder

Question 47

What is it called when you transition from one personality to another, usually sudden, often dramatic

Answer 47

switching

Question 48

What are important items to collect in your assessment for dissociative disorders

Answer 48

Life events, history of abuse, recent injury, temporal lobe epilepsy, memory

Question 49

What is the goal of dissociative identity disorder treatment

Answer 49

Optimize function and potential

Question 50

what are the two options to help solve associative identity disorder

Answer 50

Integration versus collaboration

Question 51

What is the goal of grounding techniques for dissociative disorders

Answer 51

Increased body awareness and mindfulness