Trauma and Stress-Related Disorders

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Questions and Answers

A patient reports experiencing flashbacks, avoidance behaviors, and hyperarousal, which started two months ago following a traumatic event. Which disorder is MOST likely?

  • Post-Traumatic Stress Disorder (PTSD) (correct)
  • Dissociative Amnesia
  • Acute Stress Disorder (ASD)
  • Adjustment Disorder

Which of the following treatment approaches is LEAST likely to be used as an initial intervention for Adjustment Disorder?

  • Coping skills training
  • Long-term intensive therapy (correct)
  • Medication for short-term symptom relief
  • Psychotherapy

A person exhibits symptoms similar to PTSD, but they have been present for only two weeks after a traumatic incident. Which condition is the MOST probable?

  • Adjustment Disorder
  • Post-Traumatic Stress Disorder (PTSD)
  • Dissociative Identity Disorder
  • Acute Stress Disorder (ASD) (correct)

Which key feature is MOST characteristic of Dissociative Identity Disorder?

<p>Presence of two or more distinct identities (D)</p> Signup and view all the answers

For which of the following conditions might 'grounding techniques' be a therapeutic intervention?

<p>Depersonalization/Derealization (A)</p> Signup and view all the answers

A patient is prescribed SSRIs and Prazosin for managing their psychological distress. Which disorder is the patient MOST likely being treated for?

<p>Post-Traumatic Stress Disorder (PTSD) (D)</p> Signup and view all the answers

A person experiences significant emotional distress due to a recent job loss, impacting their daily functioning. If this condition persists for more than a month, which disorder is MOST likely?

<p>Adjustment Disorder (D)</p> Signup and view all the answers

Which of the following disorders is characterized by a feeling of detachment from oneself or reality, and can manifest as chronic or episodic?

<p>Depersonalization/Derealization (C)</p> Signup and view all the answers

Which therapeutic intervention is MOST aligned with addressing the core symptoms of Dissociative Identity Disorder?

<p>Integration Work (B)</p> Signup and view all the answers

A patient reports a sudden inability to recall personal information following a car accident, with no other apparent neurological damage. Which disorder is MOST likely?

<p>Dissociative Amnesia (D)</p> Signup and view all the answers

A veteran of combat experiences recurring nightmares, flashbacks, and demonstrates an exaggerated startle response. These symptoms have persisted for over six months. What condition is MOST likely affecting this individual?

<p>Post-Traumatic Stress Disorder (B)</p> Signup and view all the answers

Which of the following is the PRIMARY focus of crisis intervention in the treatment of Acute Stress Disorder (ASD)?

<p>Stabilizing and reducing immediate distress (A)</p> Signup and view all the answers

A student is struggling with emotional distress due to difficulties adjusting to college life. They have had these feelings for about two months. Which disorder is MOST likely?

<p>Adjustment Disorder (D)</p> Signup and view all the answers

A patient describes feeling detached from their body and surroundings, as if they are observing their life from outside themselves. They state this has been happening for years, with varying intensity. Which condition is MOST likely?

<p>Depersonalization/Derealization Disorder (B)</p> Signup and view all the answers

In the treatment of Dissociative Amnesia, which of the following methods is MOST likely to be used to help the patient recover lost memories?

<p>Psychotherapy and grounding techniques (D)</p> Signup and view all the answers

A first responder experiences a traumatic event. Which intervention, if administered within the first few weeks, could potentially prevent the development of PTSD?

<p>Crisis intervention and possible SSRIs (A)</p> Signup and view all the answers

A patient with Dissociative Identity Disorder is undergoing therapy. What is the primary goal of integration work in this context?

<p>To establish a single, cohesive identity (C)</p> Signup and view all the answers

What is the typical duration of emotional distress for a diagnosis of Adjustment Disorder?

<p>Within 3 months (B)</p> Signup and view all the answers

Which of the following characterizes the duration of symptoms for Acute Stress Disorder (ASD)?

<p>Symptoms lasting between 3 days and 1 month (A)</p> Signup and view all the answers

A person reports feeling disconnected from their body and observing themselves from afar, but these episodes are infrequent and don't cause significant distress. How might a psychologist view this presentation?

<p>A normal part of human experience not necessarily indicative of a disorder (C)</p> Signup and view all the answers

In a patient with PTSD, what is the MOST likely reason for prescribing Prazosin?

<p>To alleviate nightmares (B)</p> Signup and view all the answers

A patient who has experienced a traumatic event is being evaluated for ASD and PTSD. What is a KEY factor in differentiating between these two disorders?

<p>The duration of the symptoms (D)</p> Signup and view all the answers

A person who experienced a natural disaster three weeks ago now reports feeling irritable, having difficulty sleeping, and being easily startled. What is the MOST appropriate INITIAL course of action?

<p>Recommend psychotherapy and monitor for Acute Stress Disorder (A)</p> Signup and view all the answers

Which combination of treatments is MOST likely to be used for PTSD?

<p>SSRIs and Prazosin (A)</p> Signup and view all the answers

A patient reports significant distress because of a recent divorce. They are having trouble sleeping and concentrating, but otherwise functioning normally. If these symptoms persist for over four months, which condition should be considered?

<p>Complicated Grief or other mood disorder (D)</p> Signup and view all the answers

A patient with Dissociative Identity Disorder is in therapy. During a session, one of their alternate identities expresses fear and distrust towards the primary identity. What might be the therapist's MOST appropriate initial response?

<p>Acknowledge the alternate identity's feelings and begin to build trust. (A)</p> Signup and view all the answers

Which of the following disorders is MOST likely to involve the therapeutic goal of helping the patient reconnect with reality?

<p>Depersonalization/Derealization Disorder (D)</p> Signup and view all the answers

A combat veteran is diagnosed with PTSD. Besides flashbacks and hyperarousal, what other symptom would MOST strongly support this diagnosis?

<p>Persistent avoidance of stimuli associated with the traumatic event (C)</p> Signup and view all the answers

How do the treatment approaches typically differ between Acute Stress Disorder (ASD) and Post-Traumatic Stress Disorder (PTSD)?

<p>ASD typically involves crisis intervention and possible SSRIs, while PTSD often involves SSRIs, Prazosin and therapy. (B)</p> Signup and view all the answers

A person is diagnosed with Dissociative Amnesia after experiencing a traumatic event. What specific type of memory loss is MOST characteristic of this disorder?

<p>Loss of trauma-related autobiographical memories (D)</p> Signup and view all the answers

Which of the following interventions would be LEAST appropriate for a client newly diagnosed with Depersonalization/Derealization?

<p>Prolonged exposure therapy focusing on traumatic memories (A)</p> Signup and view all the answers

Which statement BEST captures the relationship between traumatic experiences and the development of dissociative disorders?

<p>Trauma is often associated with the development of dissociative disorders, but other factors can also contribute. (D)</p> Signup and view all the answers

A therapist is working with a client who has Adjustment Disorder following a major life change. What should be the therapist's PRIMARY focus?

<p>Facilitating the client's development of effective coping strategies. (C)</p> Signup and view all the answers

A client reports experiencing both flashbacks of a traumatic event and periods of feeling detached from their body. Which combination of disorders is MOST likely?

<p>Post-Traumatic Stress Disorder (PTSD) and Depersonalization/Derealization Disorder. (A)</p> Signup and view all the answers

Which of the following disorders is typically characterized by chronic symptoms?

<p>Dissociative Identity Disorder (C)</p> Signup and view all the answers

What is the MOST important distinction between Depersonalization, Derealization, and Dissociative Identity Disorder?

<p>The presence of distinct identities. (A)</p> Signup and view all the answers

Which of the following may be considered treatment for Depersonalization/Derealization?

<p>Therapy, grounding, mindfulness (D)</p> Signup and view all the answers

Which of the following may be a symptom of PTSD?

<p>Hyperarousal (C)</p> Signup and view all the answers

Flashcards

PTSD

A disorder characterized by flashbacks, avoidance, and hyperarousal after experiencing a traumatic event; duration is greater than 1 month.

Acute Stress Disorder (ASD)

A disorder presenting with PTSD-like symptoms, but with a shorter duration (3 days to 1 month).

Adjustment Disorder

A disorder characterized by emotional distress due to a stressor, lasting within 3 months.

Dissociative Amnesia

A dissociative disorder involving trauma-related memory loss, with variable duration.

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Dissociative Identity Disorder

A disorder characterized by the presence of two or more distinct identities.

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Depersonalization/Derealization

A disorder where one feels detached from oneself (depersonalization) or reality (derealization); can be chronic or episodic.

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Study Notes

  • Treatments for the disorders listed can include various forms of therapy, medication, and grounding techniques

PTSD

  • Key features include flashbacks, avoidance, and hyperarousal
  • Duration of symptoms is greater than 1 month
  • Treatment consists of therapy, SSRIs, and Prazosin

Acute Stress Disorder (ASD)

  • Key features include PTSD-like symptoms with shorter duration
  • Duration of symptoms lasts from 3 days to 1 month
  • Treatment consists of therapy, SSRIs, and crisis intervention

Adjustment Disorder

  • Key feature is emotional distress due to a stressor
  • Duration of symptoms lasts within 3 months
  • Treatment consists of psychotherapy, coping skills, and short-term medication

Dissociative Amnesia

  • Key feature is trauma-related memory loss
  • Duration varies
  • Treatment includes therapy and grounding techniques

Dissociative Identity Disorder

  • Key feature is having two or more distinct identities
  • It is a chronic condition
  • Treatment involves long-term therapy and integration work

Depersonalization/Derealization

  • Key feature is feeling detached from oneself or reality
  • It is a chronic or episodic condition
  • Treatment includes therapy, grounding, and mindfulness

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