Trauma and Stressor-Related Disorders

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Questions and Answers

What is a common symptom of negative alterations in mood related to traumatic events?

  • Increased interest in daily activities
  • Enhanced emotional stability
  • Inability to remember significant aspects of the traumatic event (correct)
  • Increased trust in others

Which of the following statements exemplifies a persistent negative belief about oneself after a traumatic event?

  • The world is full of opportunities
  • I am bad (correct)
  • I can learn from my mistakes
  • Everyone deserves to be happy

How long must symptoms persist to consider them clinically significant in posttraumatic stress disorder?

  • Indefinitely
  • More than 1 month (correct)
  • At least 6 months
  • More than 1 week

Which of these is NOT a symptom of marked alterations in arousal and reactivity after trauma?

<p>Persistent feelings of happiness (D)</p> Signup and view all the answers

What characterizes hypervigilance in the context of posttraumatic stress disorder?

<p>Constant alertness for threats (A)</p> Signup and view all the answers

Which of the following could potentially attribute the disturbance to a medical condition within the context of PTSD?

<p>Physiological effects of a substance (A)</p> Signup and view all the answers

What is an example of self-destructive behavior in the context of PTSD?

<p>Substance abuse (B)</p> Signup and view all the answers

Which symptom indicates feelings of detachment or estrangement from others following trauma?

<p>Isolation and withdrawal from social interactions (D)</p> Signup and view all the answers

What is one of the primary diagnostic criteria for Reactive Attachment Disorder?

<p>Inhibited, emotionally withdrawn behavior toward adult caregivers (B)</p> Signup and view all the answers

Which of the following is a characteristic symptom of Trauma- and Stressor-Related Disorders?

<p>Externalizing angry and aggressive symptoms (A)</p> Signup and view all the answers

What type of social neglect is specifically mentioned as a requirement for Reactive Attachment Disorder?

<p>Absence of adequate caregiving during childhood (D)</p> Signup and view all the answers

Which of the following disorders is characterized by excessive emotional expressions interpreted as abnormal grief?

<p>Prolonged Grief Disorder (A)</p> Signup and view all the answers

What outcome is expected from a persistent lack of basic emotional needs being met in children?

<p>Social and emotional disturbances (C)</p> Signup and view all the answers

Which of the following is NOT a symptom associated with Reactive Attachment Disorder?

<p>Frequent seeking of comfort from caregivers (C)</p> Signup and view all the answers

What is a key characteristic of reactive attachment disorder?

<p>Absence or gross underdevelopment of attachment to caregivers (A)</p> Signup and view all the answers

What is a diagnostic requirement for both Reactive Attachment Disorder and Disinhibited Social Engagement Disorder?

<p>Presence of social neglect during childhood (A)</p> Signup and view all the answers

Which clinical characteristic is NOT typically associated with Trauma- and Stressor-Related Disorders?

<p>Increased ability to form attachments (C)</p> Signup and view all the answers

At what age should the diagnosis of reactive attachment disorder be made with caution?

<p>Older than 5 years (C)</p> Signup and view all the answers

What behavior might indicate disinhibited social engagement disorder in a child?

<p>Exhibiting overly familiar behavior with strangers (A)</p> Signup and view all the answers

Which of the following is NOT a symptom of reactive attachment disorder?

<p>Engaging in multiple friendships (C)</p> Signup and view all the answers

What behavior is characteristic of Disinhibited Social Engagement Disorder?

<p>Excessive familiarity with unfamiliar adults (A)</p> Signup and view all the answers

Which factor is NOT included as evidence of insufficient care for a child diagnosed with Disinhibited Social Engagement Disorder?

<p>Consistent availability of nurturing caregivers (D)</p> Signup and view all the answers

What is a persistent feature of a disorder regarding its duration?

<p>Disorder remains evident for over 12 months (A)</p> Signup and view all the answers

What is a prerequisite developmental age for diagnosing Disinhibited Social Engagement Disorder?

<p>At least 9 months (C)</p> Signup and view all the answers

What might Emily's behavior suggest regarding her emotional state?

<p>She exhibits anxiety and withdraws during interactions (D)</p> Signup and view all the answers

Which of the following behaviors is characteristic of a child with disinhibited social engagement disorder?

<p>Approaching unfamiliar adults without hesitation (D)</p> Signup and view all the answers

Which of the following best describes the role of caregiving in the development of Disinhibited Social Engagement Disorder?

<p>Pathogenic care is linked to the disorder's development (C)</p> Signup and view all the answers

What is the minimum duration for the symptoms of Disinhibited Social Engagement Disorder to be classified as persistent?

<p>12 months (C)</p> Signup and view all the answers

How does the developmental age requirement relate to the diagnosis of reactive attachment disorder?

<p>Diagnosis should not occur if the child can't form attachments (A)</p> Signup and view all the answers

What differentiates Disinhibited Social Engagement Disorder from ADHD with social impulsivity?

<p>Disinhibited behavior in social settings (C)</p> Signup and view all the answers

Which statement about culturally inappropriate behavior in Disinhibited Social Engagement Disorder is true?

<p>It violates the social norms of the culture (C)</p> Signup and view all the answers

What aspect of Jake's situation may contribute to a diagnosis of Disinhibited Social Engagement Disorder?

<p>Inconsistent caregiving by his parents (C)</p> Signup and view all the answers

What criterion must be met to consider symptoms as clinically significant?

<p>Symptoms must cause marked distress that exceeds the level of the stressor. (C)</p> Signup and view all the answers

How long after the termination of a stressor can symptoms of adjustment disorder persist?

<p>6 months (A)</p> Signup and view all the answers

Which of the following would NOT be classified as an Adjustment Disorder?

<p>Symptoms that fulfill criteria for Major Depressive Disorder (A)</p> Signup and view all the answers

Which symptom is primarily associated with the 'with depressed mood' subtype of adjustment disorder?

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

What sets apart 'Acute' adjustment disorder from a 'Persistent (chronic)' adjustment disorder?

<p>Chronic disorder lasts for 6 months or longer. (D)</p> Signup and view all the answers

What is meant by the term 'Unspecified' in the classification of adjustment disorders?

<p>It represents maladaptive reactions that aren't classifiable under specific subtypes. (D)</p> Signup and view all the answers

In Sarah's case, what can her emotional distress following her move to a new city be characterized as?

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

Which of the following is a hallmark of adjustment disorder according to the specified criteria?

<p>The symptoms arise after significant life events. (A)</p> Signup and view all the answers

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Study Notes

  • Exposure to a traumatic or stressful event is a requirement for a diagnosis.
  • Common symptoms include anhedonia, dysphoria, anger, aggression, and dissociation.
  • Social neglect in childhood is a diagnostic criteria for both reactive attachment disorder and disinhibited social engagement disorder.
  • Excessive grief, despair, and dysphoria beyond the normal grieving process can be a symptom of a mental disorder.

Reactive Attachment Disorder

  • Children with RAD exhibit inhibited, withdrawn behavior towards caregivers.
  • They rarely seek or respond to comfort when distressed.
  • The disorder stems from a pattern of inadequate care during childhood.

Disinhibited Social Engagement Disorder

  • Children with DSED show unusually familiar behavior towards strangers.
  • They exhibit reduced hesitation in interacting with unfamiliar adults and may readily leave with them.
  • This disorder results from extreme lack of adequate care during the child's developmental years.

Posttraumatic Stress Disorder (PTSD)

  • PTSD develops after exposure to a traumatic event.
  • Symptoms include intrusive thoughts, nightmares, avoidance behaviors, negative alterations in cognition and mood, and hyperarousal.
  • The impact of the traumatic event must persist for more than a month.

Acute Stress Disorder

  • Symptoms develop shortly after a traumatic event (within 3 months).
  • The individual exhibits significant distress and impairment in their functioning.
  • Must not meet the criteria for another mental disorder.
  • Symptoms must persist for at least 1 day but not more than 4 weeks.

Adjustment Disorder

  • The individual experiences emotional or behavioral symptoms in response to a stressor.
  • The distress or impairment must be significant and out of proportion to the stressor.
  • The individual's symptoms do not meet criteria for other mental disorders.
  • Symptoms persist for no longer than 6 months following the stressor.

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