Understanding Trauma and Stress-Related Disorders

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Questions and Answers

Which of the following best describes a key characteristic of trauma and stress-related disorders?

  • They are triggered by traumatic or highly stressful life events. (correct)
  • They solely manifest as physical ailments without any emotional or behavioral changes.
  • They primarily affect cognitive functions, leaving emotional responses unchanged.
  • They are genetic conditions that are not influenced by external events.

A patient diagnosed with PTSD reports persistent feelings of detachment and estrangement from others. Which category of PTSD symptoms does this fall under?

  • Intrusive symptoms
  • Hyperarousal
  • Avoidance
  • Negative alterations in cognition and mood (correct)

Which of the following is an example of a 'pre-trauma' risk factor for PTSD?

  • Lack of social support following the trauma
  • Pre-existing mental health conditions (correct)
  • The individual's coping strategies during the trauma
  • Severity and duration of the traumatic event

A combat veteran is experiencing frequent nightmares related to their time in service, significantly disrupting their sleep. Which medication might be prescribed off-label to help manage these nightmares?

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

According to the DSM-5 criteria for PTSD, for how long must symptoms be present to meet the diagnostic criteria?

<p>Over a month (B)</p> Signup and view all the answers

Which of the following is an example of the 'hyperarousal' category of PTSD symptoms?

<p>Exaggerated startle response (B)</p> Signup and view all the answers

What is the primary focus of benzodiazepines in the treatment of PTSD?

<p>Short-term control of panic attacks (A)</p> Signup and view all the answers

Which factor related to the traumatic event itself is considered a risk factor for PTSD?

<p>Severity and duration of the trauma (D)</p> Signup and view all the answers

What is the main action of SSRIs (Selective Serotonin Reuptake Inhibitors) in treating PTSD?

<p>As a first-line treatment option for managing trauma and stress-related disorders (C)</p> Signup and view all the answers

A patient with PTSD is having difficulty concentrating and is always on the lookout for potential threats. Which category of PTSD symptoms does this align with?

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

Flashcards

Trauma and Stress-Related Disorders

Mental health conditions triggered by traumatic or highly stressful life events.

Post-Traumatic Stress Disorder (PTSD)

A condition characterized by intrusive symptoms, avoidance, negative alterations in cognition and mood, and hyperarousal.

Intrusive Symptoms (PTSD)

Recurrent distressing memories, flashbacks, nightmares, and intense reactions to trauma reminders.

Avoidance (PTSD)

Efforts to avoid trauma-related thoughts, memories, and situations, along with emotional numbing.

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Negative Alterations in Cognition and Mood (PTSD)

Persistent negative beliefs, distorted blame, inability to experience positive emotions, and loss of interest in activities.

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Hyperarousal (PTSD)

Irritability, hypervigilance, exaggerated startle response, concentration difficulties, and sleep troubles.

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Pre-Trauma Factors Influencing PTSD

Pre-existing mental health conditions, genetic predispositions, and childhood adversity.

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Trauma-Related Factors Influencing PTSD

Severity, duration, and nature of the trauma.

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Post-Trauma Factors Influencing PTSD

Lack of social support and maladaptive coping strategies.

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Treatment Options for PTSD

SSRIs, mood stabilizers, atypical antipsychotics, and benzodiazepines.

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Study Notes

  • Trauma and stress-related disorders are mental health conditions that stem from traumatic or highly stressful events
  • These life events include combat, sexual assault, accidents, natural disasters, terrorist attacks, and childhood abuse
  • These disorders lead to maladaptive emotional and behavioral responses
  • Examples of these responses are anxiety, fear, dissociation, avoidance, and hypervigilance

Post-Traumatic Stress Disorder (PTSD)

  • PTSD is a common condition
  • Symptoms manifest across four categories: intrusive symptoms, avoidance, negative alterations in cognition and mood, and hyperarousal symptoms
  • Diagnostic criteria from DSM-5 state symptoms must be present for over a month in four specified categories
  • Intrusive symptoms include recurrent distressing memories, flashbacks, nightmares, and intense reactions to trauma reminders
  • Avoidance involves efforts to avoid trauma-related thoughts, memories, and situations, and emotional numbing
  • Negative alterations in cognition and mood include persistent negative beliefs, distorted blame, inability to experience positive emotions, and loss of interest
  • Hyperarousal manifests as irritability, hypervigilance, exaggerated startle response, concentration difficulties, and sleep troubles

Risk Factors Influencing PTSD

  • Risk factors are classified into pre-trauma, trauma, and post-trauma aspects
  • Pre-trauma factors include pre-existing mental health conditions, genetic predispositions, and childhood adversity
  • Trauma-related factors comprise the severity, duration, and nature of the trauma
  • Post-trauma factors include lack of social support and maladaptive coping strategies

Treatment for PTSD

  • First-line treatments involve SSRIs like Zoloft, Paxil, and Prozac
  • Minipress (Prazosin) is used off-label for managing PTSD-related nightmares
  • Mood stabilizers and atypical antipsychotics help with agitation
  • Benzodiazepines are used for short-term management of panic attacks

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