Chapter 16: Trauma-Related Disorders PDF

Ch. 16  Trauma-Related Disorders of psychiatric -Associated with a wide range · other medical disorder Trauma-informed care ; not trying to affect more...

Ch. 16  Trauma-Related Disorders of psychiatric -Associated with a wide range · other medical disorder Trauma-informed care ; not trying to affect more Trauma · Attachment Disorders - Reactive attachment disorder emotional detached - Disinhibited social engagement disorder; no normal fear of Posttraumatic Stress Disorder · - In children strangers - In adults · Hatte Stress Disorder Adjustment · Disorder Risk factors ; Environment &  disorder Children isAdolescents Post traumatic Stress in - even preschool - Manifestations reflecting aspects of the creduction in play or play trauma ↳ self-blame , detachment, estrangement, loss of interest in significant activities hypervigilan ,asas mood changes,sleepdisturbances ↳ Risk Factors ; Dependence on adult is children Neuroplasty systems Interventions for Child col PTSD ~ use interactive process - establish trust safety - use developmentally appropriate language - Teach relaxation techniques before trauma exploration to restore a sense of control -use art and play to promote expression of feelings - involve caretaker 1 : / child is care taker about guiet process response -educate to fraund wh social worker - Coordinate caretakersinresolving theron emotionasa assist -  Evaluation for Child w/ PTSD Treatment effective when · safety is ensured - reduced, i stress handled anxiety is adaptively - emotions and behavior are appropriate - - child achieves normal developmental mildstones - child is able to seek out adults for nurturance help when needed Trauma Related Disorders in Adults · Posttraumatic Stress Disorder Acute Stress Disorder · Adjustment · Disorder  Post-traumatic Stress Disorder in Adults Examples of PTSD-Inducing Events situations combat or hostage Military - crime-related events - - natural disasters - Human disasterlaccident) Vocab Flashbacks ; re-experiencing the trauma Avoidance ; of stimuli associated voltrauma Alterations in mood Persistent symptoms of increased arousal (hypervigilance Application of the Mursing Process Treatment Modalities SSDI , Antidepressants  Acute Stress Disorder - Develops after exposure to a highly traumatic event 3 days to I month after traumatic - Diagnosed event 8 Diagnosis of the following during , after · or more , of La L subjective sense numbing traumaticat derealization to remember cinability - intrusivedistresmemoris, as if event is recuing feeling ↳ distress Lintense prolong Ladvoidance of thoughts of feelings about event sleep disturbances ↳ Hypervigilance aggresseare behavior "initable , angryor Lexaggerated or agitation wrestlessness  Adjustment Disorder - a milderless specific version of ASDPTSP event - precipitated by stressful include all forms of distress - symptoms may s depression , anxiety , anger) (guilt  Dissociative Disorders Lunconsions defense mechanism ioccur after significant adverse experience/trauma - overonding anxiety protects individual against Risk Factors ; Cognitive,Environmental ,Biological , Cultural - Depersonalization/Derealization Disorder Depersonalizationi