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22 Cards in this Set

  • Front
  • Back

Traumatic

-Event or experience (possibly life threatening) that overwhelms coping


-can be single episodes or ongoing



Frequency of Trauma

-74% of women


-81% of men

Trauma Reactions

-can be general or specific


-can be immediate or delayed


-can be acute or chronic

Reactions to Trauma: PTSD

-specific set of chronic symptoms


-can be delayed

Reactions to Trauma: Acute Stress Disorder

-same symptoms as PTSD but shorter (can evolve)


-happens right away but does not last longer than a month

Reactions to Trauma: Adjustment Disorder

-symptoms seen are less severe, less dysfunction, but disruption in life (with some anxiety, depression, behavioral disruption) is not always due to trauma - life changes can cause this

PTSD

Exposure to significant trauma plus


1. intrusive re-experience


2. avoidance symptoms


3. disruption of cognitive and mood


4. hyperarousal/hypervigilence symptoms

1. Intrusive Re-Experience

Flashbacks, nightmares, intrusive thoughts/emotions

2. Avoidance Symptoms

Stay away from reminders, feel emotionally numb

3. Disruption of Cognitive and Mood

Altered memories, negative emotions, no joy, distorted cognition

4. Hyperarousal/hypervigilence Symptoms

Startle easily, "on edge", sleep and anger problems

PTSD Environmental and Social Factors

-event characteristics (severity, duration, proximity)


-available social support


-women 2x risk


-poverty 2x risk

PTSD: Psychological Factors

-preexisting anxiety, depression, negative world view, distress


-coping styles (constructive vs. limited value)


-dissociation


-difficult childhood

PTSD: Biological Factors

-brains of those with PTSD do seem more reactive to emotional stimuli and less able to settle


-early traumas may lead to changes in system that increase risk


-genetics: MZ twins higher concordance rate than DZ twins

Treatment Goals for PTSD

1. end lingering stress reactions


2. gain perspective on painful experiences


3. return to constructive/productive living

PTSD: Treatment Methods

-combination of techniques is best and individualized


-exposure to extinguish


-challenge distorted cognitions


-stress management


-medication


-support


-group therapy

What is Dissociative Disorders?

Absence of wholeness/integration


-pieces missing or inaccessible at any given time (memory, identity)


-not due to injury or disease


-have a psychogenic cause

What is Dissociative Amnesia?

sudden loss of (upsetting) personal information (memories)


-too much/too significant to be normal forgetting


-identity stays intact - know who you are just lose an event

Dissociative Amnesia- Localized

-most common type


-just lose an event and surrounding period


-identity still intact, bulk of memory is still intact, just cannot access a certain event and surround info

Dissociative Amnesia- Selective

-second most common


-lose just parts of an event/time period


-remember some events during the time period but not all of them

Dissociative Amnesia- Generalized

-involves retrograde amnesia


-forget who they are in addition to the traumatic event


-lose additional personal information from before

Dissociative Fugue

-you lose your whole identity (past and current life details)


-but not general knowledge


-travel or wander (don't know anything about themselves)


-follows a stressor


-can last hours/days/years