Background
PTSD was added to the Diagnostic and Statistical Manual of Mental Disorders in this year
1980
True/False: PTSD can only occur in those that served in the military
False
Physical symptoms include:
fatigue, nausea, muscle tremors, twitches, chest pain, difficulty breathing, elevated blood pressure, rapid heart rate, thirst, visual difficulties, vomiting, grinding of teeth, weakness, dizziness, profuse sweating, chills shock symptoms, and fainting.
Name a class of first-line PTSD medications
SSRI or SNRI
First line medications for PTSD are also first line medications for which disease state
Depression/anxiety/etc
Traumatic event
Having a lack of social support would be considered this type of risk factor
Post-traumatic
Arousal and reactivity symptoms include
Being easily startled
Feeling tense or “on edge”
Having difficulty sleeping
Having angry outburst
This alpha-2 agonist can be helpful for PTSD symptoms
Clonidine
A veteran with chronic pain may benefit from use of this SNRI for PTSD treatment
Venlafaxine
A person that experiences a traumatic event will have a better or worse ability to cope
Worse
The risk of suicide is increased by how much in those with PTSD
6x
Emotional and behavioral symptoms include
anxiety, guilt, grief, panic,fear, uncertainty, loss of emotional control, depression, irritability, apprehension,change in activity, change in speech patterns, withdrawal, outbursts, suspiciousness, loss or increase of appetite, alcohol consumption, etc.
This SSRI/SNRI is considered the best option in pregnancy and lactation
Sertraline
Symptoms of a manic episode in bipolar disorder may look like this PTSD symptom domain
Reactivity
Psychological variables, biological variables, and traumatic events make up which PTSD model
Triple Vulnerability Model
A white male would be ____ likely to develop PTSD compared to a black female.
Less
Dissociative reactions, where the individual feels or acts as if the traumatic event were recurring.
flashbacks
A patient may have to wait this long until they see a medication effect
4-6 weeks
An individual with PTSD who experiences headache, nausea, and sensitivity to light may have this condition
TBI
A solider the returns from war might be said to have this instead of PTSD
Shell shock, combat fatigue
This is a risk factor for PTSD and can also be a coping mechanism for PTSD symptoms
Substance use
A person with difficulty sleeping could have symptoms from which two symptom domains
Intrusion (dreams about event causing sleep disturbance) and reactivity (disrupts sleep due to being on-edge)
A patient trials fluoxetine 20mg for 4 weeks. Is this considered an adequate medication trial?
No
True/False: A patient with an active SUD and PTSD should not receive treatment for their PTSD.
False