TRAUMA BASICS
What is the defining feature shared by all Trauma- and Stressor-Related Disorders?
Exposure to a traumatic or stressful event.
What is the minimum duration of symptoms for PTSD?
More than 1 month.
How soon after trauma can ASD be diagnosed?
As early as 3 days
Which attachment disorder involves withdrawn, emotionally inhibited behavior?
Reactive Attachment Disorder (RAD)
Do Adjustment Disorders require a life-threatening stressor?
No
Name two emotional responses commonly seen after trauma according to DSM-5-TR.
Fear, horror, guilt, shame, anger.
Which PTSD symptom cluster includes irritability, reckless behavior, and hypervigilance?
Arousal/reactivity
What is the maximum duration of ASD symptoms?
1 month
Children with DSED display what characteristic behavior toward unfamiliar adults?
Overly familiar, indiscriminate social approach
The time frame within which symptoms must begin after an identifiable stressor.
Within 3 months
Which symptom cluster involves repetitive, involuntary distressing memories?
Intrusive reexperiencing.
What specifier applies when a client feels detached from their body during flashbacks?
With dissociative symptoms (depersonalization).
Name any one symptom cluster shared by both ASD and PTSD.
Intrusion, negative mood, dissociation, avoidance, arousal
What is the common cause of both RAD and DSED?
Severe social neglect or inconsistent caregiving
True or False: Adjustment Disorders require a life-threatening stressor.
False
True or False: Trauma-related symptoms always emerge immediately after the event.
False — they can be delayed.
A client experiences a traumatic event but only meets full PTSD criteria after 8 months. What specifier applies?
With delayed expression
Early intervention approach for ASD
Psychoeducation and early supportive therapy
A child becomes overly attached even with a stranger. Which disorder fits better?
Disinhibited Social Engagement Disorder (DSED)
Maximum duration after stressor ends for an Adjustment Disorder to resolve.
6 months
A first responder repeatedly exposed to details of child abuse develops nightmares. What kind of trauma exposure is this?
Repeated or extreme exposure to aversive details of trauma (criterion A4).
A survivor avoids thoughts about the trauma and avoids going near the place where it happened. How many avoidance symptoms does DSM-5-TR require for PTSD?
One or more (either internal or external reminders)
A risk if ASD is untreated in the weeks following trauma.
Development of PTSD
Why might children with DSED struggle forming stable relationships later in life?
Early neglect leads to impaired social boundaries and poor attachment, impacting future relational functioning.
Key difference between Adjustment Disorder and PTSD.
Stressor can be ordinary and less severe; PTSD requires exposure to trauma