PTSD
How is unspecified trauma and stressor-related disorder different from PTSD?
Does not meet full criteria or includes presentation in which there is insufficient information to make a more specific diagnosis (ex. in emergency room setting). - The DSM-5
Name the most common trauma symptom we see in children who "don't like talking about the trauma".
Avoidance
What are the three key themes related to trauma (hint: one is about control)
1. Lack of control
2. Lack of predictability
3. Sense of chaos
What does the P for PRAC stand for and why do you think it's important
Psychoeducation! Knowledge is power!
What is trauma
Bad things happening/happened --> impacts your ability to cope
What section is PTSD located at in the DSM-5?
The trauma and stress related disorder section
What are the four trauma symptoms clusters
Physical, behavioral, affective and cognitive
Don't call it a trigger, call it a:
Trauma reminder or thing that reminds you of the trauma
What is the primary goal of PRAC
Symptom reduction
How many questions are on the THQ
23
Name 2 other disorders (NOT PTSD) listed in the trauma and stressor related disorder section of the DSM-5
Reactive Attachment Disorder
Disinhibited social engagement disorder
Acute stess disorder
Adjustment Disorder
Other specific trauma and stress related disorder
List 8 physical trauma symptoms
SOB, shallow breathing, muscle tension, headaches, back aches, stomach aches, all the aches, fatigue, racing heart, sweating, shaking
What's the significance of asking clients what happened right before they became symptomatic
(ex. right before you had meltdown in your English class yesterday, what happened)
To teach our clients to identify trauma reminders
What are two goals in enhancing future safety and development
Enhance safety skills, problem solving skills, increase awareness, teach boundaries, confident body language and assertive communitcation
What does BHAG stand for
Big, hairy, audacious, goal
What are the two significant numbers to assess the extent of the trauma symptoms on the CPSS
11 + : clinically significant symptoms of trauma
15+ : likely meets the diagnostic criteria for PTSD
These five categories can be reminders of trauma
people
places
things
sounds
smells
situations
What does Carrie call the parents and clients when she models when she is talking to them
Oh dear parent, Oh dear kiddo
What goes after P.R.A.C. ? (ex. T.I.C.E.)
Trauma narrative development & processing
In vivo mastery of trauma reminders
Conjoint child-parent sessions
Enhancing future safety development
Name 2 types of trauma therapy modalities
EMDR, CPT, CBT, prolonged exposure therapy, Mindfulness informed trauma therapy
In the first cluster of the PTSD diagnostic criteria, it says that:
A. Exposure to actual or threatened death, serious injury or sexual violence in one or more of the following is a criteria for PTSD (Name the four):
1. Directly experiencing the traumatic event
2. Witnessing, in person the evet(s) as it ocurred to others.
3. Learning that the traumatic event(s) occured to a close family member or close friend.
4. Experiencing repeated or extremem exposure to aversive details of the traumatic event(s).
Name two marked alterations in arousal and reactivity associated with the traumatic events, beginning or worsening after the traumatic event occurred
1. Irritable behavior and angry outburst
2. Reckless or self destructive behavior
3. Hypervigilence
4. Exaggerated startle response
5. Problems with concentration
6.Sleep disturbance
What is one of Carrie's favorite recommendations to make to us
Read over the slides!
Name 3 common cognitive distortions themes client struggle with:
Self-blame, distrust, distorted self image, changed view of self, others and world, loss/betrayal
What does PICHO stand for?
Partnership for Improving Community Health Outcomes