PTSD
What are the 4 symptoms that must be present to be diagnosed with PTSD?
Intrusive thoughts
Avoidance
Hyperarousal
Mood and Cognition
This guilt is often experienced when a person has made it through some kind of traumatic event while others have not.
Survivors Guilt
All have some type of physical symptoms with no medical basis.
Somatic Symptom Disorders
When a person is in crisis is this a teachable moment?
No
During crisis we need to concentrate on making the patient comfortable to help reduce the crisis.
What is the first line medication to treat PTSD?
Paxil
Patient has no/mild somatic symptoms but remains preoccupied with having a medical illness?
Illness Anxiety Disorder
(hypochondriac)
To reduce re-traumatizing a person how could you rephrase the term "What is wrong with you?"
"What happened to you?"
This phrasing of the question sounds less harsh and doesn't sound like the person is at fault.
_________ is the capacity to withstand stress and catastrophe
Resilience
The inability to recall some or all of one’s past and either the loss of one’s identity or the formation of a new identity occur with sudden, unexpected, purposeful travel away from home.
Disociative Fugue
The patient has physical symptoms that have developed in response to severe emotional distress.
Conversion disorder
Functional Neurological Symptom Disorder
Relieves anxiety and helps ground the person in reality.
Self soothing
What are the three common occurrences of PTSD?
War, Disasters, and Abuse
At least two of these identities or personality states recurrently take control of the person’s behavior.
Dissociative Identity Disorder
A patient repeatedly visits her PCP self imposed illnesses and injuries. What disorder might this patient have?
Factitious Disorder
Improves concentration and grounds in here & now?
Sensory Stimulation
What group of people are prone to getting PTSD?
Veterans and first responders
This medication is used to control nightmares and flashbacks.
Prazosin/Minipress
Acts by decreasing the norepinephrine, creating a more stress-free sleep. Norepinephrine is related to a stress-filled state and hyper-arousal.
This medication can help with somatic pain.
Cymbalta-Duloxetine
It works by blocking the pain transmitters in the brain.
Extreme stress that overwhelms the person’s capacity
to cope.
Trauma