trauma, ptsd, depersonalization, dissociation

Disinhibited Social Engagement Disorder (DSED)

bad judgement with sociability, lack of boundaries

Nursing care for Disinhibited Social Engagement Disorder (3)

structured environment, caregiver bonding, trauma informed care

PTSD in children and adolescents symptoms (5)

intrusive memories, nightmares, hypervigilance, avoidance, emotional dysregulation

PTSD in children and adolescents risk factors (3)

abuse, neglect, violence exposure

Etiology of PTSD in children and adolescents

HPA axis dysregulation, brain structure changes

the neurobiological changes in trauma of a hyperactive amygdala can cause?

heightened fear response

the neurobiological changes in trauma of a reduced hippocampal volume can cause?

memory and emotional regulation issues

the neurobiological changes in trauma of a HPA axis dysregulation can cause?

abnormal stress responses

the neurobiological changes in trauma of a decreased prefrontal cortex activity can cause?

impaired executive function

the neurobiological changes in trauma of a neurotransmitter alterations can cause?

affects mood and anxiety

treatment for PTSD in children and adolescents what med is FDA approved and used?

SSRI fluoxetine (Prozac)

what therapies are used for treatment of PTSD in children and adolescents? and what comorbidities can result of untreated PTSD?

CBT, EMDR, substance use or depression

PTSD in adults symptoms (5)

intrusive thoughts, flashbacks, avoidance, emotional numbness, hyperarousal

PTSD in adults most common risk factor and others (3)

military combat is most common, sexual assault, and severe accidents

PTSD is most common in?

women

assessment for adults with PTSD (2)

trauma exposure and symptom severity

interventions for PTSD in adults (4)

emotional safety, CBT, EMDR, medication adherence

what meds are used for PTSD treatment in adults

SSRIs sertraline, paroxetine, and antihypertensive prazosin for nightmares

Therapy used in adults with PTSD (3)

CBT, EMDR, prolonged exposure therapy

acute stress disorder symptoms (5)

dissociation, emotional numbing, intrusive thoughts, hyperarousal, avoidance

What is the difference between ASD and PTSD?

ASD lasts up to 30 days, once 30 days has passed and symptoms persist it is categorized as PTSD

treatment for ASD (3)

brief CBT, stress management, short term meds

adjustment disorder symptoms (3)

anxiety, depression, social withdrawal

common triggers in adjustment disorder (4)

life changes like divorce, job loss, bereavement

Risk factors for adjustment disorder (3)

poor support, pre existing conditions, recurrent stress

what is the difference between PTSD and adjustment disorder?

adjustment disorder is triggered by major life changes rather than trauma

dissociative amnesia

memory loss due to psychological trauma NOT head trauma

what does a patient with dissociative amnesia most likely to exhibit?

the inability to recall important personal information (name, marital status, job, home address, traumatic events)

depersonalization/derealization is?

feeling detached from self or surroundings

depersonalization/ derealization treatment? (3)

psychotherapy, trauma processing, coping strategies

dissociative Identity disorder symptoms (3)

multiple personality states, amnesia, identity confusion

DID Ego and Alter ego differences?

The ego is the main person while the alter egos is the other personalities. The ego is unaware of the alter egos presence. DID is to protect the ego

Hallmark symptom of dissociative identity disorder?

recurrent unexplained memory gaps from disruption of identity

Risk factors for DID (2)

severe childhood trauma, lack of secure attachment

DID comorbidities? (3)

PTSD, depression, anxiety

assessment DID (3)

identity disruptions, memory lapses, trauma history

Treatment meds for DID (2)

SSRIs for mood stabilization, antipsychotics for dissociative symptoms

Therapy treatment for DID (3)

trauma focused therapy (CPT, DBT), bring the egos together