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continuum
functional to dysfunctional is on a
objectively threatening or harmful situation
fear is a response to what
false
true/false - a fear response to threatening or harmful situations is abnormal
true
true/false - this feeling (fear and anxiety) will subside after the threat gone
patterns/adopt new behaviors
what can we change to confront or avoid threats
fear
an unpleasant feeling triggered by a perception of danger, real or imagined
anxiety
the intense, excessive, and persistent worry and fear surrounding everyday situations
anxiety
what is expressed by increased heart rate, rapid breathing, sweating, feeling tired
everyday life
anxiety is a fear that interferes with what
irritability and restlessness
in a fight, flight, or freeze response, it may be emotionally expressed with
cognitively/mentally
one is constantly on the look out for threats/danger (Fight, flight, or freeze)
behaviorally
one confronts (fights) the threat or escapes (fight) from it
anxiety
responses that remain in the absence of objective threat
Post traumatic stress disorder
what does PTSD stand for
traumas
consequences of experiencing extreme stressors
DSM 5
defines as events in which individuals are exposed to actual or threatened death, serious injury, or sexual violations
traumas
may be directly experienced, witnessed, learned about, experiences which are repeated, or extreme exposures
four
The diagnosis of PTSD requires the presence of _____ or more symptoms
PTSD symptoms
avoidance, intrusive thoughts, negative cognition and mood, hyperarousal
dissociative symptoms and delayed expression
what are 2 specifiers within PTSD
depersonalization
the persistent, recurring experiences of feeling detached from one’s body or mental processes.
Floating/Not feeling in control of what you say or do/Emotional numbness
Derealization
is the persistent, reoccurring experiences of feeling people and your surroundings are not real, like you're living in a movie or a dream.
Feeling emotionally disconnected from people you care about, as if you were separated by a glass wall
delayed expression
· Symptoms not present until 6 months after event
· Person seem unaffected by experience or event
traumas which could lead to PTSD
Natural disasters
2. Human made disasters
3. Work related
4. Sexual assault
5. war/military
6.Traumatic events
environmental and social factors
factors which influence PTSD
PTSD
Severity, duration, individuals' proximity to trauma and social support available can influence what
psychological factors
preexisting conditions increase the risk
PTSD
Gender and cross-cultural differences can influence what
6 other factors that influence PTSD
1. Cultural factors
2. Generational trauma and experiences
3. Personality – how we manage stress
4. Identity
a. Sense of self, coping skills, self-esteem, perceived acceptance
Roles within a family or culture
acute stress disorder
Response to trauma diagnosed when symptoms arise within 1 month of exposure to the stressor and last no more than 4 weeks
true
true/false - dissociative symptoms are common in acute stress disorder
acute stress disorder
· Short term response to trauma
· High risk for continues symptoms
adjustment disorders
Emotional and behavioral symptoms that arise within 3 months of the experience of a stressor
no
do adjustment disorders meet criteria for PTSD, acute stress disorder, or an anxiety or mood disorder
reactive attachment disorder
result of severe neglect, abuse, and maltreatment
emotional attachments
people with reactive attachment disorder have difficultly forming what to others
reactive attachment disorder
interpersonal dysfunction is part of what disorder
extinguish that fear
We expose clients with PTSD to what they fear to
distorted thoughts
We challenge what is people diagnosed with PTSD to help treat it
cognitive behavioral therapy
What does CBT stand for
treatments for PTSD
· CBT
· Learned relaxation
· Exposing clients to what they fear
· Systemic desensitization is a controlled exposure
· Challenge distorted cognitions
· Reduction of stress
selective serotonin reuptake inhibitors; PTSD
SSRIs stand for what; what do they help treat