Dx|Trauma-Related Disorders, Acute Stress Disorder, Posttraumatic
Stress Disorder, PTSD, Dissociative Disorders, Dissociative Identity
Disorder, Depersonalization Disorder, Derealization Disorder,
Dissociative Amnesia, Dissociative Fugue, Trauma, Flashbacks,
Nightmares, Hyper-arousal, Avoidance, Intrusive Thoughts, Negative
Mood, Dissociation, Childhood Abuse, Sexual Assault, Combat Trauma,
CBT, Prolonged Exposure Therapy, Cognitive Processing Therapy,
EMDR, Grounding Techniques, Psychopharmacology, SSRIs, Prazosin,
Clonidine, Antipsychotics, Suicide Risk, Trust, Safety, Coping Skills,
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Trauma-Related Disordersin Adults
Acute stress disorder (ASD) & posttraumatic stress disorder (PTSD) are differentiated by time: l month
The event threatens the self and overwhelms one's usual coping strategies
Examples include childhood physical abuse, torture/kidnap, military combat, sexual assault, natural
disasters, crime-related events, a diagnosis of a severe illness, or witnessing another's trauma
PTSD
¢PTSD can be unrecognized for years
¢Denial, repression, suppression common
¢Clients with PTSD at high risk for suicide
, Risk Factors in developing PTSD
¢One's age
¢Female gender= 10%, male = 4%
¢Family history of psychiatric illness
¢Lower educational level
¢Protective factors: Solid social support system, good premorbid psychiatric and physical health, rapid
onset of symptoms
20% - military vets, 55-95% -women in sub. use tx
Comorbidities associated with PTSD
¢Cardiovascular disease
¢Cancer, diabetes, obesity, hypertension, GI disorders
¢Psychiatric comorbidities are depression, anxiety, substance use disorders
¢Difficulty with interpersonal, social and job relationships
¢TBI
¢Suicide
Major Features: PTSD
1.Re-experiencing the trauma - nightmares, intrusive thoughts, flashbacks, in which event is relived
2. Avoidance of people, places, things that evoke memory of trauma
3.Increased arousal, hyper-vigilance (tense and on guard), irritable, exaggerated startle response,
trouble sleeping, difficulty concentrating
4.Persistent negative alterations in cognitions and mood - feelings of detachment and distorted
cognitions about themselves
TRAUMA acronym for PTSD