Mental Health Quiz 5
● PTSD is more Neurological rather than physical
Intervention Related to Trauma-Related Disorders in Children
● Stage 1: Establish trust and provide safety and stabilization
● Stage 2: Reduce arousal and regulate emotion through symptom
reduction
● Stage 3: Catch up on developmental and social skills; develop a value
system
● Interventions include:
○ Always Promote feelings - through art and play
○ Coordinate with multi disciplinary team
○ Involve caretakers in 1:1s, unless they are the cause of trauma
○ Eye movement desensitization and reprocessing (EMDR)
● Pharmacology include:
○ Methylphenidate (Ritalin)
■ Help with confrontation and attention
■ CNS
■ Use for ADHD patients
■ Administer last dose of the day before 4pm
■ Intermediate drug; Last for 6-8 hours and given 1-2 times
daily
■ Give it in the morning after breakfast
■ Teach patient who use transdermal medication to place patch on one
hip daily in the morning and leave it for no longer than 9 hours.
○ Sertraline (Zoloft), escitalopram (Lexapro)
■ Help stabilize mood and used for depression
■ Used on 6 years and older
○ Lorazepam (Ativan), alprazolam (Xanax)
■ Help with anxiety
Acute Stress Disorder (ASD)
● Immediately after a highly traumatic event
○ Feelings of Detachment
○ Anxiety
○ Irritability
○ Sleep disturbance
○ Anorexia
● Symptoms persist for 3 days
● Diagnosis made within a month
● After 1 month
○ When acute isn’t resolved, it becomes ptsd
○ People usually reexperiences past events
,Post Traumatic Stress Disorder (PTSD)
● Disturbed/disintegrated response to significant trauma
● Re-experiencing of trauma/traumatic event in the form of recollections,
nightmares, & ‘flashbacks’
○ Explain physical symptoms are R/T psychological state.**
○ Screen for depression
● People will have HYPERVIGILANCE!!!<---know this shit* for the exam
Categories of PTSD
● Acute: symptoms last less than 3 months.
● Chronic: symptoms last 3 months or more.
● Delayed onset: at least 6 months have elapsed between trauma and
the occurrence of symptoms
Treatment of PTSD
● SSRI to help Minimize flashbacks and nightmares
● Anti-anxiety to Decrease physiological arousal
● Sleep-aids for insomnia
● Individual/Group Psychotherapy
● Animal Therapy/Dog, etc.
● Interventions for a child with PTSD
○ Involve caretakers in 1:1’s, unless they are the cause of trauma
Trauma Related to Adult disorder
● Anger is an expected emotion
● Example of Positive adjustment
○ Friend die, and you learn to adjust to their death after a year
○ Husband and wife divorce and become friends after 2 years
Dissociative Disorders
● Mental disorders that involve experiencing a disconnection and lack of
continuity between thoughts, memories, surroundings, actions, and
identity
● Depersonalization
○ Focus on self
○ Feelings of detachment, dream like state, feeling of being
un real
, ○ If someone said I feel like flying away, as a nurse you want to get
the person to engage in physical activity to bring them back to
reality
○ Patient also tend to look at life through a mirror
○ Symptoms
■ Feeling that you’re outside observer of your thoughts,
feelings, your body
● “Floating in the air above yourself”
■ Feeling like a robot or that you’re not in control of your
speech or movements
■ The sense that your body, legs, or arms appear distorted,
enlarged or shrunken, or that your head is wrapped in a
cloud
■ Emotional or physical numbness or your senses or
responses to the world around you
■ A sense that your memories lack emotion or they may/may
not be your own memories
● Derealization disorder
○ Focus on the outside world
○ A feeling of being detached from one’s surroundings
○ Symptoms
■ Feelings of being alienated from or unfamiliar with your
surroundings
● “Like you’re living in a movie or a dream”
■ Feeling emotionally disconnected from people you care
about
● As if you were separated by glass
■ Surroundings appear distorted, blurry, colorless, two-
dimensional, or artificial, or heighten awareness and
clarity, of your surroundings
■ Distortions in perception of time
● Recent events feeling like a distant past
■ Distortion of distance and size and shape of objects
● Dissociative Amnesia
○ Inability to recall important personal information
○ Dissociative fugue
■ Subtype characterized by sudden, unexpected travel and
inability to recall one’s identity
● I cannot recall who I am, why I am living here, where
I am from.
● Forget previous life or returns to previous life and
forget the life while missing
● Dissociative Identity Disorder
● PTSD is more Neurological rather than physical
Intervention Related to Trauma-Related Disorders in Children
● Stage 1: Establish trust and provide safety and stabilization
● Stage 2: Reduce arousal and regulate emotion through symptom
reduction
● Stage 3: Catch up on developmental and social skills; develop a value
system
● Interventions include:
○ Always Promote feelings - through art and play
○ Coordinate with multi disciplinary team
○ Involve caretakers in 1:1s, unless they are the cause of trauma
○ Eye movement desensitization and reprocessing (EMDR)
● Pharmacology include:
○ Methylphenidate (Ritalin)
■ Help with confrontation and attention
■ CNS
■ Use for ADHD patients
■ Administer last dose of the day before 4pm
■ Intermediate drug; Last for 6-8 hours and given 1-2 times
daily
■ Give it in the morning after breakfast
■ Teach patient who use transdermal medication to place patch on one
hip daily in the morning and leave it for no longer than 9 hours.
○ Sertraline (Zoloft), escitalopram (Lexapro)
■ Help stabilize mood and used for depression
■ Used on 6 years and older
○ Lorazepam (Ativan), alprazolam (Xanax)
■ Help with anxiety
Acute Stress Disorder (ASD)
● Immediately after a highly traumatic event
○ Feelings of Detachment
○ Anxiety
○ Irritability
○ Sleep disturbance
○ Anorexia
● Symptoms persist for 3 days
● Diagnosis made within a month
● After 1 month
○ When acute isn’t resolved, it becomes ptsd
○ People usually reexperiences past events
,Post Traumatic Stress Disorder (PTSD)
● Disturbed/disintegrated response to significant trauma
● Re-experiencing of trauma/traumatic event in the form of recollections,
nightmares, & ‘flashbacks’
○ Explain physical symptoms are R/T psychological state.**
○ Screen for depression
● People will have HYPERVIGILANCE!!!<---know this shit* for the exam
Categories of PTSD
● Acute: symptoms last less than 3 months.
● Chronic: symptoms last 3 months or more.
● Delayed onset: at least 6 months have elapsed between trauma and
the occurrence of symptoms
Treatment of PTSD
● SSRI to help Minimize flashbacks and nightmares
● Anti-anxiety to Decrease physiological arousal
● Sleep-aids for insomnia
● Individual/Group Psychotherapy
● Animal Therapy/Dog, etc.
● Interventions for a child with PTSD
○ Involve caretakers in 1:1’s, unless they are the cause of trauma
Trauma Related to Adult disorder
● Anger is an expected emotion
● Example of Positive adjustment
○ Friend die, and you learn to adjust to their death after a year
○ Husband and wife divorce and become friends after 2 years
Dissociative Disorders
● Mental disorders that involve experiencing a disconnection and lack of
continuity between thoughts, memories, surroundings, actions, and
identity
● Depersonalization
○ Focus on self
○ Feelings of detachment, dream like state, feeling of being
un real
, ○ If someone said I feel like flying away, as a nurse you want to get
the person to engage in physical activity to bring them back to
reality
○ Patient also tend to look at life through a mirror
○ Symptoms
■ Feeling that you’re outside observer of your thoughts,
feelings, your body
● “Floating in the air above yourself”
■ Feeling like a robot or that you’re not in control of your
speech or movements
■ The sense that your body, legs, or arms appear distorted,
enlarged or shrunken, or that your head is wrapped in a
cloud
■ Emotional or physical numbness or your senses or
responses to the world around you
■ A sense that your memories lack emotion or they may/may
not be your own memories
● Derealization disorder
○ Focus on the outside world
○ A feeling of being detached from one’s surroundings
○ Symptoms
■ Feelings of being alienated from or unfamiliar with your
surroundings
● “Like you’re living in a movie or a dream”
■ Feeling emotionally disconnected from people you care
about
● As if you were separated by glass
■ Surroundings appear distorted, blurry, colorless, two-
dimensional, or artificial, or heighten awareness and
clarity, of your surroundings
■ Distortions in perception of time
● Recent events feeling like a distant past
■ Distortion of distance and size and shape of objects
● Dissociative Amnesia
○ Inability to recall important personal information
○ Dissociative fugue
■ Subtype characterized by sudden, unexpected travel and
inability to recall one’s identity
● I cannot recall who I am, why I am living here, where
I am from.
● Forget previous life or returns to previous life and
forget the life while missing
● Dissociative Identity Disorder
