NR607 Week 6 Questions and Correct
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Graded
Dissociative disorders
Ans: -repeated discontinuity or disruption of the normal integration of
consciousness, memory, identity, emotion, perception, body
representation, motor control, and behavior
-characterized by dissociative symptoms that occur as an adaptive
defense response to trauma
-may impede various elements of psychological functioning, such as
consciousness, memory, emotion, identity, & motor control
-Stigma may hinder tx
• myths about the existence & validity of these disorders
-primary considerations: Safety & social problems
crucial to managing dissociative responses:
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Ans: -Trauma-informed care
-Dissociation-specific psychotherapy
Somatic symptoms or psychophysiological disorders
Ans: -challenging to dx & treat
-characterized by physical symptoms or dysfunction linked to
psychological factors or emotional stress
-Psychotherapies such as CBT & stress management
• important to reduce symptom burden & promote health
How the nervous system responds to trauma
Ans: Flee
Fight
Freeze
Collapse
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Freeze vs Shutdown
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Ans: Freeze
-HYPERaroused
-muscles tense & full of energy, but can't release it
-similar levels of sympathetic & parasympathetic activation
-Increased HR/BP
-client might say, "I feel stuck," "I can't move," or "I feel like I am encased in
cement."
-Eyes widen
-body is ready to return to fight/flight as soon as the threat passes
Shutdown
-HYPOaroused
-muscles flaccid & loose
-parasympathic nervous system is dominant
-Decreased HR/BP/temp
-client may not be able to speak at all