VERIFIED 16, MARYVILLE 663 EXAM QUESTIONS AND
ANSWERS
pharmacologic agents for PTSD
med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with
some success and mixed results
PTSD frequent comorbidity
depressive disorder, anxiety disorders, and behavioral problems associated with
______________
sertraline and paroxetine
that __________and ______________ are approved by the Food and Drug
Administration (FDA) in the treatment of PTSD in adults, there is scant evidence to
support its use for the core symptoms of PTSD in youth
Risperidone and aripiprazole
FDA approval for use in children and adolescents with aggression, severe behavioral
dyscontrol, and severe psychiatric disorders
Antiadrenergic agents
treat dysregulation of the noradrenergic system in adults and youth with PTSD
clonidine and guanfacine
Alpha2-agonists examples
Alpha2 agonists
decrease norepinephrine release, such as, are
propranolol
centrally acting β-antagonists example
prazosin
α-1-antagonists example
propranolol use
hypothesized to improve hyperarousal and intrusive thoughts through attenuation of
norepinephrine postsynaptically
prazosin use
nightmares associated with trauma
Modify PTSD sx
, Off-label medications including antidepressants, atypical antipsychotics, adrenergic
modulators/sympatholytics, and anticonvulsants/mood stabilizers
clonidine and propanolol
nightmares and exaggerated startle response: some evidence in adults, but children
case report only
guanfacine and clonidine
__________ may reduce nightmares in children with PTSD and ____________may
diminish symptoms of reenactment of traumatic events in children
Mood-stabilizing agents
divalproex, carbamazepine, topiramate, and gabapentin have been utilized for adults
with PTSD with modest improvement; some
clonidine with dosage ranges of 0.05 to 0.1 mg twice daily
may provide some relief for the symptoms of hyperarousal, impulsivity, and agitation in
young children with PTSD; in children some evidence
benzodiazepines
no controlled trials supporting use in children
Trauma-Focused CBT
10-16 treatment sessions, including 9 components itemized in the acronym PRACTICE
PRACTICE elements
Psychoeducation on typical reactions to PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with reminders
Conjoint Child-Parent Sessions- this component may involve several sessions in which
the child and parent share their understanding
Enhancing future safety-family changes
EMDR
ANSWERS
pharmacologic agents for PTSD
med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with
some success and mixed results
PTSD frequent comorbidity
depressive disorder, anxiety disorders, and behavioral problems associated with
______________
sertraline and paroxetine
that __________and ______________ are approved by the Food and Drug
Administration (FDA) in the treatment of PTSD in adults, there is scant evidence to
support its use for the core symptoms of PTSD in youth
Risperidone and aripiprazole
FDA approval for use in children and adolescents with aggression, severe behavioral
dyscontrol, and severe psychiatric disorders
Antiadrenergic agents
treat dysregulation of the noradrenergic system in adults and youth with PTSD
clonidine and guanfacine
Alpha2-agonists examples
Alpha2 agonists
decrease norepinephrine release, such as, are
propranolol
centrally acting β-antagonists example
prazosin
α-1-antagonists example
propranolol use
hypothesized to improve hyperarousal and intrusive thoughts through attenuation of
norepinephrine postsynaptically
prazosin use
nightmares associated with trauma
Modify PTSD sx
, Off-label medications including antidepressants, atypical antipsychotics, adrenergic
modulators/sympatholytics, and anticonvulsants/mood stabilizers
clonidine and propanolol
nightmares and exaggerated startle response: some evidence in adults, but children
case report only
guanfacine and clonidine
__________ may reduce nightmares in children with PTSD and ____________may
diminish symptoms of reenactment of traumatic events in children
Mood-stabilizing agents
divalproex, carbamazepine, topiramate, and gabapentin have been utilized for adults
with PTSD with modest improvement; some
clonidine with dosage ranges of 0.05 to 0.1 mg twice daily
may provide some relief for the symptoms of hyperarousal, impulsivity, and agitation in
young children with PTSD; in children some evidence
benzodiazepines
no controlled trials supporting use in children
Trauma-Focused CBT
10-16 treatment sessions, including 9 components itemized in the acronym PRACTICE
PRACTICE elements
Psychoeducation on typical reactions to PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with reminders
Conjoint Child-Parent Sessions- this component may involve several sessions in which
the child and parent share their understanding
Enhancing future safety-family changes
EMDR
