Solutions
defense mechanism:
overthinking challanging situations to avoid dealing with
emotions it ellicits
Intellectualization
defense mechanism:
placing own values, motives, situation responses and personality
traits to another person
projection
defense mechanism:
explaining own actions to enhance own self-image
Rationalization
defense mechanism:
reverting to earler development behaviors when challenged by
thoughts/ stressors
regression
defense mechanism:
blocking unacceptable thoughts and feelings from consiousness
repression
defense mechanism:
responding to negative thoughts/ feelings by doing the opposite
reaction formation
, defense mechanism:
redirecting unacceptable impulses into socially acceptable
activities
sublimation
Autonomic Nervous system (ANS)- two modes
fight or flight
rest/ digest
Flight or flight:
survival mechanism to meet threat/ stress
release of epinephrine and norepinephrine
increase blood flow to brain
increase HR, BP, RR
Rest & digest:
connect CNS to limbs, organs- relay between brain & spinal
cord
Assessments involing stress/anxiety
cultural competence is essential
identify pt ability to problem solve
use open ended questions
verbalize of suicidal ideation or plan must be taken seriosuly
not all stressors are the same
check all systems for physical signs of stress
DO NOT leave pt alone
this stress disorder:
occurs after traumatic event outside rane of normal human