NR605 Week 7
Study online at https://quizlet.com/_heooc6
1. Commonly used evi- -Trauma Resiliency Model (TRM)
dence-based psychothera- -eye movement desensitization and reprocessing (EMDR)
pies for the tx of trauma: -dialectical behavior therapy (DBT)
2. Trauma Resiliency Model -biologically based or bottom-up psychotherapy
(TRM) -helps support clients in processing acute or cumulative trauma
once preliminary stabilization skills have been learned
3. eye movement desensitiza- -bottom-up psychotherapy
tion and reprocessing (EMDR) -helps clients in accessing & processing traumatic memories
4. dialectical behavior therapy -cognitive or top-down approach
(DBT) -support self-regulation after trauma
5. Primate/Human Brain (Cor- -Responsible for: Higher mental functions
tex) -Core functions: Regulating attention, feelings, and desires,
complex reasoning, abstract thoughts, imagination, language,
empathy
-Basic "need": Connection and attachment to others
-When need is met: We feel LOVE
-When need is not met: We experience HEARTACHE
6. Mammalian Brain (Subcorti- might think of it as the little mouse part of the brain.
cal region) -Responsible for: Feelings and memory formation
-Core functions: Emotions, learning and memory, reward/moti-
vation
-Basic "need": Satisfaction and approaching rewards
-When need is met: We feel CONTENTMENT
-When need is not met: We experience FRUSTRATION
7. Reptilian Brain (Brain stem -Responsible for: Survival and maintenance
and cerebellum) -Core functions: Regulating heartbeat, breathing, and other vital
organs
, NR605 Week 7
Study online at https://quizlet.com/_heooc6
-Basic "need": Safety and avoiding harm
-When need is met: We feel PEACE
-When need is not met: We experience FEAR
8. Trauma -any incident or series of events that overwhelm an individual's
ability to cope
-What happens inside us as a result of what happens to us
-may be emotionally disturbing or life-threatening
-may have enduring effects on emotional, psychological, physi-
cal, and spiritual well-being
-70% of adults in U.S. report having had a traumatic experience
9. that at increased risk of expe- gay, lesbian, bisexual, transgender, people of color, low educa-
riencing a traumatic event tion & socioeconomic status
10. experiences that may be -physical, sexual, and emotional abuse
traumatic include: -childhood neglect
-living with someone with mental health or substance use disor-
ders
-a sudden separation from a loved one (death, divorce, separa-
tion)
-poverty
-racism, discrimination, and oppression
-violence in the community, war, or terrorism
-disasters, natural and man-made
-serious, invasive, distressing medical illness and procedures
11. Neurobiology of a Traumatic disrupts the limbic system, amygdala, orbitofrontal cortex, and
Event: anterior cingulate gyrus
-amygdala or "fear center" of the brain stores the physical impact
of negative emotions.
• interferes with the hippocampus, which is involved with the
recall of memory
, NR605 Week 7
Study online at https://quizlet.com/_heooc6
• causes the prefrontal cortex to function less effectively, and the
brain goes into survival mode
12. What happens in the brain -brain stem directly connected with the retina
during a potentially traumat- • retina sends visual info to the brain stem before higher levels
ic event of brain are aware of threat.
-predator moves closer, periaqueductal gray initiates a fight or
flight response
• activates the sympathetic nervous system
• Heart rate goes up. Blood flow to muscles increases. Blood
pressure increases. Pupils dilate
-person may enter the freeze response, or feigned death
• periaqueductal gray activates the parasympathetic nervous
system as well
• Muscles get tight and freeze. Both gaze and breath may freeze,
not a cognitive choice
-predator doesn't move away, the person may shutdown com-
pletely
• Heart rate drops. Respiratory rate drops. Some people stop
breathing. Muscles become limp. Metabolism shuts down. En-
dorphins released.
• state of "no pain". They are no longer aware of their surround-
ings
• During inescapable trauma
13. differences between the -Freeze
freeze and shutdown trauma • The client is HYPERaroused.
responses • The muscles are tense and full of energy, but can't release it.
• In this stage, there are similar levels of sympathetic and
parasympathetic activation.
• Increased heart rate/blood pressure.
• The client might say, "I feel stuck," "I can't move," or "I feel like
Study online at https://quizlet.com/_heooc6
1. Commonly used evi- -Trauma Resiliency Model (TRM)
dence-based psychothera- -eye movement desensitization and reprocessing (EMDR)
pies for the tx of trauma: -dialectical behavior therapy (DBT)
2. Trauma Resiliency Model -biologically based or bottom-up psychotherapy
(TRM) -helps support clients in processing acute or cumulative trauma
once preliminary stabilization skills have been learned
3. eye movement desensitiza- -bottom-up psychotherapy
tion and reprocessing (EMDR) -helps clients in accessing & processing traumatic memories
4. dialectical behavior therapy -cognitive or top-down approach
(DBT) -support self-regulation after trauma
5. Primate/Human Brain (Cor- -Responsible for: Higher mental functions
tex) -Core functions: Regulating attention, feelings, and desires,
complex reasoning, abstract thoughts, imagination, language,
empathy
-Basic "need": Connection and attachment to others
-When need is met: We feel LOVE
-When need is not met: We experience HEARTACHE
6. Mammalian Brain (Subcorti- might think of it as the little mouse part of the brain.
cal region) -Responsible for: Feelings and memory formation
-Core functions: Emotions, learning and memory, reward/moti-
vation
-Basic "need": Satisfaction and approaching rewards
-When need is met: We feel CONTENTMENT
-When need is not met: We experience FRUSTRATION
7. Reptilian Brain (Brain stem -Responsible for: Survival and maintenance
and cerebellum) -Core functions: Regulating heartbeat, breathing, and other vital
organs
, NR605 Week 7
Study online at https://quizlet.com/_heooc6
-Basic "need": Safety and avoiding harm
-When need is met: We feel PEACE
-When need is not met: We experience FEAR
8. Trauma -any incident or series of events that overwhelm an individual's
ability to cope
-What happens inside us as a result of what happens to us
-may be emotionally disturbing or life-threatening
-may have enduring effects on emotional, psychological, physi-
cal, and spiritual well-being
-70% of adults in U.S. report having had a traumatic experience
9. that at increased risk of expe- gay, lesbian, bisexual, transgender, people of color, low educa-
riencing a traumatic event tion & socioeconomic status
10. experiences that may be -physical, sexual, and emotional abuse
traumatic include: -childhood neglect
-living with someone with mental health or substance use disor-
ders
-a sudden separation from a loved one (death, divorce, separa-
tion)
-poverty
-racism, discrimination, and oppression
-violence in the community, war, or terrorism
-disasters, natural and man-made
-serious, invasive, distressing medical illness and procedures
11. Neurobiology of a Traumatic disrupts the limbic system, amygdala, orbitofrontal cortex, and
Event: anterior cingulate gyrus
-amygdala or "fear center" of the brain stores the physical impact
of negative emotions.
• interferes with the hippocampus, which is involved with the
recall of memory
, NR605 Week 7
Study online at https://quizlet.com/_heooc6
• causes the prefrontal cortex to function less effectively, and the
brain goes into survival mode
12. What happens in the brain -brain stem directly connected with the retina
during a potentially traumat- • retina sends visual info to the brain stem before higher levels
ic event of brain are aware of threat.
-predator moves closer, periaqueductal gray initiates a fight or
flight response
• activates the sympathetic nervous system
• Heart rate goes up. Blood flow to muscles increases. Blood
pressure increases. Pupils dilate
-person may enter the freeze response, or feigned death
• periaqueductal gray activates the parasympathetic nervous
system as well
• Muscles get tight and freeze. Both gaze and breath may freeze,
not a cognitive choice
-predator doesn't move away, the person may shutdown com-
pletely
• Heart rate drops. Respiratory rate drops. Some people stop
breathing. Muscles become limp. Metabolism shuts down. En-
dorphins released.
• state of "no pain". They are no longer aware of their surround-
ings
• During inescapable trauma
13. differences between the -Freeze
freeze and shutdown trauma • The client is HYPERaroused.
responses • The muscles are tense and full of energy, but can't release it.
• In this stage, there are similar levels of sympathetic and
parasympathetic activation.
• Increased heart rate/blood pressure.
• The client might say, "I feel stuck," "I can't move," or "I feel like
