Psychotherapy: 125b/126b - Trauma and PTSD + Patient

There is excess regulation

• PTSD patients have abnormally low p...

• Onset in the first month following trauma

• Predicts later development o...

• Psychotherapy
  

  • Cognitive processing

  • What is the treatment for acute stress disorder?

    Cognitive behavioral therapy

    • Decrease symptom severity

    • What is the role of benzodiazepines in the treatment of PTSD?

      There is none!

      Don’t give them!!

    What is psychogenic amnesia?

    • Retrograde amnesia
      

      • Cannot recall own identity - “fugue state”

    List 3 neurobiologic changes of PTSD

    • Excess regulation of the HPA axis -> low plasma cortisol

    • What syptom differentates acute stress disorder from PTSD?

      People with ASD may experience an altered sense of reality of ones surroundings or self

    How can PTSD be prevented?

    By preventing trauma

    (Unfortuantely, after the traumatic event no evidence-based treatm...

    Describe the natural course of PTSD

    • Onset may be delayed by deckads

    • Prognossis is good for may patients

    View all 10 terms

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    Psychotherapy: 125b/126b - Trauma and PTSD + Patient

    Term	Definition
    How does regulation of the hypothalamic-pituitary-adrenal axis change in PTSD?	There is excess regulation PTSD patients have abnormally low plasma cortisol levels Increased cortisol suppression during a dexamethasone suppression test
    What defines acute stress disorder?	Onset in the first month following trauma Predicts later development of PTSD Diagnosis requires symptoms of Distressing memories, dreams, reactions, phsyiological response Efforts to avoid ^ Inability to experience positive emotions Altered sense of reality Sleep disturbance, hypervigilence, problems concentrating (Many listed to define diagnosis, these are general patterns - not diagnostic)
    How is PTSD treated?	Psychotherapy Cognitive processing Prolonged exposure Medications SSRI, SNRI, or TCA Prazosin Can help with nightmares Do not give benzos
    What is the treatment for acute stress disorder?	Cognitive behavioral therapy Decrease symptom severity Decrease rates of conversion to PTSD
    What is the role of benzodiazepines in the treatment of PTSD?	There is none! Don’t give them!!
    What is psychogenic amnesia?	Retrograde amnesia Cannot recall own identity - “fugue state” Prognosis is good If the individual manages to avoid being framed for crimes he did’t commit
    List 3 neurobiologic changes of PTSD	Excess regulation of the HPA axis -> low plasma cortisol Decreased activity in anterior cingulate, ventromedial prefontal cortex -> Dysregulation of amygdala (goes into overdrive) Decreased hippocampal volume ​An effect of PTSD and a factor that predisposes people to PTSD
    What syptom differentates acute stress disorder from PTSD?	People with ASD may experience an altered sense of reality of ones surroundings or self
    How can PTSD be prevented?	By preventing trauma (Unfortuantely, after the traumatic event no evidence-based treatment to prevent onset of PTSD) But if a person has acute stress disorder after trauma, CBT can reduce rates of conversion to PTSD
    Describe the natural course of PTSD	Onset may be delayed by deckads Prognossis is good for may patients Only 10% experience no change or worsening