TRAUMA AND STRESSOR-
RELATED DISORDERS
war
Assault
stress of daily life Trauma terrorist attacks
a natural disaster like
a flood, hurricane, or
tsunami
i
Normal life effective coping
adjustment disorder,
acute stress disorder
PTSD
Is Ineffective coping
Can’t managing stress and
emotions,
Can’t resuming the daily activities
dissociative disorder
experienced
i
witnessed
disturbing pattern of behavior been confronted with
a traumatic event
responded withi intense
fear, helplessness, or posed actual or threatened death or
terror. serious injury
Dreams Insomnia
reexperiencing the trauma
Flashbacks recurrent and
intrusive thoughts
PTSD Clinical Course Cues
avoidance Triggers Comfort, safety
heighten the Avoided feelings Isolation
50 % recover in 3 months
At any age ,childhood included , negative cognition or thoughts
ing
combat veterans
At risk victims of violence being on guard (hyperarrousal) How to escape ?
natural disasters
1/4 physical assault
70% rape victims insomnia irritability, angry outbursts
duration of the trauma
(highest )
proximity of the person to
the event
50 % recover in
3 months
3 months or more after trauma
For 1 month
Worse
Stressful periods
Develop Psychiatric disorders
is
depression
anxiety disorders
alcohol and drug abuse
Financial relationship work
mish
Related disorders
ish
Adjustment disorder reaction to a stressful event
Adjustment successful
adturns
From 1 m - 6m Coping problems
Moving to another diagnosis
reexperiencing
shims I
Acute stress disorder(ASD) after a avoidance
trauma hyperarousal
It can be a
Treatment 3 days to 4 weeks precursor to
Cognitive–behavioral therapy (CBT) PTSD
minimal social and
Counseling
for emotional responses to others,
or therapy, exposure anxiety management lacks a positive effect, may be
individually sad, irritable, or afraid for no
or in groups apparent reason.
Reactive attachment disorder (RAD)
t.int
hhmmd
before the age of 5 pathogenic trauma of child abuse
care or neglect,
disinhibited social engagement disorder
(DSED)
unselective socialization,
allowing or tolerating social
interaction with caregivers and
strangers alike. They lack the
hesitation in approaching or
talking to strangers evident
in most children their age
No causative
i
previously anxiety disorders
(trauma)
me_
Etiology
I
PTSD and acute stress
disorder occurs due to
Now Own category causative (trauma)
lack of social support,
peri-trauma dissociation,
previous psychiatric history
personality factors
Children
Adolescents develop PTSD More than Adults
s
suicide
0
risk substance abuse
poor social support
academic problems
poor physical health
m
y,
a n xiet
ia, selective serotonin
n s omn ous
al
reuptake
i r a r First generation
e
hyp (Most effective) inhibitor (SSRI)
serotonin and
Specific norepinephrine
to
Treatment Medication symptoms
reuptake inhibitor
second- generation
antipsychotic
I
(risperidone)
Second generation
Combination Benzodiazepines
(Evidence lack)
I mott
Back to the place
miss
Combat confronts the feared emotions,
CBT Exposure therapy
avoidance situations, and thoughts
Timmy
relaxation techniques Tolerate and manage anxiety
short-term
tnd
Adaptive disclosure i the
developed by
military therapy
says whatever he exposure
active-duty
I
g military personnel
or she needs to
say to anyone,
alive or dead Empty Chair
I
examining beliefs that
Cognitive processing therapy Interfere with life
reading aloud a “It was my fault,
worst guilt
written account I should have died with
traumatic experience self-blame
(Journaling) my friends
No one can be trusted
recognizing
Ntds
generalized thinking I
