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Pile Management Card
PTSD
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Types of PTSD: Acute v. Chronic
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>>Know Acute v. Chronic<<
Acute - duration is less than 3 months.
Chronic - duration is more than 3 months; 2 onsets. 1. Acute onset - recently occurred event. 2. Delayed onset - symptoms occurred at least 6 months after the event.
Lenore Terr: Single event is less traumatizing than recurring events.
The earlier the age, the worse the PTSD.
(L7, P5)
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>>Know a few symptoms<<
1. Persistent re-experiencing of the trauma (E.g. recurring nightmares regarding the trauma, "flashbacks"). 2. Increased arousal (E.g. sleep disturbances, hypervigilance, startle response, irritability). 3. Transient psychotic symptoms (E.g. illusions, hallucinations) 4. Avoidance (E.g. avoid discussion of traumatic events, general social withdrawal). 5. Numbing (E.g. feelings of emptiness, clouding of consciousness, feelings of detachment). 6. Associated features (E.g. major depression, panic attacks, substance abuse).
(L7, P4)
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PTSD: Medications & The Symptoms Addressed
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>>Know which medications work for which symptoms<<
Antidepressants - intrusive thoughts, numbing, avoidance, hyperarousal, depression, & panic attacks
Benzodiazepines & Anticonvulsants - hyperarousal
Atypical antipsychotics - treatment resistant
Antipsychotics (low dose) - transient psychosis
(L7, P5)
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1. Psychotherapy (i.e. exposure-based cognitive therapy) 2. Antidepressants 3. Benzodiazepines & Anticonvulsants 4. Atypical antipsychotics 5. Antipsychotics
(L7, P5)
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Traumatic experience is causing/threatening injury/death of oneself or others.
Response is fear, horror, or helplessness.
Disorder develops with the trauma being re-experienced through memories, recurrent thoughts or flashbacks, and/or intense physical and emotional responses [e.g. sweating].
(L7, P4)
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