(Main lecture): Post-traumatic stress disorder

33 important questions on (Main lecture): Post-traumatic stress disorder

What are the consequences of trauma according to the note on PTSD?

- Persistence of reaction causes the disorder, not the reaction itself.
- Dissociation is a natural response to trauma.
- Often associated with avoidance behaviors.

What can childhood trauma lead to in terms of brain function and life experiences?

- Increases likelihood of experiencing traumatic events later in life.
- Results in less impulse control.
- Makes it harder to discern safe from unsafe people.

What category does PTSD fall under according to the DSM-5?

- Classified as a Trauma and Stressor-Related Disorder.
- Not categorized as an anxiety disorder.
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What are the possible symptoms of psychotrauma as shown in the diagram?

- Affect dysregulation, dissociation, avoidance.
- Re-experiencing, over-arousal, change of personality.
- Depression, substance misuse, somatization.
- Compulsions, anxiety.

What role does biology play with trauma?

- Biology impacts reaction to trauma.
- Affects prolonged trauma experiences.
- Influences trauma during youth.

What are the key features of PTSD according to the provided material?

- Sexual violation
- Re-experiences such as nightmares and flashbacks
- Avoidance behaviors
- Negative alterations in cognitions and mood
- Marked alterations in arousal and reactivity

What distinguishes A-criteria trauma events from non-A-criteria events in relation to PTSD?

- A-criteria events may lead to memory-based therapies; involve flashbacks.
- Non-A-criteria events are typically associated with cognitive rumination; schema-focused therapy and cognitive techniques.

What is the prevalence of PTSD in children, and how does it differ between genders and in different situations?

- 15-43% of children experience a traumatic event; 3-15% of girls and 1-6% of boys develop PTSD.
- Rates differ among at-risk children and are higher when the trauma is more severe or personal.
- Girls are more susceptible to developing PTSD due to being more at-risk for personalized crimes.

How does EMDR therapy work in treating trauma?

- Instills worst memory
- Focuses on worst moment of trauma
- Uses bilateral eye movements
- Keeps executive functioning busy

Does trauma always lead to PTSD, and what are the implications of repeated trauma in childhood?

- Trauma does not necessarily lead to PTSD; it may precede other disorders.
- Repeated trauma in childhood can increase the risk of various disorders.

What insights can be drawn from the first graph regarding the lifetime prevalence of PTSD in different countries?

- Lifetime PTSD prevalence varies by country.
- Rates range from below 1% to over 9%, with Canada having the highest rate.

How is treatment for children with PTSD different from adults?

- Involves writing about trauma
- Making a book out of it
- Involves drawings by another person

What does the second graph illustrate about the patterns of PTSD symptoms over time?

- Patterns of PTSD symptoms can include resilient, recovery, chronic, and delayed onset responses.
- Symptom levels and duration vary widely among individuals.

How does trauma experienced after activating the visuospatial sketchpad impact the development of trauma?

- Will not develop trauma
- Brain reaction varies

Why does verbal abuse not typically get defined as trauma according to the information?

- Brain doesn't enter "life and death" state
- Different reaction compared to physical violence

What is necessary for the brain to develop trauma according to the information provided?

- State of “life and death”
- Seen in physical violence situations

In EMDR therapy, how does the process of associating with what comes up work?

- Focus on associations
- Bilateral eye movements after

What is the emotional processing theory's concept of a trauma memory?

- Trauma memory is a 'fear-structure' with stimuli responses and meaning.
- It is generalized to many stimuli in relation to danger perception in PTSD.

How can the fear structure in PTSD be altered according to the theory?

- Activate the fear structure, such as by exposure to the traumatic memory.
- Introduce new corrective information that challenges harm expectancy.

What are the types of trauma based on duration and cause?

- Type I-Trauma (Short-Term): Accidents, fires
- Type II-Trauma (Long-Term): Floods, earthquakes
- Interpersonal Trauma (Man-Made): Sexual attacks, rape, mugging, knife attacks

What is noted about the nature of memory in relation to truth?

- Memory is often a variation of the truth, not entirely accurate.
- Each reconsolidated memory feels like the "true" version.

How can one change the meaning of a trigger in PTSD treatment?

- Activate the traumatic memory, allowing for reconsolidation and alteration.
- This process is sometimes facilitated by drugs.

What does the diagram depict regarding trauma memory?

- The diagram represents how different concepts like "Men," "Glasses," and "Gun" are linked to "Dangerous."

What are some main disturbed cognitions in PTSD that therapists aim to address?

- World is a dangerous place
- Feeling weak because of trauma/symptoms

Why is avoidance of the traumatic memory common in individuals with PTSD?

- Avoidance is part of PTSD cycle
- Avoid thinking about trauma
- Fear of shattered worldview and trust issues

What is the primary choice for treating PTSD?

- Trauma-focused treatment
- Includes EMDR and exposure therapy (in vivo and imaginal)

How often does PTSD occur after nature catastrophes like fires as per the provided information?

In 5 percent of cases after nature catastrophes like fires.

What is the purpose of exposure therapy in treating PTSD?

- Enable individuals to live their life again
- Reduce avoidance behaviors
- Change harmful expectancies through exposure

What is the percentage range for the occurrence of PTSD after being a witness of accidents or crimes?

2 to 7 percent of cases after being a witness of accidents or crimes.

What type of cognitive information is provided during PTSD treatment to change harmful expectancies?

- New cognitive information is added
- Examples: "I can manage my memories", "I am not going crazy"

Why is exposure to avoided stimuli important in PTSD treatment?

- To reduce avoidance behaviors
- To face fears and traumatic memories directly

Which protective factors are identified for reducing PTSD/ASD risks?

- Education/intelligence
- Coping self-efficacy
- Social support
- Early effective intervention

How does prolonged exposure therapy help individuals with PTSD?

- Encourages vivid description of traumatic memories
- Focuses on sensory details and fear-inducing moments
- Facilitates changing harmful cognitive expectancies

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