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Unformatted text preview: ANXIETY DISORDERS : CHAPTER 6 POST TRAUMATIC STRESS DISORDER: PTSD Definition: Chronic anxiety in response to an identifiable trauma Types of trauma: natural disaster, accident, abuse, combat, loss of loved one Symptoms: 1. Re-experiencing (dreams & flashbacks) 2. Emotional numbing (detachment from emotions & relationships esp. after sexual abuse) 3. Hyper-vigilance(overly sensitive to surroundings and increased physical arousal Predictors & their theoretical basis: 1. Severity, Proximity, Duration (Big 3) 2. Social Support (High Levels of Support reduce Levels of Susceptibility) 3. Shattered Assumptions (Cognitive) (Must develop a new cognitive structure) 4. Coping Styles (Behavioral) (Positive coping style is less susceptible) 5. Physiological Reactivity (Biological) (Hyper-vigilance, startle factor, reactivity) 6. Genetic (Biological) (Family history of any anxiety disorder, vulnerability stress model) Treatment: Exposure Therapy: Recognized by the Center of PTSD as the most effective treatment 1. Expose client to emotions via imagery (Explain story) 2. Resolve emotional reactions (Discuss emotions) 3. Reduce post traumatic memories (Process and discuss) "The attempt to avoid and suppress memories is the major cause of PTSD" Cognitive Behavioral Therapy (CBT): Focus on changing thoughts and cognitions towards behavior and then work towards changing behavior. 1. Cognitive: Cognitive Reconstruction: Rebuild assumptions, challenge irrational thinking, identify unhealthy thoughts, restructure maladaptive thoughts like shattered assumptions (de- catastrophize, thought stopping) 2. Behavioral: Systematic Desensitization: Exposure to stimuli and triggers rather than the event as a whole Stress Management: 1. Problem Solving: Getting a job 2. Relaxation techniques: deep muscle relaxation Medication: No cure, only symptom relief. Anti anxiety and anti depression 1. Benzos: Slow down the CNS 2. Barbiturates: Risk for Iraq Veterans: 1. Perceived threat 2. Family Disruptions 3. Diverse Military 4. Sexual Assualt ACUTE STRESS DISORDER Definition: Chronic and immediate anxiety in response to a stressor Symptoms: 1. Hyper-vigilance(overly sensitive to surroundings and increased physical arousal) 2. Must be immediate (within weeks of the trauma) 3. The anxiety factor lasts for approximately 6 months 4. Generally in response to less severe or shorter durations of trauma Treatment: SEE PTSD, LESS SEVERE ADJUSTMENT DISORDER Definition: Emotional or depressive response to a trauma that is less severe than PTSD and ASD. Definition: Emotional or depressive response to a trauma that is less severe than PTSD and ASD....
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This note was uploaded on 05/11/2008 for the course PSY 2211 taught by Professor Chalk during the Spring '08 term at McDaniel.
- Spring '08
- Abnormal Psychology