Abnormal Psychology: PTSD
Abnormal Psychology: PTSD PSY 3003
Arkansas Tech University
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This 4 page Class Notes was uploaded by Mackayla Notetaker on Monday February 22, 2016. The Class Notes belongs to PSY 3003 at Arkansas Tech University taught by Willbanks in Fall 2016. Since its upload, it has received 24 views. For similar materials see Abnormal Psychology in Psychlogy at Arkansas Tech University.
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Date Created: 02/22/16
PTSD 1. Traumatic. Obvious 2. Clinical Description a. Trauma exposure i. Directly experiencing (Ex. Being raped) ii. Witnessing (Ex. Seeing someone die) iii. Learning about event; violent or accidental iv. Repeated exposure to events (first responders, emts, etc.) v. Exposure through electronic media, does NOT apply 3. One month duration a. Acute stress disorder (Brief reaction to trauma) 4. DSM Criteria a. B. Intrusion (1+) i. Recurrent, involuntary memories ii. Dreams iii. Dissociative reactions; flashbacks iv. Distress at cues (Could be anything. Ex. If you were raped next to a garden, the smell of flowers could set you off.) v. Physiological reactions to cues C. Avoidance 1. Of distressing memories, thoughts, feelings 2. Of external reminders D. Neg Mood/Cog Inability to remember aspects of event (Dissociation) Persistent/exaggerated neg beliefs Distorted cognitions about cause of consequences (Self blame) (ex. I shouldn't have been out alone.) Neg emotional state(Anxiety, depression) Anhedonia (Lack of pleasure. Things don't make you feel like they used to) Detachment Low positive emotions E. Arousal/Reactivity Irritable/angry outbursts Reckless/self destructive (Just helping the bad things along because it's going to happen anyways) Hypervigilance (always looking for the next bad thing to occur) Exaggerated startle response Concentration issues Sleep disturbance 5. DSM 4 Broadening; sense of horror, intense fear, helplessness DSM 5 Tightening criteria; removal of media and responding in certain ways 6. Stats 6.8% life 3.5% year Prevalence varies Women 9.7% men 3.6% Type of trauma 7. Most common traumas Sexual assault 32% Accidents 1520% Combat 18.7% (Vietnam Vets had no social support which can help develop PTSD. They may believe that it's their fault since no one is there to help them) 8. Causes a. Trauma intensity b. Generalized biological vulnerability i. Exaggerated cortisol response (women) ii. s/s genotype of serotonintransporter gene (Also in depression) iii. Reduced hippocampal volume iv. Generalized psychological vulnerability 1. Uncontrollability and unpredict 9. Risk Factors For experiencing trauma a. Being male b. College edu c. Conduct problems in childhood d. Family history of psy. Disorders e. High on extroversion and neuroticism 10. Risk factors for PTSD a. Being female b. Low levels of social support c. Neuroticism d. Preexisting anxiety or depression e. Family history of anxiety or depression f. Substance abuse (Use to avoid the memories) g. Appraisals soon after trauma (Could it have been avoided?) 11. Protective factors a. Higher intelligence (Challenge the thoughts) b. Social Support 12. Prevention a. Military Service (They use simulations to show them what combat will be like) b. Medical Procedures c. Relationship termination 13. TETRIS a. 12 min of graphic film footage b. 30 min later: tetris vs. Sitting c. Flashbacks: 4.6 vs. 12.8 d. Visuospatial task disrupts consolidation of visual memories, making them less strong 14. Treatment a. Cognitivebehavioral treatment b. Prolonged exposure c. Cognitive processing therapy d. Eye movement desensitization and reprocessing (recall events while watching something go through their vision) i. Increase positive coping skills( not using drugs or alcohol) ii. Increase social support(Group therapy) iii. Highly effective
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