01:830:340 Lecture Notes - Lecture 7: Depersonalization, Posttraumatic Stress Disorder

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Acute and posttraumatic stress disorders, dissociative disorders, and somatic symptom. Traumatic stress: stressful (specific) to individual, not objective trauma, an event that involves actual or threatened death or serious injury to self or others and creates intense feelings of fear, helplessness, or horror. Ptsd: cannot be diagnosed at least 4 weeks after, defined by symptoms or re-experiencing avoidance, and arousal, but ptsd is either longer lasting or has a delayed onset. Asd and ptsd: reexperiencing, avoidance, persistent arousal or anxiety, high comorbidity with anxiety and depression, negative mood or thoughts, dissociation, require for asd but not ptsd. Reexperiencing: repeated, distressing images or thoughts. Intrusive flashbacks: horrifying dreams, dreams consolidate memories, dissociative state. Avoidance: attempts to avoid thoughts, feelings, related to the event, avoid people, places, or activities that remind them of the event, numbing of responsiveness. Comorbidity: high for depression, other anxiety disorders, and substance abuse, anger: usually very prominent; risk for suicide.

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