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26 Cards in this Set
- Front
- Back
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adjustment disorders |
emotional/behavioral symptoms in response to an identifiable stressor onset occurs within 3 months of stressor(s), no longer than 6 mo after stressor |
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risk factors for adjustment disorder |
risk factors individuals from disadvantaged life circumstances; higher rate of stressors |
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treatment for adjustment disorders |
focus of treatment on precipitant itself; help them deal with implications/impact by alleviating emotional symptoms strengthen coping skills normalizing troubling emotions quick intervention short term brief therapy *different from other disorders, focuses on stressor not the symptoms |
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reactive attachment disorder (RAD) |
absent/grossly underdeveloped attachment behavior-child rarely/minimally turns preferentially to an attachment figure for comfort, support history of neglect compromised emotional self-regulation 9 mo-5 yo diagnosis can be made |
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risk factors for RAD |
risk factors -serious neglect basic emotional needs not met changes in primary caretaker inability to form selective attachments |
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comorbid disorders RAD |
comorbid disorders developmental delays -cognition/language |
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disinhibited social engagement disorder (DSED) |
pattern of social boundary violations; impulsive and indiscriminate social behavior stemming from early neglect signs may persist for several years after neglect may/may not show disturbed primary attachments 2 yo-adolesence symptoms take much longer to resolve/become worse in adolescence |
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risk factors for DSED |
risk factors serious social neglect |
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comorbid disorders for DSED |
greater cormobidty cognitive delays, language delays ADHD, PTSD, ODD and conduct disorder more common |
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attachment/attachment disturbances |
reciprocal bond between infant and preferred attachment figure (PAF) usually mom |
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social referencing |
6 mo. read mom's emotional reactions to guide their behavior in uncertain situation |
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developmentally appropriate separation anxiety |
8-10 months, peaks at 18 months and diminishes after 2 yo |
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response to prolonged separation |
15-30 months protest-despair-detatchment |
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secure attatchment |
actively explores environment when alone or w/ mom may be friendly w/ stranger when mom's present, prefers mom distressed when mom leaves and seeks comfort when she returns emotionally sensitive/responsive PAF |
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anxious/avoidant attachment |
not interested in environment little distress when mom leaves/avoids contact with her when she returns may/not be wary of strangers PAF impatient and non responsive or overly responsive overly involved |
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anxious/resistant attachment |
anxious when mom's there, becomes more distressed when she leaves shows ambivalence when she returns, may resist attempts at physical contact wary of strangers even when mom's present PAF responds inconsistently; sometimes indifferent, sometimes enthusiastic |
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disorganized/disinterested |
conflicting responses to mom that alternate between avoidance/resistance and proximity seeking overall behavior is dazed, confused, apprehensive associated with maltreatment by caregivers |
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post traumatic stress disorder |
development of characteristic symptoms following exposure to one or more traumatic events intrusion symptoms after t occurred (memories, nightmares, dissociative reactions/flashbacks) avoidance of stimuli difficulty concentration |
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with dissociative symptoms |
specifier for PTSD symptoms meet criteria for PTSD, individual experiences depersonalization or derealization |
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depersonalization |
feeling detached from and as if one was an outside over server of one's thoughts or body |
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derealization |
experiences of unreality of surroundings |
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with delayed expression |
specifier for PTSD if full diagnostic criteria not met until at least 6 months after event |
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acute stress disorder |
development of characteristic symptoms lasting for 3 days-1 months following exposure to 1+ traumatic events anxiety response that includes reexperiening of or reactivity to the traumatic event |
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comorbid disorders with PTSD/acute stress disorder |
80% more likely to have another disorder depressive, bipolar, anxiety, substance use substance use disorder/conduct disorder common in males major neuorcognitive disorder children: ODD, separation anxiety disorder |
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associated features of PTSD/acute stress disorder |
developmental regression; loss of language auditory pseudo-hallucinations difficulty in regulating emotions or maintaining stable interpersonal relationships dissociative symptoms catastrophic/extremely negative thoughts about traumatic event panic attacks chaotic/impulsive behavior |
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treatment for PTSD/acute stress disorder |
trauma-focused CBT exposure therapy cognitive processing therapy anxiety management therapy EMDR medication DO NOT USE CRITICAL INCIDENT STRESS DEBRIEFIING |
