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NURS 663 Maryville Psych Exam 3 – Questions & Answers
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NURS 663 Maryville Psych Exam 3 – Questions &Answers
pharmacologic agents for PTSD ✔️Ans -med tx is focused on
diminishing intrusive thoughts, hyperarousal, and avoidance, with some
success and mixed results
PTSD frequent comorbidity ✔️Ans -depressive disorder, anxiety
disorders, and behavioral problems associated with ______________
sertraline and paroxetine ✔️Ans -that __________and ______________ are
approved by the Food and Drug Administration (FDA) in the treatment of
PTSD in adults, there is scant evidence to support its use for the core
symptoms of PTSD in youth
Risperidone and aripiprazole ✔️Ans -FDA approval for use in children
and adolescents with aggression, severe behavioral dyscontrol, and severe
psychiatric disorders
Antiadrenergic agents ✔️Ans -treat dysregulation of the noradrenergic
system in adults and youth with PTSD
clonidine and guanfacine ✔️Ans -Alpha2-agonists examples
Alpha2 agonists ✔️Ans -decrease norepinephrine release, such as, are
propranolol ✔️Ans -centrally acting β-antagonists example
prazosin ✔️Ans -α-1-antagonists example
propranolol use ✔️Ans -hypothesized to improve hyperarousal and
intrusive thoughts through attenuation of norepinephrine postsynaptically
prazosin use ✔️Ans -nightmares associated with trauma
Modify PTSD sx ✔️Ans -Off-label medications including
antidepressants, atypical antipsychotics, adrenergic
modulators/sympatholytics, and anticonvulsants/mood stabilizers
,clonidine and propanolol ✔️Ans -nightmares and exaggerated startle
response: some evidence in adults, but children case report only
guanfacine and clonidine ✔️Ans -__________ may reduce nightmares in
children with PTSD and ____________may diminish symptoms of reenactment
of traumatic events in children
Mood-stabilizing agents ✔️Ans -divalproex, carbamazepine,
topiramate, and gabapentin have been utilized for adults with PTSD with
modest improvement; some
clonidine with dosage ranges of 0.05 to 0.1 mg twice daily ✔️Ans -may
provide some relief for the symptoms of hyperarousal, impulsivity, and
agitation in young children with PTSD; in children some evidence
benzodiazepines ✔️Ans -no controlled trials supporting use in children
Trauma-Focused CBT ✔️Ans -10-16 treatment sessions, including 9
components itemized in the acronym PRACTICE
PRACTICE elements ✔️Ans -Psychoeducation on typical reactions to
PTSD.
Parenting skills- praise, time-out, reinforcement
Relaxation- muscle, breathing, cognitive tech
Affective Expression and Modulation- ID feelings
Cognitive Coping and Processing Cognitive Triangle
Trauma Narrative:developed over time by child,
In Vivo Exposure and Mastery of Trauma Reminders- how to deal with
reminders
Conjoint Child-Parent Sessions- this component may involve several
sessions in which the child and parent share their understanding
Enhancing future safety-family changes
EMDR ✔️Ans -exposure and cognitive reprocessing interventions are
paired with directed eye movements, alternating tones or tapping
CBITS ✔️Ans -Cognitive Behavioral Interventions for Trauma in
Schools
, CBITS description ✔️Ans -intervention that administers treatment in
the school setting for children who screen positive for PTSD and whose
parents agree to treatment in school.
CBITS elements ✔️Ans -Consists of 10 weekly group sessions
1-3 individual imaginal exposure sessions
2-4 optional sessions with parents
1 parent education session.
Similar to trauma-focused CBT, incorporates psychoeducation, relaxation,
training, cognitive coping skills, gradual exposure to traumatic memories
SPARCS ✔️Ans -Structured Psychotherapy for Adolescents Responding
to Chronic Stress
SPARCS description ✔️Ans --Consists of a group intervention,
-16 sessions
-focus on the needs of adolescents (12-19 years old) chronic trauma and
PTSD.
-Utilizes cognitive behavioral techniques, and -incorporates many of the
components of TF-CBT
-Includes mindfulness techniques and relaxation.
TARGET ✔️Ans -Trauma Affect Regulation:Guide for Education and
Therapy
TARGET description ✔️Ans --affect regulation therapy,
-combines CBT components, such as cognitive procession, with affect
modulation.
-adolescents (13-19) exposed to maltreatment and/or chronic traumatic
exposure to such things as community violence or domestic violence.
-12 sessions, which focuses on past or current situations.
TARGET efficacy ✔️Ans ---Like SPARCS treatment, gradual exposure
may occur in the context of recounting past trauma but is not a core
component of treatment.
--Reduces anxiety, depression, and PTSD
--Promising treatment for girls with h/o delinquency, especially to reduce
anger and to enhance optimism and self efficacy.
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