PTSD

Question 1

PTSD cause

Answer 1

Exposure to an event or situation of exceptionally threatening or catastrophic nature which would likely cause pervasive distress

Question 2

Criteria for PTSD

Answer 2

• re-experiencing
• avoidance
• hyper-arousal
• persists or after 4 weeks of the event

Question 3

Management of PTSD

Answer 3

Biopsychosocial model

• Biological
  o SSRI - Paroxetine
  o TCA - Amitriptyline, mirtazapine
  o MAOI - phenelzine
• Psychological - trauma focussed CBT
• Eye movement desensitization & reprocessing
• Hypnotherapy & stress management

Question 4

Prevention of PTSD

Answer 4

• Rehearse teamwork & techniques of stress removal
• Keeping combatants in groups cemented by interdependency
• Morphine at use of injury seen as helpful

Question 5

Acute stress disorder

Answer 5

Acute stress reaction that occurs up to 4 weeks after a traumatic event