246 CH 12, 16, 18, 19
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| post traumatic stress disorder | re experiencing the trauma through painful memories and nightmares, hyper vigilance and emotional instability in adults
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| adult PTSD | nightmares and hypervigilance
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| children PTSD | withdrawal, poor eye contact, not playing and mood dysregulation; look for abuse and neglect over time, home violence
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| causes of PTSD | abuse and neglect over time, witnessing violence within the home and neighborhood, combat, accidents, child abuse, natural disasters, war
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| DSM 5 | trauma and stressor related disorders, repeatedly experiencing, hearing or witnessing events
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| SAMHSA | realizing the widespread impact of trauma and understanding potential paths for recovery
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| PTSD interventions | combination of therapies, follow up groups, support, education
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| trauma informed care | provide safety for client by building trust, support, empowerment, collaboration while attending historical, cultural and gender issues using evidence based practice
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| TIC principles | safety, trustworthiness and transparency, peer support, collaboration and mutuality, empowerment and choice, cultural, historical and gender issues
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| early trauma attachments | shapes early attachment, interfered with healthy development linked to later issues with growth and physical and mental well being
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| infant attachment | unable to compartmentalize threats, have ability to self regulate emotions, behaviors and physiological processes because severe abuse or neglect
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| developmental trauma theory | neuro affective relational model five core needs
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| neuro affective relational model five core needs | connection , attunement, trust, boundaries, deep sense of love and sexuality
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| absence of self regulation | inconsistent and unpredictable patterns of eating, sleeping and mood regulation
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| lack of response to caregivers | poor eye contact, withdrawal, isolation
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| lack of response to environment | can not pretend play, experience shared pleasure with others
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| sympathetic response | fight or flight, body increases, HPA axis activated
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| amygdala | prolonged trauma causes hyperactive stress response, interfere with ability to process trauma memories, decrease function of prefrontal cortex
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| hippocampus | responsible for changing explicit memories, new memories or patterns prolonged of severe trauma interferes with this resulting in feeling of inadequacy and doubt
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| prefrontal cortex | cognitive processing of traumatic memories - without this function fear extinction or resolution can not happen
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| brain impacted by trauma symptoms | constant state of hyper arousal, substance abuse, inability to regulate emotions
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| child develop secondary complications of early trauma | anxiety, shame, isolation, mood dysregulation, feelings of shame, separation, fear of intimacy, need to control, fear of death
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| childhood trauma | adverse childhood experiences and the number of comorbid outcomes increase in this population
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| disaster syndrom | impact of war, terror and unexpected natural disasters on children
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| adult environmental traum | less PTSD because of support of community and decreased feeling of isolation
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| kids environmental trauma | feel more isolated because of fear or losing their supportive loved ones; feel like they caused something
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| resilience | positive outcomes, adaptation or attainment of developmental milestones or competencies in the face of significant risk, adversity or stress
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| resilience qualities | competent parenting, high intelligence, easy to moderate temperament, gratitude, determination, compassion
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| secondary traumatization | manifestations and talking about experiences families and caregivers experience trauma and develop symptoms
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| secondary trauma | spouses of injured persons more susceptible, cause symptoms of PTSD
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| affected by war | fears, injury, death, disability of a loved one
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| affected by violence | drug use, violent crimes, suicide
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| disasters | anxiety related to things, develop communication and be able to explain
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| toxic stress | diagnosis and early on screen for risks of their experiences
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| adults adapt to PTSD | treatment, high risk behaviors
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