NURS 663 Maryville Psych Exam 3 Questions and Answers Already Passed

NURS 663 Maryville Psych Exam 3 Questions and Answers Already Passed med tx is focused on diminishing intrusive thoughts, hyperarousal, and avoidance, with some success and mixed results pharmacologic agents for PTSD depressive disorder, anxiety disorders, and behavioral problems associated with ______________ PTSD frequent comorbidity 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 sertraline and paroxetine FDA approval for use in children and adolescents with aggression, severe behavioral dyscontrol, and severe psychiatric disorders Risperidone and aripiprazole treat dysregulation of the noradrenergic system in adults and youth with PTSD Antiadrenergic agents Alpha2-agonists examples clonidine and guanfacine decrease norepinephrine release, such as, are Alpha2 agonists centrally acting β-antagonists example propranolol α-1-antagonists example prazosin hypothesized to improve hyperarousal and intrusive thoughts through attenuation of norepinephrine postsynaptically propranolol use nightmares associated with trauma prazosin use Off-label medications including antidepressants, atypical antipsychotics, adrenergic modulators/sympatholytics, and anticonvulsants/mood stabilizers Modify PTSD sx nightmares and exaggerated startle response: some evidence in adults, but children case report only clonidine and propanolol __________ may reduce nightmares in children with PTSD and ____________may diminish symptoms of reenactment of traumatic events in children guanfacine and clonidine divalproex, carbamazepine, topiramate, and gabapentin have been utilized for adults with PTSD with modest improvement; some Mood-stabilizing agents may provide some relief for the symptoms of hyperarousal, impulsivity, and agitation in young children with PTSD; in children some evidence clonidine with dosage ranges of 0.05 to 0.1 mg twice daily no controlled trials supporting use in children benzodiazepines 10-16 treatment sessions, including 9 components itemized in the acronym PRACTICE Trauma-Focused CBT 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 PRACTICE elements