STRESS AND STRESS DISORDERS Stress and stress disorders

STRESS AND STRESS DISORDERS

Stress and stress disorders Aims Review of concept of stress Overview of pathological stress reactions Objectives Define stress Recognize pathological stress Classify stress disorders Deal with specific conditions

Stress and stress disorders Definition Symptoms Anger Sadness Worries Negative thinking Self harm

Stress and stress disorders Classification General adaptation syndrome Shock adaptation exhaustion 1 - traumatic events 2 - sudden life change

Stress and stress disorders What determine the reaction Biopsychosocial aproach How to reduce stress healthy coping Healthy defense

Stress and stress disorders Disorders Acute stress disorders Post traumatic stress disorder ( PTSD ) Adjustment disorder Health problems

Stress and stress disorders Acute stress and posttraumatic stress disorders PTSD Definition C/F � Exposure to extreme threat � Repeated reliving flashbacks Dreams � Avoidance � Cognitions and mood negative thinking dcreased interests, emotional numbness � Hyperarousal Sleep disturbance startling Poor concentration � Duration 1 m acute more PTSD

PTSD DDx � GAD � Depression Management � Secure environment � Behavioral � Drugs SSRIs � EMDR

Adjustment disorder Sudden non traumatic life event Mixed anxiety and depressive symptoms Direct help counselling symptomatic drug treatment

Grief and bereavement � � Stages Pathological grief Anniversary grief Guided morning