1. Stress and stress disorders

2. 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

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

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

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

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

7. 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 1m acute more PTSD

8. PTSD DDx GAD Depression Management Secure environment Behavioral
Drugs SSRIs
EMDR

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

10. Grief and bereavement Stages Pathological grief Anniversary grief
Guided morning