Alcohol And Ptsd: Changes In The Dms5
Thank you for attending Understanding DSM 5 Changes: Alcohol and Trauma Training. In order to receive full credit for attending this training please complete this brief content knowledge quiz. You will need a score of 80% or above to pass so please take the quiz as many times as required to receive that score. Please know that our department’s support does not end at the conclusion of the training. We encourage you to share with us the way in which you plan on incorporating what you learned today in your clinical practice.
- 1.The DSM 5 Criterion A4 describes experiencing repeated or extreme exposure to aversive details of the traumatic event(s) (e.g., first responders collecting human remains; police officers repeatedly exposed to details of child abuse). All of the following are examples of meeting this criteria except:
- A.
A police administrator reviewing reports of violent crimes
- B.
First responders collecting human remains
- C.
A photo journalist reviewing rolls of graphic war zone photos
- D.
A young person repeatedly exposed to graphic images while surfing web sites containing explicit material
- 2.The eleven diagnostic criteria in Alcohol Use Disorder are organized into four groups. The four groups are:
- A.
Impaired social control, social impairment, frequency of use, physical impairment
- B.
Impaired social control, frequency of use, social context, risky use
- C.
Impaired social control, social impairment, risky use, pharmacological criteria
- D.
The consolidation of Alcohol Abuse and Dependence, to Alcohol Use Disorder
- 3.Effective assessments for alcohol address:
- A.
Quantity, frequency, and symptoms of alcohol use
- B.
Type of alcohol consumed, frequency, setting
- C.
Social context, family history, number of life areas impacted
- D.
Barriers to sobriety, natural supports, health issues
- 4.When diagnosing a Substance Use Disorder a "severe" diagnosis would what range of symptoms?
- A.
2-3
- B.
4-6
- C.
7 or more
- D.
Can be as few as 5 depending on the type of symptom
- 5.Trauma and Stressor Related Disorders (a continuum) (TSRDs) are a new DSM category and include:
- A.
Reactive Attachment Disorder, Acute Stress Disorder, Adjustment Disorders
- B.
Isinhibited Social Engagement Disorder, PTSD
- C.
A and B
- D.
Eactive Attachment Disorder, Acute Stress Disorder, Adjustment Disorders, Generalized Anxiety Disorder, and Specific Phobias
- 6.As a result of clinicians using DSM-IVTR-based treatment protocols for PTSD, clinicians could inadvertently disempower or blame clients by:
- A.
Failing to recognize the distinction between avoidance and numbing
- B.
Allowing clients to have too much contribution to their clinical treatment plan
- C.
Although there are differences in the DSM IVTR and DSM 5, these differences do not have direct implications related to ethical and effective services
- D.
Failing to effectively confront patterns of avoidance early in treatment
- 7.The Four Phenotypes of PTSD in the DSM 5 are:
- A.
Phobic Anxiety, Anhedonic/Dysphoric, Externalized, Numbing
- B.
Phobic, Dysthymic, Externalized, and Dissociative
- C.
Fear-Based Anxiety, Anhedonic/ Dysphoric, Externalizing, Dissociative
- D.
Fear-Based Anxiety, Altered Mood, Externalizing, Dissociative
- 8.Which of the following are new to PTSD in the DSM 5:
- A.
Avoidant is now fear-based anxiety
- B.
Alcohol Dependence and Abuse are now Alcohol Use Disorder
- C.
Negative Cognitions and Mood
- D.
The shift from four to three symptom clusters
- 9.Alcohol uniquely mimics FIGHT and FLIGHT and ___________of our endorphin response to extreme stress/ trauma.
- A.
Adrenaline
- B.
Self-medication
- C.
Analgesia
- D.
Delay
- 10.One commonly held belief regarding the relationship between trauma and alcohol use is that a person uses the substance to medicate the escalation of distress. This is called:
- A.
Tension-Reduction Theory
- B.
High Risk Theory
- C.
Self-Medication
- D.
A and C
- 11.Rather than alcohol use and cravings increasing during stress, research has shown that carvings and use most often increase __________ after traumatic stress, when specifically, analgesic beta-endorphins have cleared the system.
- A.
2 hours
- B.
5-6 hours
- C.
This statement is false, cravings and use of alcohol are most likely during a stressful event
- D.
24 hours or more
- 12.Another term for the period following stress in which the endorphin withdrawal cycle occurs is:
- A.
Closing time
- B.
Stress Compensation
- C.
Analgesic Window
- D.
Happy Hour
- 13.Two new criteria in the DSM 5 related to diagnosing issues with alcohol are:
- A.
The addition of alcohol addiction and craving
- B.
The removal of severity specifiers, and addition of "legal problems"
- C.
The removal of "legal problems" and addition of craving
- D.
Removal of polysubstance, and removal of cravings
- 14.Which of the following is a specific DSM 5 update within Substance Use and Addictive Disorders?
- A.
Polysubstance use can be used when multiple substances are being used
- B.
The consolidation of Alcohol Abuse and Dependence, to Alcohol Use Disorder
- C.
Internet gaming addiction has been added as a formal diagnosis
- D.
The DSM 5 is nearly identical to the DSM IVTR related to Substance Abuse and Dependence
- 15.The diagnosis of PTSD in the DSM 5 has become more clinically-focused by placing the emphasis on symptom presentation rather than the experiencing or witnessing of a traumatic event.
- A.
True
- B.
False
- 16.The DSM 5 eliminates the requirement that "the person's response to the event must involve intense fear, helplessness, or horror.
- A.
True
- B.
False
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