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CTRI Study guide questions and answers all are correct 2025 graded A+ $7.99
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CTRI Study guide questions and answers all are correct 2025 graded A+

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  • CTRI
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  • CTRI

Characteristics of ACEs - Correct Answer--come in groups -produce behaviors that if sustained, created illness and disease = as a coping strategy (smoking) -Cumulative ACEs increase clinical complexity of individual case (# of lifetime mental health diagnoses increases) Clinical Complexity - C...

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  • February 26, 2025
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • CTRI
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PatrickKaylian
CTRI Study guide
Characteristics of ACEs - Correct Answer--come in groups
-produce behaviors that if sustained, created illness and disease = as a coping strategy
(smoking)
-Cumulative ACEs increase clinical complexity of individual case (# of lifetime mental
health diagnoses increases)

Clinical Complexity - Correct Answer-ACEs --> complex, multiple problems
-treatment of presenting problems may not be the best path to significant change
-multiple disciplinary approaches may be most effective

Factors that increase difficulty of trauma recovery - Correct Answer--repeated or
prolonged trauma
-closer the perp is to the victim emotionally (capacity of victim to trust in the future)
-intentional action vs. accidents


What is the most significant public health problem in the US according to the CDC? -
Correct Answer-Childhood Trauma

How many people affected by Childhood Trauma? - Correct Answer-1 million children
suffer physical and sexual abuse each year

1 in 10 children exposed to intrafamilial violence

Adverse Childhood Experiences - Correct Answer-ACEs

Mechanisms by Which ACES influence health and wellbeing (pyramid) - Correct
Answer--disrupted neurodevelopment
-social, emotional, cognitive impairment
-adaption of health-risk behaviors
-disease disability and social problems
-early death

Impact of Trauma on Emotional/Behavioral Stress - Correct Answer--History of trauma
increases likelihood of substance abuse; mental illness - and vice versa
-Substance abuse and MI decrease a person's ability to mitigate the effects of trauma
and prevent future trauma
-interpersonal trauma increases likelihood of future trauma


Why does childhood experience matter so much? - Correct Answer--child cannot
escape the problem (especially under 5 y/o)

,-don't have good affect-regulation skills yet
-no control over when and how often
-abused children extremely in tune to minute changes in a persons emotional state

Betrayal Trauma - Correct Answer-when the abuser is a primary attachment figure
-particularly difficult for later intimate relationships ---entangles emotional closeness and
care with fear, shame and rage [sexually abusive, nice dad and very physically abusive
mom]
-very basic sense of self as bad, disgusting and worthless

Hyperarousal vs. Hypoarousal - Correct Answer-Very aware of surroundings (PTSD -
like)
vs.
Feeling numb

It is common to flip flop
-often attempt to shut off negative feelings, which would require shutting off positive
ones too (feeling numb)

Regulation of Emotions - Correct Answer-Frequent episodes of intense dysregulation in
childhood lead to harsh difficulties regulating emotions later.
-If a child is scared and a parent screams at the child - escalates these feelings. Child
learns that when you get emotional - things get worse.
-Example: VERY angry about being "disrespected" for being 15 minutes late to an
appointment

Triggering - Correct Answer--Memory and emotion are both associative.
-Disrespect - reminds us of previous times when we were disrespected
-Emotions associated with previous incidents may greatly magnified the current incident

90/10 Reaction - Correct Answer-Emotions associated with previous incidents may
greatly magnified the current incident

Child Abuse & Emotion - Correct Answer-Parents unable to regulate their own emotions

Triggering in medical settings - Correct Answer-various things can reenact abuse
-lack of predictability, feeling disrespected, etc

Change of Attitude in Trauma Informed Care - Correct Answer-From What's wrong with
you?
to
What's happened to you?

Three R's of Trauma Informed Care - Correct Answer--REALIZES the widespread
impact of trauma and understands potential paths for healing
-RECOGNIZES the signs/symptoms of trauma

, -RESPONDS by fully integrating knowledge about trauma into polices, procedures

Three Pillars of Trauma Informed Care - Correct Answer--SAFETY: What happened to
you?
CONNECTION: forming healing relationships
-MANAGEMENT OF EMOTIONS-affect regulation and coping skills

Key Elements of Trauma Care - Correct Answer--Encourages autonomy, agency and
self-efficacy
-Emphasize that trauma responses are a NORMAL response to an ABNORMAL
situation
-once you understand a person's history, their behavior may make sense.

Children & Youth Involved in "Trauma informed Care" programs demonstrate - Correct
Answer-Reduced: behavior/emotional problems, trauma symptoms and substance
abuse problems

improved: behavioral/emotional skills, functioning in school & community, ability to build
relationships

What is clinically important? - Correct Answer-The response, not the event.

Physician Behaviors in Trauma Practice - Correct Answer--Let patient be in charge
-slow down
-say what you are going to do beforehand - be predictable
-respect autonomy

Patient Care Tips - Correct Answer--coping strategies
-encourage self-acceptance
-daily routines are helpful
-teach sleep hygiene
-normalize their emotional or physical symptoms

Degree of Specifics varies with type of trauma - Correct Answer-Personal (general) <-->
impersonal (specific)

What Is Trauma Informed Care? - Correct Answer-"Trauma-informed" services are not
specifically designed to treat symptoms or syndromes related to sexual or physical
abuse or other trauma
They are informed about, and sensitive to, trauma-related issues present in survivors

Types of Trauma That Often Result in Mental Health & Substance Use Problems -
Correct Answer-Interpersonal in nature: intentional, prolonged, repeated, severe
Sexual & physical abuse, severe neglect, emotional abuse
Witnessing violence, repeated abandonment, sudden and traumatic loss

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