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Anxiety&etc Disorder
Psych E3
| Term | Definition |
|---|---|
| Somatization | Manifestation of psychological distress as physical symptoms that may result in functional changes, somatic descriptions, or both |
| Hypochondriasis | Preoccupied with developing a serious illness based on their misinterpretation of body sensations |
| Alexithymia | Difficulty identifying & expressing emotions; preoccupied with external events & concrete thinkers |
| Munchausen's Syndrome | Most severe form; fabrication illness, recurrent hospitalizations, doctor shopping |
| Malingering | Intentionally producing illness symptoms motivated by another self-serving goal (ex: avoiding death) |
| Pseudologia Fantastica | False stories of personal triumph that are not entirely improbable and contain matrix of truth and falsehood |
| Mild Anxiety | Focused (Ex: performer anxiety before concert) |
| Moderate Anxiety | Narrowed perceptual field, can follow commands but trouble w/ attention (short, direct commands) |
| Severe Anxiety | Unable to attend to surroundings, physical symptoms (sweating & palps) goal is relief |
| Panic Anxiety | Terror, communication impossible, only concern is escape |
| Separation Anxiety Disorder | Excessive fear concerning separation (symptoms 4 weeks in children & 6 months in adults) |
| Generalized Anxiety Disorder | Excessive anxiety that is difficult to control (Increased physical symptoms) |
| GAD | Caused by GABA/NE dysregulation, Autoimmune Nervous System Activation, Genetics Childhood onset |
| Agoraphobia | Fear of being alone or in public place |
| Social phobia | fear of being humiliated or embarrassed in public |
| Specified phobia | fear of specific objects, animals, situations that isn't either of the other two types (ex: claustrophobia) |
| Primary Gain | Relief from emotional conflict and freedom from anxiety achieved via defense/coping mechanisms |
| Secondary Gain | External gain derived from illness (ex: disability benefits/attention) |
| Obsessive Compulsive Disorder | Plagued by time-consuming, persistent behaviors to perform repetitive actions to reduce anxiety |
| Hoarding Disorder | Difficulty letting go of possessions & discarding, cluttered living space, impaired areas of life, and unsafe environment (abnormal anterior cingulate cortex & insula) |
| Body Dysmorphic Disorder | Preoccupation with exaggerated "defect" |
| Trichotillomania | Hair pulling disorder |
| Adjustment Disorder | Emotional or behavioral rxn to stressor w/n 3 months of stressor (once stressor ends, shouldn't last >6months) |
| Acute Stress Disorder | Exposure to death, injury, sexual violation, witnessing events (3 days to 1 month) |
| Reactive Attachment Disorder | Developmentally inappropriate attachment (9months-5years age) |
| Posttraumatic Stress Disorder | Intrusion symptoms(flashbacks/nightmares), persistent avoidance, alterations in cognition and mood, hyperarousal &reactivity symptoms following traumatic event or amygdala dysfunction |
| Somatic Symptom Disorder | Deemphasizes role of medical symptoms and emphasizes + s/s |
| Illness Anxiety | Hypochondriasis |
| Factitious Disorder | Feigned illness to assume sick role |
| Conversion Disorder | Alteration in voluntary motor or sensory function that suggests a physical disorder, but instead is an expression of a psychological need or conflict |
| La belle Indifference | Expresses little concern about distressing disorder because anxiety relieved by conversion |
| Somatic Symptom Disorder | One or more somatic symptoms (distressing & interferes with life), excessive thoughts/feelings/behaviors, and chronic |
| Dissociative Disorder Types | Depersonalization, Dissociative Identity disorder, and dissociative amnesia |
| Depersonalization | Derealization disorder; high anxiety levels and appears hazy/unreal |
| Derealization | Outside world |
| Depersonalization Definition | Unreality of one's sense of self |
| Dissociative Identity Disorder | AKA multiple personality disorder, unable to recall important personal information too extensive to be explained by ordinary forgetfulness; not r/t physiological effects substance/medical condition |
| Dissociative Amnesia | Unable to recall important information too extensive to be explained by ordinary forgetfulness and causes distress/impairment |
| Phobias | Interventions include accepting fears, increase insight, confirm behaviors have purpose, don't use logic, don't urge self cotrol |
| Adaptive Coping | Solves problem and decreases anxiety |
| Palliative Coping | Temporarily relieved, but doesn't solve problem |
| Maladaptive Coping | Unsuccessful to solve and decreased functioning |
| Dysfunctional Coping | No success to any degree and barely functioning |
| Obsessive Compulsive Disorder Characteristics | Relaxation difficult, task oriented, rigid thinking, higher brain metabolic rate |
| OCD Interventions | Interventions include giving alternative activities to focus on, expressing feelings, providing time, recognizing nonritualisticbehaviors, avoid paraphrasing/reflecting |
| Hoarding Disorder Tx | SSRIs and CBT best |
| PTSD Interventions | Interventions include debriefing, CBT, EMDR, and prolonged exposure therapy |
| Prolonged exposure therapy | Talking through trauma |
| EMDR | Therapist directed rapid eye movements thy are simultaneously a/w distressing or traumatic thoughts/memories |
| Conversion Disorder | Minimizes problems |
| Somatoform Disorder | Dramatizes problems |
| Conversion Disorder Defense Mechanisms | Repression and Conversion |
| Somatic Symptom Disorder Intervention | Interventions include avoiding unnecessary tests, being matter of fact, verbalizing feelings, using + reinforcement, use diversion (mileu therapy), don't push for insight |
| Personality Dx Criteria | Cognition, affectivity. Interpersonal functioning, impulse control |
| Common Characteristics of Personality Dx | Inflexible/Maladaptive response to stress, disability in working/loving, ability to evoke interpersonal conflict, capacity to "get under skin" |
| Paranoia Interventions | Interventions include establishing trust, being neutral, matter of fact, respectful, giving info, and not being too nice |
| Schizoid Interventions | Interventions include giving task by task and not being too nice |
| Schizotypal Interventions | Interventions include avoiding eye contact, keeping speech loose and vague, and respecting needs for isolation |
| Borderline Personality | Paranoia during extreme stress, fear of rejection, high suicide risk |
| Borderline Interventions | Interventions include setting limits and avoid rejecting/rescuing |
| Avoidant Interventions | Don't push into social situations, be friendly, teach socialization with + feedback |
| OCD Defense Mechanisms | Intellectualization, rationalization, and reaction formation |
| Self Care Deficit Interventions | Be firm, set short term goals, don't use "should/shouldn't" |
| Somatic Symptom Biologic Theory | Decreased neuroactivity, hypometabolism, chronic HPA activation |
| Somatic Symptom Psych Theory | Alexithymia and learned behavior |
| Somatic Symptom Social Theory | Asians: moral issue rather than psych problem; Latins describe depression as headaches, guilt, nerves |
| Somatic symptom tx | MAOIs, SSRIs, Benzodiazepines(short term only), BuSpar |
| Somatic Symptom Goals | Decrease PCPs, majority of tx nonpharmacological, focus on staying healthy (lifelong problem) |
| Conversion DX Symptoms | Decreases(coordination, swallowing, urinary, senses), hallucinations, and seizures |
| Body Dysmorphic Tx | SSRI and Antidepressants |
| Anorexia Defense Mechanisms | Denial and Intellectualization/Frequent regression and repression |
| Anorexia Intervention | Stabilizing physiological integrity and nutritional status; gain 1/2lb-1lb outpatient/week or 2-3lbs/week inpatient |
| Anorexia Tx | SSRIs&Antianxiety (decrease food obsession, rigidity), Antipsychotics (lessen obsessions), Periactin (appetite stimulant) |
| Bulimia S/S | Paroid Swelling "Chipmunk cheeks", Calluses "Russell's Sign", Esophageal tears "Mallory-Weiss tears" |
| Bulimia Interventions | Medical stabilization, identify triggers |
| Bulimia Tx | Florentine/Prozac (decrease cravings & increase serotonin), Sertraline/Zoloft (reduce binges), Topiramate/Topamax (decrease binges & preoccupation) |
| Anorexia | Key issue is not food but desire for approval/attention |
| Anorexia Symptoms | Edema, Low T3 &T4, Ketosis (body digesting fat as E), low temperature, kidney damage, hypercarotinemia (yellow skin), low testosterone in males |
| CAGE | Cut down need? Annoyed by criticism? Guilty? Eye opener? |
| Substance Abuse Defense Mechanisms | Denial, rationalization, projection, minimization |
| Alcohol symptoms | Decrease (relaxed, slurred speech, sleep, nystagmus) |
| Alcohol Withdrawal | Increase (Hallucinations, tachycardia, seizures, delirium, tremors, fever |
Created by:
TedMed
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