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Behavior Disorders

Dr. Ryan's lectures

normal anxiety warning of internal or external threat that prompts person to take steps to prevent the threat or lessen its consequences
list the different anxiety disorders 1. specific phobia 2. social phobia 3. panic disorder
specific phobia marked fear or anxiety about a specific object or situation that provokes immediate fear or anxiety that is out of proportion to the actual danger posed by the object/situation/context
social phobia anxiety about social situations in which the individual is exposed to possible scrutiny by others that persists for 6 months or more
panic attack abrupt surge of intense fear or intense discomfort that reaches a peak within minutes and during which time 4 + symptoms occur
panic disorder recurrent unexpected panic attacks with at least one of the attacks being following by 1 month or more of the following: persistent concern or worry about additional panic attacks or their consequences and/or significant maladaptive behavior
agoraphobia marked fear or anxiety about two + of the following situation: 1. using public transportation 2. being in open spaces 3. being in enclosed places 4. standing in line or being in a crowd 5. being outside of the home alone
generalized anxiety disorder excessive anxiety and worry, more days that not, for at least 6 months, about a number of events or activities
obsessive compulsive disorder presence of obsessions, compulsions OR BOTH that are time-consuming (more than 1hr/day) or cause clinically significant distress
list the obsessive compulsive disorders 1. body dysmorphic disorder 2. hoarding 3. trichotillomania 4. excoriation
body dysmorphic disorder preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others
hoarding persistent difficulty discarding or parting with possessions, regardless of their value due to a perceived need to save the items
excoriation recurrent skin picking resulting in skin lesions w/ repeated attempts to decrease or stop
PTSD criteria criteria #1: exposure criteria (1+) criteria #2: intrusion symptoms (1+) criteria #3 avoidance of stimuli (1+) criteria #4 negative cognitions and moods (2+) criteria #5 alterations in arousal and reactivity (2+) for > 1 month
list the stress related disorders 1. acute stress disorder 2. adjustment disorder
acute stress disorder exposure to actual or threatened death, serious injury, or sexual violence in one or more ways that lead to symptoms for UP TO 1 MONTH
adjustment disorders development of emotional or behavioral symptoms to an identifiable stressor occurring w/in 3 months of the onset of the stressor
mood relatively sustained emotional disposition - SUBJECTIVE
affect how a person's state is perceived by someone else- OBJECTIVE
list the mood episodes 1. major depressive episode 2. manic episode 3. hypomanic episode
major depressive episode 2 week period of either depressed mood or anhedonia & 5+ of the following: significant weight loss, insomnia/hypersomina, psychomotor retardation, fatigue, worthlessness, decreased concentration, suicidal ideations
manic episode elevated, expansive or irritable mood for at least 1 week & 3+ of the following: inflated self-esteem, decreased need for sleep, talkative, racing thoughts, distractibility, increased goal-directed activity, excessive involvement in activities
hypomanic episode elevated, expanisive or irritable mood for at least 4 days & 3+ of the manic symptoms BUT THEY NOT CAUSE MARKED IMPAIRMENT IN FUNCTIONING
disruptive mood dysregulation disorder severe recurrent temper outburts manifested verbally and/or behaviorally that are grossly out of proportion in intensity or duration to the situation
major depressive disorder 1+ depressive episodes
persistent depressive disorder overall depressed mood as indicated by either subjective observation by others for at least 2 years & presence, while depressed, of 2+: bad appetite, insomnia, low energy, fatigue, low self-esteem, poor concentration, hopeless
*bipolar I disorder MUST have 1 manic episode but MAY also have hypomanic and/or depressive episodes
*bipolar II disorder MUST have at least 1 hypomanic & at least 1 major depressive episode but NO manic or mixed episodes
cyclothymic disoder in at least two years there have been numerous periods with hypomania symptoms that do not meet criteria for a hypomania episode and numerous periods w/ depressive symptoms that do not meet criteria for a major depressive episode
stable (unipolar) disorders persistent depressive disorder (mild), major depressive disorder and PMDD (severe)
alternating (bipolar) disorders cyclothymic (mild), bipolar I and II (severe)
personality relatively stable and enduring set of characteristic behavioral and emotional traits that characterize a person's adaptation to life
functions of frontal lobes restraint (judgement, foresight, perseverance, etc), initiative (curiosity, spontaneity, motivation, etc) and order (abstract, planning, sequencing, etc)
response to crisis primitive (psychotic states), immature (personality disorders), neurotic (GAD, mild depression, PTSD, etc.), mature (no impairment)
personality disorder inflexible and maladaptive response to stress
*DSM-V general criteria for a personality disoder An enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individual’s culture. The pattern is manifested in 2 or more of the following areas: cognition, affect, interpersonal functioning, impulse control
list the personality disorders 1. paranoid 2. schizoid 3. schizotypal 4. antisocial 5. bordeline 6. histrionic 7. narcissistic 8. avoidant 9. dependent 10. obsessive
cluster A personality disorders odd/ eccentric 1. paranoid 2. schizoid 3. schizotypal
paranoid personality disorder distrust and suspiciousness about the motives of others (SUSPECT)
schizoid personality disorder detachment from social relationships and a restricted range of emotional expression - these people DO NOT WANT FRIENDS (DISTANT)
schizotypal personality disorder acute discomfort in close relationships, cognitive or perceptural distortions, and behavioral eccentricities - these people WANT FRIENDS BUT JUST AREN'T GOOD AT MAKING THEM (ME PECULIAR)
cluster B personality disorders dramatic/ erratic 1. antisocial 2. borderline 3. histrionic 4. narcissistic
antisocial personality disorder disregard for and violation of the rights of others (CORRUPT)
borderline personality disorder instability in emotions and interpersonal relationships, inadequate self-image, fear of abandonment, and marked impulsivity (AM SUICIDE)
histrionic personality disoder excessive emotionality and attention seeking- often dramatic (PRAISE ME)
narcissistic personality disorder grandiosity, a need for admiration, a lack of empathy for the problems and needs of others (SPECIAL)
cluster C personality disoders anxious/ fearful 1. avoidant 2. dependent 3. obsessive
avoidant personality disoder social inhibition, feelings of inadequacy and hypersensitivity to criticism or negativism (CRINGES)
dependent personality disoder submissive and clinging behavior and fears of separation (RELIANCE)
obsessive compulsive personality disorder preoccupation w/ orderliness, perfectionism, control (LAW FIRMS)
general characteristic of somatoform disorders physical or somatic complaints unexplained by a medical condition and these symptoms are NOT intentionally produced
list the somatoform disorders 1. somatic symptom disorder 2. illness anxiety disorder 3. conversion disorder 4. psycholofical factors affecting other medical conditions
somatic symptom disorder 1 or more somatic symptoms that are distressing or result in significant disruption of daily life
illness anxiety disoder preoccupation with having or acquiring a serious illness WITHOUT somatic symptoms being present
conversion disorder Neuro symptoms that are found, after appropriate neuro assessment, to be incompatible with neuro pathophysiology
Psychological factors affecting other medical conditions A REAL MEDICAL CONDITION IS PRESENT - One or more psychological or behavioral problems adversely and significantly affect the course or outcome of the medical condition in or more ways
general characteristic of factitious disorder and malingering symptoms are willingly and knowingly induced by the patient
factious disorder (Munchausen) falsification of physical or psychological signs or symptoms or induction of injury or disease, associated with an identifiable deception
malingering a disorder in which signs and symptoms of physical and mental disorders are intentionally produced by the patient in an effort to achieve a secondary gain - the patient KNOWS WHAT THEY ARE DOING AND THEY KNOW WHY
delusion erroneous beliefs that usually involve a misinterpretation of perceptions or experiences
hallucination distortions in perception
tangentiality answers to questions may be obliquely related or completely unrelated
circumlocution the use of unnecessarily large numbers of words to express an idea - often very disorganized
brief psychotic disoder presence of at least one of the following for at least 1 day but less than 1 month (delusions, hallucinations, disorganized speech, disorganized catatonic behavior) - eventually return to normal
delusional disorders delusions for at least 1 month with never meeting Criterion A for Schizophrenia AND functioning is not markedly impaired and behavior is not obviously odd or bizarre
schizophreniform essential features are IDENTICAL to schizophrenia but total duration of illness is between 1 and 6 months AND functioning is NOT IMPAIRED
schizophrenia two or more of the following (delusions, hallucinations, disorganized speech, disorganized catatonic behavior, negative symptoms), social/occupational dysfunction, signs >6 months, other disorder ruled out
schizoaffective an uninterrupted period of illness for > 2 weeks during which there is either a major depressive episode, a manic episode concurrent with symptoms that meet criterion A for schizophrenia
dissociative identity disorder disruption of identity characterized by two or more distinct personality states, which may be described in some cultures as an experience of possession
dissociative amnesia an inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting
depersonalization disorder detachment from oneself
derealization disorder detachment from surroundings/ environment
Created by: mbowling1