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Axis I Disorders

Behavioral Medicine

Axis I disorders: examples GAD, Anxiety, Panic, Obsessive Anxiety, Somatization Disorder, Adjustment, Mood / Depression, Bipolar; Substance-related; Schizophrenia; Factitious; Dissociative; Sexual / gender ID; Eating; Sleep disorders
Before making depression dx, rule ot: physical cause; normal bereavement; hx of manic episode
These patients use health care resources disproportionately: panic disorder
Panic disorder: frequent comorbidities: agoraphobia, social phobia; 1 in 3 depressed
GAD epidemiology F > M; usu 20s; gradual (may be precipitated by events); chronic
80% of pts with untreated mania have: psychotic features (typically mood congruent)
Ease of diagnosing OCD: very difficult to dx w/o high degree of suspicion
Social anxiety disorder: 2 types: circumscribed (tx: beta blocker); generalized (tx: antidepressants)
Social anxiety disorder comorbidities: mental / drug / alcohol; depression
Foa’s brief prevention program is to treat: PTSD (within 14 days of trauma)
PTSD: DREAMS (Dx) Detachment; Reexperiencing event; Emotional effects; Avoidance; Month in duration; Sympathetic hyperactivity / hypervigilance
Created by: Abarnard