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Summary of Criteria:
Anxiety about difficult places to escape, situations avoided or have distress, avoidance not accounted by other disorder
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Specific group need to be sensitive with agoraphobia
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DSM Test 2 - PPT

DSM Test II - Disorder Presentation Slides

QuestionAnswer
Summary of Criteria: Anxiety about difficult places to escape, situations avoided or have distress, avoidance not accounted by other disorder Agoraphobia
Specific group need to be sensitive with agoraphobia Females, from other cultures
Agoraphobia is comorbid with... Panic Attacks
Risk factors for Agoraphobia Panic Disorder, Stressful Life events, Being nervous, Alcohol/Substance Abuse, Being female
Is agoaraphobia a codable disorder? No
Brain Abnormalities associated with Agoraphobia Excess NE + GABA, Deficiency Seratonin, Excess SNS
Down's Syndrome is more common than Aspergers False
Summary of Criteria: Imparement in social interaction, imparement in communication, restricted and repetitive patterns of behavior, before 3 yrs, Autism
Summary of Criteria: Imparement in social interaction, stereotyped areas of behavior, disturbances cause clinically significant imparements Aspergers
Features of Autism/Aspergers Stereotyped movements, Repetitive Activities, Resistance to Routine, Unusual responses to stimuli, Difficulty with executive function.
Major structures affected in Autism Brain Stem, Cerebellum, Corpus Callosum
Typical medications for Autism/Aspergers Risperidone, Olanzapine, Anxiety, Depression, Anti-convulsants
Treatment options for Auspergers/Apergers ABA Applied Behavioral Analysis, TEACCH-Treatment and Education of Autistic and Related Communication Handicapped Children (TEACCH), Theraplay, Diet, Speech/Language Therapy
There is a high prevalence of research on Autism/Aspergers Yes
Conduct Disorder is only diagnosed after what age? 16
Oppositional Defiant Disorder is often seen before age... 8
Areas for criteria diagnosis: Aggression to people or animals, Destruction of property, Deceitfulness or theft, Serious Violations of Rules Conduct Disorder
Areas for criteria diagnosis: Anger, Loss of temper, Annoying people, Blaming others, Annoyed by others, angry, vindictive Oppositional Defiant Disorder
Things to rule out for CD ADHD, Mood Disorders, Adjustment Disorder
Things to rule out for ODD Mood Disorders, ADHD, Mental Retardation
Research on CD has shown genetic link to CD regardless of onset True
Link of NTs to Antisocial Behaviors Decreases Cortisol + ANS Function + Seratonin
Drugs that target CD Stimulants, Lithium
Students with CD may be referred for... Special Education
A approach used for Oppositional Defiant Disorder Parent Management Training.
Where is Bulimia most prevalent? Industrialized Nations, Females, Heredity, Adolescence
What age does Anorexia usually begin 14-18
Summary of DSM Criteria: Refusal to Maintain Body Weight, Fear of becoming fat, Distrubance in weight self eval, Absence of 3+ menunstrations Anorexia
Summary of DSM Criteria: Recurrent episodes of binge eating, Behavior to prevent weight gain, 2/wk for 3 months, self eval judged by weight Bulimia
Brain abnormalities in anorexia/bulimia Differences in dopamine pathways (affects pleasure and +/- feedback)
Meds for Anorexia: Prozac, Atypical Antipsychotics
meds for Bulimia: SSRI (depression), Prozan only approved with bulimia
Promising approach to bulimia counseling Nonspecific Supportive Clinical Management
Superior approach for Bulimia CBT
Other Approaches for Eating Disorders Mindfulness based Therapy, Art therapy and Eating Disorders
New research on Eating Disorders that offers a promising approach to counseling Attachment and Eating Disorders
Connection of Attachment with eating Disorders Women with eating disorders have higher levels of insecure attachments
What technique was more effective for women have high attachment insecurity? Group Psychodynamic Treatment
Disorders often comorbid with GAD Mood Disorders, other Anxiety Disorders, and with Substance-Related Disorders, Depression,
Summary of criteria for Diagnosis: Anxiety or worry about multiple things, difficult to control, physical symptoms, clinical imparement GAD
Brain Abnormalities in GAD larger volumes of the amygdala and the dorsomedial prefrontal cortex
Meds for GAD Benzos, Antidepressants, Sleeping Pills, Antihistamines, Beta-Blockers, Hyperintensives
Counseling Approaches with GAD CBT, Time Management, Coping Skills, behavioral, breathing/Relaxation Techniques
Therapy that has been shown to be effective with GAD in conjuntion with CBT interpersonal and emotional processing therapy
Recommended initial Meds for GAD based on research SSRI and DNRI
Avg age of onset for OCD Male 6-15 Female 20-29
Children at risk for OCD Children with streptococcal infection
Summary of Criteria for Disorder: Obsessions or Compulsions, Recog. of excessive obs/comp., Obsessions caused marked distress OCD
When to specify poor insight with OCD If person does not realize there is a compultion problem
NT involved in OCD Dopamine, Glutamine, GABA, Seratonin
Meds for Antidepressants SSRI and Tricyclic antidepressant
Counseling Approaches for OCD CBT, Exposure Ritual Prevention
Scales focused on CBT Florida Obsessive-Compulsive Inventory (FOCI), Yale-Brown Obsessive Compulsive Scale (YBOCS), DSM-V Alternative Scale
OCD is marked in research by what behaviors? Checking Behaviors and Responsiblity
Great risk factor for Panic Disorder: 1st Degree Relative
Summary of Criteria Diagnisis: Recurrent Attacks or Worries of Attacks, Not due to GMC, Not accounted by other disorder Panic Attack
Biological Aspects of Panic Attacks Dorsal periaqueductal grey matter (PAGd) overactivated, HPA axis activated in anxiety not panic
Meds used for Panic Attack SSRI, SNRI, Benzos
3 areas to focus counseling approaches on with Panic Attacks Mind, Body, Spirit
CBT and CT focus on what aspect of Panic Attacks Mind
Focuses for body aspect of panic attack intervention Reduce Stimulant Intake, Healthy Diet, Exercise,
Focuses for spirit aspect of panic attack intervention Breathing, Muscle Relaxation, Yoga, Calm Music
What type of intervention is found to be most helpful from a Meta-analysis exposure, relaxation training, and breathing retraining are most effective
Most people with PTSD are survivors of... Rape, Military Combat, Ethnocide/Genocide
Criteria for Diagnosis Summary: Exposure to Traumatic Event, Re-experiencing of event, avoidance of things related to trauma, Increased arrousal, over 1 month, impares functioning Post Traumatic Stress Disorder
Specifiers for PTSD Acute (<3 mo), Chronic (>3 mo), Delayed Onset (starts 6 mo after stressor)
PTSD and brain abnormalities Have higher number of 1b receptors
Meds for PTSD SSRI, SNRI, Anti-Anxieties (Buspar, Benzos), Beta Blockers, Alpha Blockers, Antipsychotics
What do alpha blockers do? Decrease nightmares
Trauma Therapy can be done when the client is in crisis... False
Counseling approaches for PTSD TF-CBT, Exposure Therapy, Dialectical Behavioral Therapy, Support Groups, EMDR
Areas of current research for PTSD Dialectical behavior therapy Prazosin treatment for nightmares Mindfulness skills among veterans
Common onset for Social Anxiety Disorder Adolescence and Childhood
Roots of Social Anxiety Disorder Inhibited Personality, Embarrassing Experience
Is SAD a lifelong disorder? Potentially
Risk factors for SAD Heredity, Neuroticism/Introversion,Behavioral Inhibition , Bullying, New Demands, Controlling Parenting Style
Attachment most closely tied to SAD Anxious-Resistant Attachment
Criteria for DIagnosis: Social Performance Fear, Social Situation promotes Panic Attack, Fear Excessive, Situations Avoided, Avoidance interferes with life, 6 mo, Not due to GMD, Fear unrelated to Health, Many Situations Social Anxiety Disorder
Brain abnormality with SAD Enlarged Amygdala, Seratonin Imbalance
Meds for SAD SSRI, possibly with SNRI
Less common meds for SAD Anti Anxieties and Beta-Blockers
What does MBSR (with SAD Diagnosis) focus on Stress Psychoeducation with Vipassana meditation
Do many patients with SAD seek treatment for other disorders? YES
What anxiety disorder has the lowes remission rate? Social Anxiety Disorder
Created by: theostripling
 

 



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