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a negative mood state characterized by bodily symptoms of physical tension and by apprehension about the future. - a future-oriented mood state |
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a response to an actual threat |
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-roots are deeply embedded in our cultural myths - |
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-defined as an abrupt experience of intense fear or acute discomfort, accompanied by physical symptoms that include heart palpitations, chest pain, shortness of breath, and dizziness |
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three types of panic attacks |
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-situationally bound -unexpected -situationally predisposed |
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situationally bound panic attacks |
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has attacks only in certain situations |
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you dont have a clue when or where the next attack will take place |
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situationally predisposed panic attacks |
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you are more likely to, but not inevitably, have an attack where you have had one before |
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causes of anxiety disorders |
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- inherit a tendency to be tense and uptight -also associated with specific brain circuits and neurotransmitter systems -area of brain most often asssociated with anxiety is limbic system |
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behavioral inhibition system (BIS) |
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Definition
-activated by signals from the brain stem of unexpected events, such as major changes in body functioning that might signal danger -this system leads from the septal and hipocampal area in the limbic system to the frontal cortex |
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fight/flight system (FFS) |
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-this circuit originates in the brain stem and travels through the several midbrain structures, including the amygdala, the ventromedial nucleus of the hypothalamus, and the central gray matter |
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places or situations similar to the one where the initial panic attack occurred |
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increases in heart rate or respiration that were associated with the initial panic attack, even if they are now the result of normal circumstances |
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triple vulnerability theory |
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-generalized biological vulnerability -generalized psychological vulnerability -specific psychological vulnerability |
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generalized biological vulnerability |
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the tendency to be uptight or highstrung might be inherited |
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generalized physcological vulnerability |
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having the strong perception that the things are dangerous and out of your control and you may not be able to cope when things go wrong based on early experiences |
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specific psychological vulnerability |
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when you learn from early experience, such as being taught by your parents, that some situations or objects are fraught with danger (even if they aren't) |
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the co-occurence of two or more disorders in a single individual |
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Generalized Anxiety Disorder (clinical description) |
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-characterized by muscle tension, mental agitation, susceptibility to fatigue, irritability, difficulty sleeping - mostly worry about minor, everyday life events -prevalent among the elderly |
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-tends to run in families -having early stressful experiences where they learned that the world is dangerous and out of control -engage in frantic, intense thought processes or worry without accompanying images |
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-benzodiazepines are often prescribed -therapy -cognitive-behavioral treatment (CBT) - patients evoke the worry process during therapy sessions and confront anxiety-provoking images and thoughts head-on |
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a discomfort caused by holding conflicting ideas simultaneously |
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The law dictates that performance increases with physiological or mental arousal, but only up to a point. |
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brain structures involved in dealing with fear and stress |
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-amygdala -ventromedial prefrontal cortex -medial prefrontal cortex -prefrontal cortex |
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panic disorder with agoraphobia (PDA) |
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individuals experience severe, unexpected panic attacks and dont like being in situations where they feel unsafe |
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fear and avoidance of situations in which they would feel unsafe in the event of a panic attack or symptoms |
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avoidance of internal physical sensations |
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the change in stages of sleep to slow wave sleep produces physical sensations of "letting go"that are frightening to an individual with a panic disorder |
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an interruption of breathing during sleep that may feel like suffocation |
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-occurs during the transitional state between sleep and waking - during this period, the individual is unable to move and experiences a surge of terror that resembles a panic attack |
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panic control treatment(PCT) |
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concentrates on exposing patients with panic disorder to the cluster of interoceptive sensations that remind them of their panic attacks |
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an irrational fear of a specific object or situation that markedly interferes with an individuals ability to function |
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blood-injury-injection phobia |
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almost always differ in their physiological reaction from people with other types of phobia - average onset is 9 years |
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phobias characterized by fear of public transportation or enclosed places -tend to emerge in mid 20's
ex: claustraphobia,phobia of planes |
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natural environment phobia |
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develop fears of situations or events occurring in nature - peak age of onset of about 7 years
ex: heights, storms, and water |
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fear of animals and insects -age of onset peaksaround 7 years |
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seperation anxiety disorder |
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characterized by childrens unrelaistic and persistent worry that something will happen to their parents or other important people in their life or that something will happen to the children themselves |
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people who suffer severely around others |
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Post-traumatic stress disorder |
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a type of anxiety disorder. It can occur after you've seen or experienced a traumatic event that involved the threat of injury or death. |
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causes of post-traumatic stress disorder |
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-changes the body's response to stress. -It affects the stress hormones and chemicals that carry information between the nerves (neurotransmitters). |
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-reliving the event,which disturbs day to day activity - avoidance -arousal |
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-reliving the event,which disturbs day to day activity - avoidance -arousal |
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-desensitization -support groups -medication- antidepressants |
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obsessive compulsive disorder |
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an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), or behaviors that make them feel driven to do something (compulsions). |
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-•Obsessions or compulsions that are not due to medical illness or drug use - •Obsessions or compulsions that cause major distress or interfere with everyday life |
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repeated thoughts, feelings, ideas or sensations |
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behaviors that make them feel driven to do something |
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a belief that physical symptoms are signs of a serious illness, even when there is no medical evidence to support the presence of an illness. |
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a long-term (chronic) condition in which a person has physical symptoms that involve more than one part of the body, but no physical cause can be found |
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causes of somatization disorder |
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People with this disorder have many physical complaints that last for years. Most often, the complaints involve chronic pain and problems with the digestive system, nervous system, and reproductive system. - stress often worsens the symptoms |
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treatment of somatization disorder |
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Definition
talk therapy and cognitive behavioral therapy |
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a condition in which a person has blindness, paralysis, or other nervous system (neurologic) symptoms that cannot be explained by medical evaluation. |
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causes of conversion disorder |
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- can begin suddenly after a sudden experience -People are more at risk for a conversion disorder if they also have a medical illness, dissociative disorder, or a personality disorder. - may occur because of a psychological conflict |
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symptoms of conversion disorder |
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Definition
include the loss of bodily functions such as: - blindness -inability to speak -numbness -paralysis |
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treatment of conversion disorder |
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-talk therapy (psychotherapy) -stress management training -affected body parts will need physical therapy |
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when a patient experiences chronic pain in one or more areas, and is thought to be caused by psychological stress. |
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treatment of pain disorder |
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antidepressants and talk therapy |
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in which the affected person is excessively concerned about and preoccupied by a perceived defect in his or her physical features |
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causes of body dysmorphic disorder |
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- most clinicians believe it could be a combination of biological, psychological, and environmental factors from their past or present. Abuse and neglect can also be contributing factors |
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symptoms of body dysmorphic disorder |
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Definition
depression, social phobia, and obsessive compulsive disorder |
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treatment of body dysmorphic disorder |
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Definition
psychotherapy and medication |
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deliberately faking symptoms |
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-involve severe detachments or alterations -affects identity, memory or consciousness |
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inablilty to recall personal info, usually of a stressful or traumatic nature. -dissociative amnesia is common during war. -in most cases forgetting is selective for traumatic events. |
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people who are unable to remember anything including who they are. it may be lifelong or may extend from from a period in the more recent past, such as 6 months or a year. |
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localized or selective amnesia |
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failure to recall specific events, usually traumatic, that occur during a specific period. |
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depersonalization disorder |
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- when feelings of unreality are so severe and frightening that they dominate an individuals life and prevent functioning. - |
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can be diagnosed 1 month after the event occurs |
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when PTSD continues longer than 3 months |
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-PTSD occurring within the first month after the trauma |
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reliving emotional trauma to releive emotional suffering |
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