Term
What is the psychiatry definition of Anxiety? |
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Definition
Abnormal and overwhelming sense of apprehension and fear often marked by physiological signs, by doubt concerning the reality and nature of the threat, and by self-doubt about one's capacity to cope with it. |
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Term
What symptoms are associated with a panic attack? |
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Definition
Palpitations, tachycardia Sweating Trembling or shaking shortness of breath, smothering choking chest pain or discomfort nausea or abdominal distress dizzy, unsteady, lightheaded, faint derealization or depersonalization Fear of losing control, "going crazy" fear of dying paresthesias chills or hot flashes sudden onset, 5-30 minutes |
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Term
What is a fear of being unable to escape a place? |
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Definition
Agoraphobia
Also... Fear of marketplace Avoid crowded places Housebound |
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Term
How is a panic Disorder defined? |
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Definition
Recurrent unexpected panic attacks 1+ months: persistent concern about attacks worry about consequences of attack significant change in behavior due to attacks With or Without agoraphobia |
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Term
What disorder has excessive anxiety more days than not for at least 6 months? |
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Definition
Generalized Anixiety Disorder |
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Term
What symptoms are associated with Generalized Anxiety Disorder? |
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Definition
Restlessness or feeling on edge Being easily fatigued difficulty concentrating or mind going blank Irritability Muscle tension Sleep disturbance
(need 3 of 6 for Generalized Anxiety Disorder) |
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Term
What is the Treatment for GAD/Panic Disorders? |
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Definition
Pharmacology: Anxiolytics - Benzos, Buspirone SSRIs Psychotherapy: Relaxation techniques Breathing, self-talk |
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Term
How is Social Phobia Defined? |
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Definition
Marked and persistent fear of one or more sodial or performance situations in which the person is exposed to unfamiliar people or to possible scrutiny by others. Fears they will act in a way that will be humiliating or embarrassing. |
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Term
How does a patient with Social Phobia view their fear? |
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Definition
The person recognizes the fear is excessive or unreasonable. |
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Term
What are the 5 subtypes of Specific Phobias? |
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Definition
Animal Type Natural Environment Type Blood-injection Type Situational Type Other |
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Term
What kind of psychotherapy is used to treat phobias? |
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Definition
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Term
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Definition
Either Obsessions or Compulsions Insight that the O/c are excessive or unreasonable Marked distress, time consuming, significantly interfere with routine or functioning Not due to another psychiatric/medical cause |
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Term
What is the definition of an Obsession? |
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Definition
Recurrent of Persistent thoughts, impulses, or images that are experienced as intrusive and inappropriate, and cause anxiety or distress The person attempts to ignore or suppress The person recoginizes they are a product of his/her own mind |
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Term
What area of the brain is highly implicated in OCD? |
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Definition
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Term
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Definition
Repetitive behaviors or mental acts Person feels driven to perform in response to an obsession |
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Term
When does OCD usually develop by? |
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Definition
by age 30 Can "grow out of it"
2-3% prevalenc Women=Men 70-80% comorbidity with Depression |
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Term
How is Obsessive-Compulsive Personality Disorder characterized? |
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Definition
"Neat Freaks"
Preoccupation with orderliness, perfectionism, details, rules, lists, etc. |
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Term
What is the Treatment for OCD? |
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Definition
SSRIs Clomipramine
Therapy - Exposure and response prevention |
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Term
What are the 4 R's of Brain Lock system? |
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Definition
Relabel Reattribute Refocus Revalue |
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Term
How is the Duration of PTSD characterized? |
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Definition
>1 but <3 months = acute >3 months = chronic >6 months postevent = delayed onset |
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Term
What is the prerequisite for PTSD? |
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Definition
The person has been exposed to a traumatic event in which: 1. The person experienced, witnessed, or was confronted with an event that involved actual or threatened death or serious injury. 2. The person's response involved intense fear, helplessness, or horror. |
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Term
What are the 3 different categories of criteria for PTSD? |
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Definition
1. Traumatic event is persistently reexperienced 2. Persistent avoidance of stimuli associated with the event. 3. Persistent symptoms of increased arousal. |
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Term
What are the Treatments for PTSD? |
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Definition
Residential Treatment Programs Pharmacology - anxiety, mood, sleep symptoms Psychotherapy: Prolonged Exposure therapy, Group psychotherapy, Cognitive Behavior therapy |
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Term
How does Prolonged Exposure therapy work? |
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Definition
Recording the story of the traumatic event, then listening to it over and over. |
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Term
What are the characteristic of Acute Stress Disorder? |
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Definition
>2 days <4 weeks Traumatic event Significant impairment not due to other psychiatric/medical cause |
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Term
What other symptoms are associated with ASD either during or after experiencing the event? |
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Definition
1. sense of numbing, detachment, or absence of emotional reponsiveness 2. reduction of awareness of surroundings 3. derealization 4. depersonalization 5. dissociative amnesia
(3 or More needed for ASD) |
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Term
What percentage of MVA survivors who have ASD will develop PTSD? |
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Definition
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