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Definition
able to learn helps you stay focused |
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physical s/s decreased perception unable to learn at this level |
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problematic physical s/s decreased concentration apprehension ritualistic |
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terror no concentration decreased breathing increased pulse fear, suicidal tunnel vision feel like they're dying |
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adaptive and problem solving with little anxiety palliative anxiety transient with relief for problem solving maladapative: constant/little problem solving Dysfunctional: anxiety constant with terrible effects on functioning/new problems developing |
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Causes of Anxiety: Biological |
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Definition
Genetic: 5Ht/limbic system/40-50% in family members NT: decreased 5Ht/decreased GABA/increased NE Oxygen: decrease in brain increase CV response/panic |
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Definition
increased P/BP/R chest pain SOB go to ER thinking they are dying --15% of people have a panic attack at least one time in their life panic disorder 3.5% |
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Definition
situation is difficult to escape from embarrassing to escape from/no help available Mild to severe/leads to retreating to ones’ home |
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Panic disorder with Agoraphobia |
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Definition
apprehension terror without clear precipitant depression can occur |
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Definition
persistent irrational fear to object, activity, situation leading to avoidance Patient knows it is irrational -usually limited impairment -outward behavior of inward conflict |
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Definition
classic conditioning (frightening w/neaural stimuli) self help groups, social skills training, supportive treatment Behavioral treatment |
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Definition
Anticipatory negative thoughts before an event fear of being exposed to scrutiny/humiliation/embarrassment Specific: choking in restaurant General: say foolish things |
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Obsessive Compulsive Disorder (OCD) |
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Definition
Obsessions: repetitive thoughts/images that lead to anxiety: themes: losing things/blasphemy/fear of disease/contamination/sex/aggression Compulsions: ritualistic behaviors:counting/washing/checking/hoarding Time consuming, feel shame & distress |
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Term
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Definition
Cognitive behavioral therapy: exposure with response delay/gradual extinction/thought stopping Semantic satiation: write a few words of the obsession than rewrite or say aloud a lot until fear decreases |
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Generalized Anxiety Disorder |
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Definition
5%/generalized anxiety disorder/6 months most days have anxiety/usually co-occurs with depression/alcoholism feel inadequate in relationships, job, finances: worries about everything Leads to sleep problems, fatigue, decreased concentration, irritability |
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Term
Post Traumatic Stress Disorder |
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Definition
intrusive/re-experiencing of trauma repeated re-experiencing of highly traumatic events that involves actual or threatened death or serious injury to self/others. --If a person has resilience: fewer s/s: connects with others/attempts to cope/internal locus of control --If the person dissociates at time of event leads to increased s/s |
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Term
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Definition
desensitization --Stress management: cognitive restructuring to increase coping --Expressive treatment: translate memories into meaningful symbols and verbal representations to be integrated --Eye movement desensitization and reprocessing being researched: uses a patient's own rapid, rhythmic eye movements. These eye movements dampen the power of emotionally charged memories of past traumatic events |
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Definition
SSRI’s but not great with combat PTSD Minipress: alpha antagonist: combat PTSD Avoid MAOI’s/BZ if alcohol issue |
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Definition
resolves in 4 weeks, feels detached/ brought on by an acute issue |
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response to intense stressors Fails to integrate identity, memory and consciousness --NO physical trauma |
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Definition
can't recall important but stressful content |
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Definition
travel & inability to remember past/takes on a new identity |
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Depersonalization disorder |
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Definition
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Term
Dissociative personality disorder |
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Definition
MPD: multiple personality disorder |
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Medications for Dissociative disorders |
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Definition
SSRIs Hypnotherapy Uncover Triggers Reintegration |
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Definition
suffers from physical s/s -multiple complaints of physical issues that are not intentional or fake pain, GI issues, sexual issues, decreased coordination, balance, paralysis, weakness, "lump in throat" |
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Definition
emotional issues expressed via physical symptoms |
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Definition
severe pain leading to seeking tx TX: SSRIs, nonpharmicological pain management, determine stressors |
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Definition
misinterprets bodily sensations that cause them to fear a serious illness despite negative results |
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Definition
focus of a certain body part --disturbed body image SSRIs and CBT |
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Term
Munchausen's Syndrome (be proxy) |
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Definition
patient deliberately produces signs of physical or mental issue and misrepresents their issue so that they can be in the patient role (or their child can be). --Seizure disorder, wound healing, fever, etc. |
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