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Anxiety_ Somatoform_ Dissociative_ Mood_ Eating_ and Sleep Disorders


									                Exam 2 Review
                                    
Anxiety, Somatoform, Dissociative, Mood, Eating, and Sleep Disorders
                     Anxiety Disorders
 Fear vs. Anxiety
   o Immediate vs. anticipated threat
 Triple vulnerability
   o Generalized biological vulnerability
       • Diathesis
   o Generalized psychological vulnerability
       • Beliefs/perceptions
   o Specific psychological vulnerability
       • Learning/modeling
                     Anxiety Disorders
 Generalized Anxiety Disorder
   o Excessive apprehension and worry
   o “Moving Target”
 Treatment
   o Benzodiazepines
   o Antidepressants
   o Cognitive-behavioral treatments
       • Exposure to worry process
       • Gradual Exposure
       • Fear Hierarchy
                       Anxiety Disorders
 Panic DO
   o Unexpected intense fear
   o Heart palpitations, chest pain, dizziness, shortness of breath
   o Thoughts: “I’m going to die” or “something is horribly wrong”
 Specific Phobias
   o Extreme and irrational fear of a specific object or situation
   o Recognizes fears as unreasonable
   o Avoidance
 Social Phobia
   o   Extreme and irrational fear/shyness
   o   Social/performance situations
   o   Avoidance or distressed endurance
   o   Separation Anxiety Disorder
                      Anxiety Disorders
 Post-traumatic Stress Disorder
   o Trauma exposure
   o Extreme fear, helplessness, or horror
   o Continued re-experiencing
       • (e.g., memories, nightmares, flashbacks)
   o Avoidance
   o Emotional numbing
 Obsessive-Compulsive Disorder
   o Obsessions
       • IntrusiveThoughts, images, or urges
       • Attempts to resist or eliminate
   o Compulsions
       • Thoughts or actions
       • Provide relief
                 Somatoform Disorders
 Preoccupation with health or appearance
   o Physical complaints
   o No identifiable medical condition
 Hypochondriasis
   o   Anxiety or fear of having a disease
   o   Focus on bodily symptoms
   o   Little benefit from medical reassurance
   o   Strong disease conviction
 Somatization Disorder
   o Long history of physical complaints
   o Concern about symptoms , not meaning
   o Symptoms = identity
                  Somatoform Disorders
 Pain Disorders
   o   Pain in one or more areas
   o   Significant impairment
   o   Etiology may be physical
   o   Maintained by psychological factors
 Conversion Disorder
   o Physical malfunctioning
        • Paralysis
        • Blindness
        • Difficulty Speaking
   o Lack physical or organic pathology
                Somatoform Disorders
 Malingering
   o Intentionally produced symptoms
   o Clear benefit
   o No precipitating stressful event
 Factitious Disorder
   o Intentional production of symptoms
   o Motivation to assume the “sick role”
   o No external incentives (money etc.)
 Factitious Disorder by Proxy
   o Also known as: Munchausen by Proxy; Medical Child Abuse
   o Parent creates perception that child is ill
   o Extreme, repeated medical treatments
               Somatoform Disorders
 Body Dysmorphic Disorder
   o Preoccupation with imagined defect in appearance
      • “Deformity” not perceived by others
                Dissociative Disorders
 Severe alterations or detachments
   o Normal perceptual experiences
 Depersonalization
   o Detached from sense of personal reality
 Derealization
   o Loosing sense of external world
                  Dissociative Disorders
 Types
   o   Depersonalization Disorder
   o   Dissociative Amnesia
   o   Dissociative Fugue
   o   Dissociative Trance Disorder
   o   Dissociative Identity Disorder
 Dissociative Identity Disorder
   o Abuse History
   o Treatment addresses trauma history and reintegrating “alters”
                    Mood Disorders
 Mood = Long lasting emotional state
 Affect = physical manifestation of mood
 Major Depressive Episode
   o Name Symptoms…
 Manic Episode
   o Name Symptoms…
 Hypomanic Episode
   o What’s the difference between manic and hypomanic?
 Dysthymic Disorder
 Double Depression
                      Biplolar Disorder
 Bipolar I Disorder
   o Usually alternating major depressive and manic episodes
   o Can be single manic episode only
 Bipolar II Disorder
   o Alternating major depressive and hypomanic episodes
 Cyclothymia
   o Alternating hypomanic and depressive episodes
       • Less severe
       • Persists longer
   o How is this different from Bipolar II?
       • Insufficient symptoms to meet criteria   for Manic Episode or Major
         Depressive Episode
                     Eating Disorders
 Bulimia Nervosa
   o Binge eating
   o Compensatory behaviors
   o Can be any weight but generally with 10% of normal
 Anorexia Nervosa
   o “Overly-successful” weight loss
   o 15% below expected weight
   o Intense fears of gaining weight
 Binge Eating Disorder
   o Binge eating but no compensatory behavior
   o Feeling out of control when eating
                      Sleep Disorders
 Dyssomnias
  o   Insomnia
  o   Hypersomnia
  o   Narcolepsy
  o   Circadian Rhythm disorder
  o   Breathing-related sleep disorders
 Parasomnias
  o Nightmare Disorder
  o Night Terror Disorder
  o Sleep Walking

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