PSYC 3830 1st Edition Lecture 7 Outline of Last Lecture I. Anxiety Disordersa. Specific Phobiab. Social Anxiety Disorderc. Panic Disorderd. Agoraphobiae. Generalized Anxiety Disorderf. Separation Anxiety Disorderg. Selective MutismOutline of Current Lecture II. Obsessive and Compulsive Related Disordersa. OCDb. Hoarding Disorderc. Body Dysmorphic Disorderd. Trichtotillomaniae. Excoriationf. What do these disorders have in common?III. Depressive Disordersa. Major Depressive DisorderThese notes represent a detailed interpretation of the professor’s lecture. GradeBuddy is best used as a supplement to your own notes, not as a substitute.b. Persistent Depressive Disorderc. Premenstrual Dysphoric Disorderd. Disruptive Mood Disregulation Disordere. Additional SpecifiersCurrent Lecture II. Obsessive and Compulsive Related Disordersa. OCDi. Obsessions – recurrent, persistent unwanted thoughts, images, or urges that are intrusive and cause anxiety and distressi. The person tries to ignore or neutralize them through the compulsionii. Compulsions – repetitive behaviors or mental acts that the person feels driven to perform in order to reduce the obsessioni. Provides temporary reliefiii. Both obsessions and compulsions are time consuming (more than 1 hourper day)iv. Treatmenti. Exposure and response prevention  patient experiences the obsession without being able to perform the compulsionv. Types i. Good insight  the person realizes the fear is probably untrueii. Poor insight  the person thinks the fears are probably trueiii. No insight  the person firmly believes the fears are trueb. Hoarding Disorderi. Persistent difficulty with discarding or parting with possessions, regardless of their valueii. Difficulty is due to perceived need to save the items and the distress associated with discarding themiii. Results in extreme clutter and inability to maintain a safe environmentiv. Causes clinical distress and impairmentv. The person will continue to buy things (excessive acquisition)c. Body Dysmorphic Disorderi. Preoccupation with 1 or more perceived defects or flaws in physical appearanceii. Repetitive behaviors or mental acts in response to the concerni. Ex: checking in mirror, constant grooming, asking for reassuranced. Trichtotillomaniai. Recurrently pulling out own hairii. Results in hair lossiii. Repeated attempts to decrease or stop, but never successfuliv. NOT due to medical conditione. Excoriationi. Repeated skin pickingii. Results in lesionsiii. Repeated attempts to stop, but not successfuliv. NOT due to a medical conditionf. What do these disorder have in common?i. The person engages in an activity that is unpleasantii. Unable to stopiii. Behavior is not rewarded (OCD, Hoarding, Body Dysmorphia)iv. Behaviors provide temporary relief III. Depressive Disordersf. Major Depressive Disorderi. For 2 or more weeks, the person experiences depressed mood for most ofthe day, almost every dayii. Noticed by person themselves or by othersiii. Loss of interest in activities that once gave them pleasureiv. Other symptoms (must have 5 or more):1. Weight loss/gain 2. Insomnia/hypersomnia3. Psychomotor agitation/retardation4. Feelings of worthlessness or inappropriate guilt5. Trouble concentrating, indecisiveness6. Thoughts of suicide, death, or even plans of suicidev. The person can NOT have had a manic or hypomanic episode1. This is true for all depressive disordersg. Persistent Depressive Disorderi. Low mood for 2 or more yearsii. Not as horrific as Major Depressive Disorderiii. Symptoms (must have 2 or more):1. Poor appetite or over eating2. Insomnia/hypersomnia3. Low energy4. Low self esteem5. Poor concentration, indecisive6. Feelings of hopelessness7. Has never felt better for more than 2 months at a timeh. Premenstrual Dysphoric Disorderi. Depressive symptoms in a woman prior to her periodii. Symptoms:1. Mood swings2. Irritability3. Interpersonal conflict4. Low mood5. Decreased interest in things6. Physical symptoms (bloating, weight gain)i. Disruptive Mood Disregulation Disorderi. More common in children than in adultsii. Severe, recurrent temper outburstsiii. Inconsistent with developmental leveliv. Occurs 3 or more times a weekv. Mood is persistently irritable or angry vi. Outbursts occur in 2 or more setingsj. Additional Specifiersi. Anxious distress1. More likely to be suicidal and resistant to treatmentii. Mixed features1. Symptoms of mania but still are grumpy/unhappyiii. Melancholic features1. Loss of pleasure2. Can’t feel good3. Lots of despair4. Feelings of guiltiv. Mood reactivity1. Brighten in response to positive events, but slip back into a depression soon afterv. Psychotic features1. Not living in realityvi. Catatoniavii. Peripartum onsetviii. Seasonal