32 Cards in this Set
Front | Back |
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Anxiety
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extreme apprehension, tension, related to anticipated future harm. distal
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fear
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alarm response to dangerous situation; proximal
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Panic Attack
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-not a disorder!
-abrupt onset of intense fear that reaches a peak within minutes
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Panic Disorder
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recurrent unexpected panic attacks. 1+ attacks followed by 1+ month of persistent concern about more attacks and/or maladaptive behavior r/t attacks
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Most panic disorders develop around age __, few beyond age __
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20, 45
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Generalized Anxiety Disorder
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excessive anxiety/worry more days than not for 6+ months
-women 2x likely to be diagnosed
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Major Depressive Disorder
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5+ symptoms present during 2 week period
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Persistent Depressive Disorder (Dysthymia)
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1. depressed mood for most of the day, nearly every day, for 2 years
2. while depressed, 2 or more: eating probs.; sleep probs.; fatigue; low SE; cognitive probs.; feelings of hopelessness
3. not w/o syxs of 1 and 2 for more than 2 months
4. MDD syxs may be present for 2 years
…
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Obsession
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an unwanted through, word, phrase, or image that persistently and repeatedly comes into a persons mind and causes distress; person attempts to dismiss but usually only worsens stress
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compulsions
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repetitive behavior or mental acts that the person feels driven to perform in response to an obsession; behavior aimed at reduced anxiety or preventing dreaded event but not always directly related to obsession
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OCD
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obsessions or compulsions time consuming (1+hr/day) or causes distress or impairment.
*insight-common for people to know behavior is abnormal
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mood
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transient episodes of feeling or affect but longer in duration than emotions
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Maniac Episode
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distinct period of abnormally & persistent elevated mood and persistently increased goal-directed activity for more than 1 month
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hypomanic episode
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a period of elated mood not as extreme as a manic episode. Has a shorter duration (4 days instead of a week)
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Bipolar I
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1+ manic episode (really unipolar)
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Bipolar II
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1+ hypomanic episode, never manic, and 1+ MD episode
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cyclothymic disorder
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at least 2 years, periods of both hypomanic and depressive symptoms that don't meet other disorders (not as severe), not w/o symptoms for 2 months
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Rapid cycling
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occurrence of 4 or more episodes during a 12 month period—could be one manic three depressive—any four episodes—could be a mixed episode
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internal attribution
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belief that situation is the person's "own fault"
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global attribution
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belief that event that has occurred means that "whole life is a mess"
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stable attribution
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belief that things won't improve
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dissociative identity disorder
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two or more distinct personalities (subpersonalities), gaps in memory, no attributions to substances
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iatrogenic
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suspected that DID may be result of this; unintentionally produced by practitioners
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Dissociative amnesia
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an inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by normal forgetfulness
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The major somatic symptom disorders in the proposed DSM-5 include:
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complex somatic symptom disorder
illness anxiety disorder
conversion disorder
factitious disorder
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somatic symptom disorder
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1+ somatic symptoms (eg pain) that result in distress, excessive behaviors.
assocaited w/depression and increased suicide risk, rarely seek psych help, usually seek med help
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Illness anxiety disorder
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fears about having a major medical illnesses in the absence of somatic symptoms; preoccupation lasts 6+ months
-prone to "doctor shop" until they hear what they want to hear
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conversion disorder
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symptoms affecting voluntary motor function. originally called hysteria
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Factitious Disorder
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Feigning (through deception) physical or emotional illness in order to be a patient
-although symptoms feigned, real damage often results
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Munchausen Syndrome Munchausen by Proxy
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Patient travels from hospital to hospital in search of treatment of a factitious problem for self or children/dependents (by proxy) May report false symptoms (voices, HA) false evidence (heat thermometer) fake evidence (taking warfarin to thin blood)
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Muchausen syndrome
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The extreme and chronic form of factitous disorder
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malingering
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deliberate faking of a physical or psychological disorder motivated by tangible gain or removal from a responsibility; ie bad financial situation
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