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Anxiety
extreme apprehension, tension, related to anticipated future harm. distal
fear
alarm response to dangerous situation; proximal
Panic Attack
-not a disorder! -abrupt onset of intense fear that reaches a peak within minutes
Panic Disorder
recurrent unexpected panic attacks. 1+ attacks followed by 1+ month of persistent concern about more attacks and/or maladaptive behavior r/t attacks
Most panic disorders develop around age __, few beyond age __
20, 45
Generalized Anxiety Disorder
excessive anxiety/worry more days than not for 6+ months -women 2x likely to be diagnosed
Major Depressive Disorder
5+ symptoms present during 2 week period
Persistent Depressive Disorder (Dysthymia)
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 …
Obsession
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
compulsions
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
OCD
obsessions or compulsions time consuming (1+hr/day) or causes distress or impairment. *insight-common for people to know behavior is abnormal
mood
transient episodes of feeling or affect but longer in duration than emotions
Maniac Episode
distinct period of abnormally & persistent elevated mood and persistently increased goal-directed activity for more than 1 month
hypomanic episode
a period of elated mood not as extreme as a manic episode. Has a shorter duration (4 days instead of a week)
Bipolar I
1+ manic episode (really unipolar)
Bipolar II
1+ hypomanic episode, never manic, and 1+ MD episode
cyclothymic disorder
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
Rapid cycling
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
internal attribution
belief that situation is the person's "own fault"
global attribution
belief that event that has occurred means that "whole life is a mess"
stable attribution
belief that things won't improve
dissociative identity disorder
two or more distinct personalities (subpersonalities), gaps in memory, no attributions to substances
iatrogenic
suspected that DID may be result of this; unintentionally produced by practitioners
Dissociative amnesia
an inability to recall important personal information, usually of a traumatic or stressful nature, that is too extensive to be explained by normal forgetfulness
The major somatic symptom disorders in the proposed DSM-5 include:
complex somatic symptom disorder illness anxiety disorder conversion disorder factitious disorder
somatic symptom disorder
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
Illness anxiety disorder
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
conversion disorder
symptoms affecting voluntary motor function. originally called hysteria
Factitious Disorder
Feigning (through deception) physical or emotional illness in order to be a patient -although symptoms feigned, real damage often results
Munchausen Syndrome Munchausen by Proxy
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)
Muchausen syndrome
The extreme and chronic form of factitous disorder
malingering
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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