PSYA02H3 Lecture Notes - Lecture 28: Generalized Anxiety Disorder, Sleep Disorder, Dsm-5

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14 Mar 2019
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PSYA02 Lecture 25: Clinical Psychology Part Two
DSM-5: lists 22 categories that include all we know about mental illness today
o 4) Risk factors and Etiology
Etiology: what exactly causes a disorder
Rare for DSM to have exact cause of disorder
DSM tends to list risk factors
Risk factors: things that correlate with others getting the specific disorder
Biological, genetic, and environmental factors all considered
Hard to know exact causes of the disorders because we cannot
experiment on humans with them
o 5) Comorbidities: other disorders that commonly co-occur with the disorder
Treatment is not part of DSM, only diagnosis
Anxiety disorders: category or disorders involving maladaptive fear or nervousness
o Fear: adaptive response to threats
Protects us from dangerous environmental elements
o Anxiety: onset if fear responses when there isnt a threat present at the moment
Often arises from perception that fear will arise in the future
Anxiety that interferes with normal functions is maladaptive
Decreases our fitness
Very common: 70% of Canadians experience maladaptive anxiety
o 4 major anxiety disorders: GAD, Phobic Disorder, Panic Disorder, OCD
1) Generalized Anxiety Disorder: anxiety disorder where worries are not focused on
any specific threat
o The anxiety always seems to settle on something even when no stressor is
present
i) Diagnostic Criteria: all have to be met to make diagnosis for GAD
Excessive anxiety and worry for more days than not for at least 6
months about multiple stressors
Person finds it hard to control worry
Person must have 3 of the following symptoms
o Restlessness, Fatigue, Irritability, Muscle tension, Sleep
disturbance, Concentration difficulties
The three universal diagnostic criteria
ii) Onset: rarely before adolescence, median age is 30
Symptoms usually develop before this age
Level of anxiety among people remains constant in population
o Only content of the worry changes
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