PSY 230 Lecture Notes - Lecture 1: Obsessive–Compulsive Disorder, Major Depressive Disorder, Generalized Anxiety Disorder
13 Jun 2018
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ABNORMAL PSYCHOLOGY REVIEW FOR FINAL EXAM
1.Anxiety Disorders
Women are 2x more at risk to develop anxiety disorders
Highly comorbid with Major Depression
Treatment: 1) Medications- ““RI’s & Bezo’s CBT 8% sho ipoeet Eposue
Therapy- Extinction, Eliminate Avoidance & Hierarchy
2. Specific Phobia
1 Year Prevalence is 8.7%
Women are 4x more at risk to have specific phobia
Chronic
Onset is 15-20
Treatment- CBT is the teatet of hoie, ““RI’s- 75% experience sexual dysfunctions & Benzos
reduce the symptoms but are not good in the long term
3. Panic Disorder- unexpected panic attack
5% of the general population
Onset is 20-24
2/3 with PD are female
Comorbid with Agoraphobia (must have six months)
*BEST long term outcome is CBT alone*
Medication- ““RI’s ae pefeed, Bezo’s itefee ith CBT ad ae additie
Relapse Rates are high following the termination of taking medication
4. Obsessive Compulsive Disorder
Obsessions or Compulsions must be time consuming and take up more than 1 hour per day
2% of the general population
Men to Women ratio is 1:1
-Men have earlier onset and a more severe course
Teatet: CBT is 8% effetie ““RI’s -75% show improvement)
Chronic
5. Post Traumatic Stress Disorder (Distress must be longer than 1 month)
Onset- acute, chronic or delayed
6.8% of the general population
Common: combat (men) sexual assault (women)
HPA abnormalities
Treatment: 1) Medications- ““RI’s atidepessets Pshologial teatet: pologer
imaginary exposure 2) Eye movement Desensitization 3) Stress Inoculation Training
6. Social Anxiety Disorder (Social Phobia- must be at least 6 months)
12% of the general population
Prevalence is 50:50 when comparing men: women
find more resources at oneclass.com
find more resources at oneclass.com
Highly comorbid with depression and substance abuse
Onset is 13 (peak), available for treatment around 30
*CBT shows 75% improvement
Medications- Moo aie oidase Ihiitos ““RI’s Bezo’s Beta Blokes
*High relapse rates
7. Generalized Anxiety Disorder (at least 6 months)
*Worry is the primary feature*
6% of the general population
2/3 of the individuals who suffer are females
Onset is insidious and occurs in early adulthood, chronic
Weak teatet: Bezo’s depedee Atidepessats CBT is ette i the long run
8. Somatic Symptom Disorder
*Presence of symptom with predominant pain
Comorbid with anxiety and depression
Onset is at any age, chronic
Equal in M/F
Treatment: sensitive reassurance and stress management
9. Somatization Disorder
*Preoccupation with numerous physical symptoms, rare
Onset- adolescence
Typical in unmarried, low SES women, chronic
No effective treatment
10. Body dysmorphic Disorder
1/4 college students meet the criteria
Equal in M/F
Eal ’s oset, hoi
Treatment- siila to OCD ““RI’s, eposue ad espose peetio
11. Conversion Disorder
Rare, chronic
Primarily in females
Onset is in adolescence
Comorbid with anxiety and mood disorders
12. Dissociative Identity Disorder
1. Alter 2) Host 3) Switch
Rare, less than 1%
Females to Males- 9:1
Average # of identities is 15
Onset is in childhood, chronic
find more resources at oneclass.com
find more resources at oneclass.com
13. Depersonalization Disorders
Highly comorbid with anxiety and mood disorders
Onset is around 16
Chronic, little known treatment
14. Major Depressive Disorder (1 MDE and NO manic or hypomanic episode)
Lifetime prevalence is 16.6%
Onset median age is 30
# episodes is 4-9
MDE duration is 4-5 months
Before 21—> longer course, worse prognosis and runs in families
18.5% experience psychotic features
15. Persistent Depressive Disorder (2 years)
More chronic and more severe
16. Double depression—> MDE and PDD (PDD is first)
17. Disruptive Mood Dysregulation Disorder- Outbursts 3x or more in a week for at least a year
Not before 6 years old or after 18
NO mania or hypomania
18. Bipolar I
Severe mania and Severe depression
Onset is 15-18, chronic
12-48% attempt suicide
Unaware of mania, poor adjustment
No gender differences
Lifetime prevalence is 1%
Psychosis occurs in 25%
*LITHIUM CARBONATE* must be monitored
19. Bipolar II
Mild mania and Severe depression
Onset is 19-22, chronic
10-25% progress to Bipolar I
20. Cyclothymic Disorder
Mild mania and mild depression (2 years)
Less severe
21. Depression in the Elderly
find more resources at oneclass.com
find more resources at oneclass.com
Document Summary
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