Abnormal Psych Review.docx

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University of Toronto St. George

Abnormal Psych Review Chapter 6: Anxiety Disorder  Anxiety o Unpleasant feeling of fear and apprehension o Stress o Worry o Inability to relax o Fear of worst happening  Beck anxiety inventory o 21-question multiple choice report inventory used for measuring the severity of an individual’s anxiety  Anxiety Disorders o Phobia o Panic disorder o Generalized anxiety disorder o Obsessive-compulsive disorder o Posttraumatic stress disorder o Acute stress disorder  Phobias o Disrupting, fear-mediated avoidance o Out of proportion to the danger actually posed o Recognized by the sufferer as groundless o Must be accompanied by significant distress and disability o Sharks aren`t relevant because we don’t live in a shark tank o Closter phobia- greek word used as a suffix o Acrophobia – scared of heights o Causation: depends on paradigm  Phobias-two types o Specific phobia  Unwarranted fears caused by the presence or anticipation of a specific object or situation  i.e, bllod injuries/ injection, situation specific, animal specific o Social phobia  Persistent, irrational fear linked to the presence of other people  Hinder school and job  2 types of social phobia  Generalized: more severe impairment, great deal of comorbidity, early onset o Therapies for Phobia  Behavioural approaches  Virtual reality (create hierarchy, safe, low drop out)  Homeopathic treatment  Systematic desensitization  Flooding (Last resort, force person to face fear, touch handle) o Panic Disorder  Panic Disorder  Sudden, inexplicable attack of symptoms o Laboured breathing, heart palpations, nausea, chest pain, feelings of choking and smothering, dizziness, sweating, trembling, feelings of impending doom o Variable in frequency (minutes)  Depersonalization  Derealization  Cued -caused by stimulus  Uncued or both- can’t just have cued  If only cued it is a phobia  Agoraphobia –scared of leaving the house o Generalized Anxiety Disorder  Generalized anxiety disorder (GAD)  Chronic, uncontrollable worry about all manner of things o Something bad is constantly going to happen to them o Cognitive impairment, restless, very common in women o Obsessive compulsive disorder  Obsessions  Intrusive and recurring thoughts, images, and impulses  Compulsions  Repetitive behaviour or mental act that the person feels driven to perform to reduce the distress caused by the obsessions o Post-traumatic Stress Disorder (PTSD)  Post-traumatic Stress Disorder (PTSD)  Extreme responses to a severe stressor  Re-experiencing the traumatic event such as…  Avoidance of stimuli associated with the event or numbing of responsiveness  Symptoms of increased arousal  Acute stress disorder  Stressor causes significant impairment in social or occupational functioning for less than one month Chapter 7-Somatoform & Dissociative Disorders  Somatoform & Dissociative Disorders o Somatoform disorders  Bodily symptoms that suggest a physical defect or dysfunction, but no physiological basis can be found  Very common o Dissociative Disorders  Disruptions of consciousness, memory, and identity  Very rare, know little about these  Somatoform disorders o Pain disorder  Psychological factors play a significant role in the onset and maintenance of pain  DSM included these subtypes  Pain disorder associated psychological factors  Pain disorder associated with both psychological factors and a general medical condition (most often diagnosed) o Distress and disability, alcohol/pain medication  Pain disorder associated with general medical condition  DSM Specifiers : Acute (less than 6 months in duration)  Chronic (more than 6 months) o Temporal relationship to some sort of stressor in person’s life. Important because over time you don’t want to relieve self of pain because life has become better for them (car accident) iatrogenic disability (for attention, sympathy, general instead of specific pain)  Somatoform disorders o Body dismorphic disorder  Preoccupation with imagined or exaggerated defects in physical appearance  Face, penis, chest, bum, hair, height  Hard to treat, late adolescents, comorbidity with depression, suicide, eating disorders, substance abuse, personality disorders (except narcissistic)  Often don’t tel
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