The Psychology of Dental Phobia

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Questions and Answers

Which age range accounts for 75% of psychiatric illnesses diagnosed?

0-14

35-44

15-24 (correct)

25-34

What percentage of patients with a primary psychiatric diagnosis also have a substance use disorder?

75%

50%

29% (correct)

10%

Which comorbidities are commonly associated with psychiatric illness?

Anxiety and depression

Schizophrenia and substance abuse disorder

Borderline personality disorder and PTSD

All of the above (correct)

What is the second leading cause of disability worldwide?

Major depressive disorder Signup and view all the answers

What are the two major symptoms required for a diagnosis of major depressive disorder (MDD)?

Low mood and anhedonia Signup and view all the answers

Which of the following is NOT a common psychiatric presentation in dental practice?

Eating disorders Signup and view all the answers

What percentage of Americans ages eighteen and older suffer from a diagnosable mental disorder in a given year?

26.2% Signup and view all the answers

What is the prevalence of social anxiety disorder?

13% Signup and view all the answers

What percentage of adults reported they needed but did not receive any mental health services in the past year?

10.3% Signup and view all the answers

What is the prevalence of bipolar disorder?

1% Signup and view all the answers

Which of the following is an important technique for managing fearful dental patients, according to the text?

Providing enough information Signup and view all the answers

What is the recommended approach for scheduling procedures for fearful dental patients?

Schedule short, simple procedures first Signup and view all the answers

Which of the following is a technique that can be effective for anxious dental patients?

Relaxation techniques Signup and view all the answers

What should be done if a fearful dental patient complains of pain?

Believe the patient and respond accordingly Signup and view all the answers

What is an important aspect of the therapeutic relationship with dental patients, according to the text?

Empathy Signup and view all the answers

Which of the following is a risk factor for developing dental anxiety?

All of the above Signup and view all the answers

What is the most lethal psychiatric disorder with mortality rates up to 4%?

Anorexia nervosa Signup and view all the answers

What is the leading cause of death in people with psychiatric illness?

Tobacco-related illnesses Signup and view all the answers

Which substance use disorder is associated with dental erosion and dry mouth?

Cocaine use Signup and view all the answers

What is a recommended approach when conducting a brief motivational interviewing with patients?

Expressing empathy Signup and view all the answers

Which of the following is NOT a characteristic of Dependent Clingers?

They are confrontational and unable to problem solve Signup and view all the answers

What is the main difference between Personality Style and Personality Disorder?

Personality style is a lifelong habitual way of thinking, feeling, behaving, and coping, while personality disorder is an enduring pattern of inner experience and behavior that is inflexible, pervasive, and causes impairment Signup and view all the answers

Which type of patient is characterized by being needy, hostile, and belittling?

Entitled Demanders Signup and view all the answers

What is the term for the unconscious aspects of emotional relationships with early caregivers that are re-experienced with or transferred onto the physician?

Transference Signup and view all the answers

What is the term for the unconscious feelings experienced by the physician in working with the patient?

Countertransference Signup and view all the answers

Which of the following is a common feature of personality disorders in Cluster A?

Acts peculiar or avoids social relationships but is not psychotic Signup and view all the answers

Which of the following is a risk factor associated with head and neck cancers?

All of the above Signup and view all the answers

What is the most appropriate action when a patient with oral cancer expresses thoughts of not wanting to live due to unmanageable pain?

Listen, take their concerns seriously, and ask about their plans Signup and view all the answers

Which group of antipsychotic medications has a lower risk for tardive dyskinesia?

Second generation antipsychotics Signup and view all the answers

What is a common psych presentation in dental practice associated with oral cancer?

Depression Signup and view all the answers

Study Notes

Psychiatric Illnesses and Dental Practice

Age Range and Prevalence

18-24 year olds account for 75% of psychiatric illnesses diagnosed
26.2% of Americans ages 18 and older suffer from a diagnosable mental disorder in a given year
12.1% of adults reported they needed but did not receive any mental health services in the past year
Prevalence of social anxiety disorder: 12.1%
Prevalence of bipolar disorder: 2.6%

Comorbidities and Symptoms

37% of patients with a primary psychiatric diagnosis also have a substance use disorder
Comorbidities commonly associated with psychiatric illness: substance use disorders, anxiety, depression, and sleep disorders
Two major symptoms required for a diagnosis of major depressive disorder (MDD): low mood and anhedonia
Psychiatric illness is the second leading cause of disability worldwide

Managing Fearful Patients

Important technique for managing fearful dental patients: gradual exposure
Recommended approach for scheduling procedures for fearful dental patients: breaking down appointments into smaller, manageable steps
Technique effective for anxious dental patients: relaxation techniques, such as deep breathing and progressive muscle relaxation
If a fearful dental patient complains of pain, their concerns should be taken seriously and addressed promptly
Important aspect of the therapeutic relationship: empathy and active listening

Personality Disorders and Risk Factors

Risk factor for developing dental anxiety: previous traumatic experience
Characteristic of Dependent Clingers: needy, hostile, and belittling
Main difference between Personality Style and Personality Disorder: flexibility and adaptability
Feature of personality disorders in Cluster A: odd or eccentric behavior
Risk factor associated with head and neck cancers: tobacco use

Cancer and Psychiatric Care

Common psych presentation in dental practice associated with oral cancer: severe pain, depression, and anxiety
Most lethal psychiatric disorder with mortality rates up to 4%: anorexia nervosa
Leading cause of death in people with psychiatric illness: suicide
Substance use disorder associated with dental erosion and dry mouth: cocaine use
Recommended approach for conducting a brief motivational interviewing with patients: expressing empathy and avoiding argumentation

Therapeutic Relationships

Term for the unconscious aspects of emotional relationships with early caregivers that are re-experienced with or transferred onto the physician: transference
Term for the unconscious feelings experienced by the physician in working with the patient: countertransference

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Description

Test your knowledge on common psychological presentations in dental practice, specifically focusing on phobia. Explore how emotions can affect adherence to dental care and learn about the role of perception, anticipation, and expectations in the development of dental fears.