Ch15,17, Chapter Questions: Anxiety & Somatic Disorders PDF

Chis lend of chapter questions folder) and Obsessive Anxiety Compulsive Disorders Ch17 Somatic Disorders  Anxiety uneasiness uncertainty , or dread Anxiety ; apprehension , f...

Chis lend of chapter questions folder) and Obsessive Anxiety Compulsive Disorders Ch17 Somatic Disorders  Anxiety uneasiness uncertainty , or dread Anxiety ; apprehension , from real or perceived threat , Fear ; reaction to specific danger ; necessary for survival normal Anxiety Mild Anxietyeverydaymore problem-solving leverage information grasps - effectively Moderate Anxiety : - selective inattention - clear thinking hampered optimal solving not problem - - sympathetic system symptoms begin nervous reduced perceptual field greatly Severe Anxiety ; - environment - difficulty concentrating on - confused ; automatic behavior - somatic symptoms increase screaming panici-markedly disturbed behavior ; running shouting , , , pacing - unable to process reality ; impulsivity  Defensies ~ Against Anxiety Defense mechanism - coping styles automatic protect people from anxiety - maintain self-image by blocking - feeling conflicts memories Adaptive of goals for acceptable achievement - Look Lowers anxiety Maladaptive immature defenses - coverse of  Clinical Picture 15. 2(lass) 271 separation anxiety disorder ; · levels of concern over being - Developmentally inappropriate from a significant other away Specific phobias ; · specific object, activity or irrational fear of a - persistent desire for avoidance Situation that leads to a disorder ; social anxiety · to a severe anxiety or fear provoked by exposureelevated will be - social or a performance situation that others negatively by disorder ; feel like heart attack,chest pain,tingling · Panic of intense fear or intense panic attack; abrupt surge within minutes discomfort that reaches a peak or fear ; fear of groups ; excessive anxiety · Agoraphobia about being in places or situations be difficult from which escape might or embarrassing &  Obsessive Compulsive Disorders - Treatment :Benavioral Therapy Obsessions :thoughts,impulses,or images that persist and recur, so that they cannot be dismissed from the mind compulsions: Litualistic benaviors an individual feels driven to perform in an attempt to ; exiturning know 3x reduce anxiety DSM-5 Criteria for Obsessive Compulsive Disorder - or both - obsessions , compulsion a substance or condition - not due to - not explained by another psychiatric disorder - time-consuming (in excess of thr per day) ptt · Obsessive compulsive disorder - UCD Body dysmorphic disorder · · False assumption about appearance "Fear of rejection Disorder Hoarding · Trichotillomanial hair · disorder Pulling Excoriation (skin · pickingdisorder Risk Factors - · child abuse trauma · post-infectious autoimmune syndrome relatives twice the risk Genetics : First degree · - disorders comorbidity wl anxiety disorders, eating · and lov fic disorder  Treatment -Biological SSil - for OCDLFDA-approved) :setraline,fluxative others : Clomipramine LTCA) - , Venlafaxine (SMRD Some - antipsychotics none forbodydysmorphorderhoarding - disorde a Exceptions : SSRIs - can be helpful in those disorders displaying obsessive-compulsive features in these other disorders Therapies Psychological Exposure · and Response prevention First line - Cognitive-behavioral intervention for obsessive-compulsive Expose patient to triggers of OCD symptoms - subside even when the ritual message anniety does : - is not completed oflooding amount of to -Expose patient to large trigger extinguish response  Ch1T0 Somatic Disorders  Somatization Idoctor hoppers , difficult to diagnose) body Expression · of stress through physical symptoms that are often manifestations of and emotional distress psychological · Symptoms expressed in place of anxiety,depression , or initability Multifactorial interplay · of biological , cognitive , Psychological , and social factors play a role in somatization  Four Disorders Primary · somatic symptom disorder Illness anxiety disorder · conversion disorder medical condition Cognitive factors affecting · Two under Conscious Control two conditions unlike the other 4 ,these are under conscious control - Factitious disorder malingering -  than umos Somatic Symptom Disorder more - hypochondriac distressing ~ one or more symptoms (pain , fatigue Excessive · thoughts , anxiety and behaviors around symptoms , or health concerns who significant physical findings and diagnoses ~ suffering is authentic · level of functional impairment High · Excessive time defotated to symptom than lemos) persistent (severe symptoms longer moderate (2 or more] screve (2 or more comorbidity disorders major depressive - and - anxiety disorders of impairment - medical illnesses wh higher degree than expected (cancer Treatment - - get diagnoses rid of - ,maybe hypnotherapy support  Illness Disorder Anxiety serious · Fear : preoccupation wh having or acquiring a illness for at least months ·smatic absent or mild symptoms of illness frequent self-scanning · for signs · excessive healthrelated benaviors or maladaptive avoidance or care avoidant · may be care seeking Treatment - relationship otherapeutic  Conversion Disorder Neurological symptoms in the absence of a neurological diagnoses Presence of deficits in · voluntary motor or sensory function Common symptoms ; · Paralysis blindness , movement i , gait disorders ,numbness , paresthesias e loss of vision or , hearing , or episodes resembling Distrust providers , calm epilepsy · Treatment - physical therapy - therapeutic communication, patient education Psychicoping skills support groups, promote self care, - , focus on strength, assertiveness training  Six Key Elements for Effective Treatment 1)Provide continuity of care 2) Avoid unnecessary procedures 3)Provide frequent, brief and regular visits , 4Always conduct a physical exam comments Avoid disparaging set reaconable therapeutic goals #citous Disorder consciously pretend to be ill but have emotional needs met , Artifically ,or · deliberately and dramatically fabricate , symptoms self inflict pain · Goal of assuming a sick more compulsivity · · Consciously conceal the true deception nature of the illness through · may be physical or psychological  dingering consciously motivated fabricating · act, a illness ; done for secondary gain eigible for to become things like disability compensation , insurance money avoidance of prison or militaryservice childhood · neglect abuse