Neurosis & Psychotherapy PDF

Neurosis Samah Rabei Asst. Prof. Psychaitry Helwan University  Stress related disorder Adjustment Affective or neurotic usual everyday problem solving and disorder features, but criteria stressors emotional coping for an individual...

Neurosis Samah Rabei Asst. Prof. Psychaitry Helwan University  Stress related disorder Adjustment Affective or neurotic usual everyday problem solving and disorder features, but criteria stressors emotional coping for an individual Supportive & CBT disorder are not fulfilled; Impairment of functioning Acute & Post- 1. emotional numbing, Horrifying event watchful waiting traumatic 2. increased startle adrenalin EMDR stress response CBT & Group reaction 3. avoidance and steroids in (PTSD) therapy SSRIs amnesia amygdale 4. flashbacks and nightmares  Neurotic disorders Generalized Maladaptive fear about poor serotonin CBT relaxation anxiety everything more than 6 transmission Beta blockers + SSRIs disorder month Panic intense attacks of anxiety - as CO2 falls in bl, breathing exercises disorder impending death for minutes locus cerulus secrets noradrenalin Phobia unreasonable fear of specific Conditioned Desensitization disorder object >6 months e.g.:social Emotional Reactions situations to past experience Obsessive Obsessions: recurrent serotonin affected in exposure and compulsive resisted annoying thoughts basal ganglia circuits response prevention disorder Compulsions: recurrent that inhibit SSRIs / more potent anxiety reducing behaviors recurrence of ideas tricyclic Hypochondriasis is a belief to have a specific disease but can be reassured Body dysmorphic disorder is a belief to have a specific defect in one’s body but can be reassured  Somatoform disorders Dissociative amnesia - fugue - multiple frontal inhibition CBT & Group disorders identities of temporal (+- PTSD) impulses Conversion sudden symptom symbolizing subcortical frontal CBT disorder stress to significant others with facilitatory circuits (+- adjustment ) indifference Somatization multiple physical complaints > subcortical frontal suggestion & (+-adjustment ) 6 months seeking many facilitatory circuits CBT doctors’ help, Neurathenia chronic fatigue, chronic pain depletion of supportive and irritability over 6 months neurotransmitters Factitious induce illness, inflict pain or gain emotional 1) reduce risk disorder injury to oneself care and attention 2)address emotional needs Malingerers Pretend to be ill materialistic goals  1ry Care Psychotherapy Cognitive behavioral therapy For anxiety & depression  Cognitive behavioral therapy detect and neutralize cognitive errors that impair problem solving and affect mood and behavior error definition Clinical implications perfectionism Assumes everything should be perfect Obsessive traits Black & white Assumes things are all good or all bad Borderline traits (impulsive - moody) catastrophize Assumes a negative event as a catastrophe Depressive traits Personalize Assumes events is related him personally Paranoid traits Blaming Assumes events are related to someone personally Jumping to Conclusions with no sufficient or logical conclusions evidence  Agenda: (time structure): 12 sessions, 1/week, 50 min. each Empathy – feedback ………….. Guided discovery – change Homework: Detect Develop (-) (-) (-) thinking (+) (+) (+) Behavior emotion thinking emotion behavior Fight with anger He is How to Calmness, Problem brother provocative manage him enthusiasm solving blaming Got a bad sad I am a Why I got Patience, Problem mark failure this mark? Persistence, solving catastrophic How to improve my performance?  1ry care is essential in managing anxiety & depression due to the huge caseload that the specialist services can’t handle, also early diagnosis and management improve outcome Self efficacy Self esteem and and cognitive cognitive errors errors targeting targeting it, are it, are pivotal in pivotal in Anxiety Depression. Thank you ☺