Term
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Definition
| Common descriptions: nervous or jittery, feeling muscle tension, tired all the time, dizzy, fluctuations in blood sugar, frequent urination, heart palpitations, feeling faint or breathless, hyperventilate, sweat profusely, wrap arms around self, excess worry, trembling hands, difficulty sleeping (falling or awaking), difficulty concentrating, hypervigilance |
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Term
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Definition
| NOT a disorder-"I thought I was going to die"-sudden, think you're having a heart attack or suffocating |
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Term
| Generalized Anxiety Disorder (GAD) |
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Definition
| excessive worry or anxiety that's occurred at least 6 months and affects 2 or more areas of life-inability to control the worry |
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Term
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Definition
Symptoms-restlessness or feeling on edge, easily fatigued, difficulty concentrating/blank mind, irritability, sleep disturbance, muscular tension
3 needed for diagnosis |
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Term
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Definition
| Treatment-Select serotonin reuptake inhibitors (Paxil, Zoloft, Prozac) |
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Term
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Definition
| Axis 1 Anxiety Disorder-made up of a series of panic attacks-onset is later and sudden-fine after attack except for fear of reoccurrence-more common in women-possibility of depression |
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Term
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Definition
| Treatment-Buspar-benzodiazepines (highly addictive after 60 days with bad long term effects)-meds and cognitive or behavioral therapy |
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Term
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Definition
| Anxiety disorder-all have feelings of anxiety, but only in presence of object feared |
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Term
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Definition
| Treated with behavioral or cognitive therapy, can use meds, but not usually needed |
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Term
| Anxiety Disorder Prognoses |
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Definition
GAD-for life
Panic disorder-for life
Specific Phobias-easy to control/treat |
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Term
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Definition
| Anxiety disorder-feelings of embarrassment or shame when in front of others-avoid people, lonely, refuse to attend social events, do not speak in public, fear of being evaluated by others |
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Term
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Definition
| Treatment-antianxiety med, behavioral/cognitive therapy, medication needed to bring down anxiety before starting therapy |
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Term
| Obsessive-compulsive disorder |
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Definition
| Anxiety disorder-always anxiety based, repetitive intrusive thoughts images and behaviors, compulsions to minimize avoid or control obsessions, checking and rechecking-Axis 1 |
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Term
| Post Traumatic Stress Disorder |
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Definition
| exposure to traumatic event where there's belief you could die or are threatened with death-seen in war, sexual assault, rape, robbery, and threat with a weapon-feelings of hopelessness, intense fear, surreal horror, persistent re-experiencing of event, recurrent dreams, flashbacks |
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Term
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Definition
Cluster in 3 groups
a-odd or eccentric (psychotics)-bad wiring, very internal
b-dramatic erratic group
c-anxious fearful group
Axis 2 |
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Term
| Paranoid Personality disorder |
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Definition
Axis 2
Spouses fidelity questioned
Unforgiving
Suspicious of others
Perceive attacks everywhere and react
Enemy or friend-no in between
Confiding in others feared
Threats perceived in innocent events
Need 4-male dominant-closest person most likely to get hurt |
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Term
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Definition
Personality disorder-cluster A
Detached or flattened affect
Indifferent to criticism or praise
Sex not important
Tasks done alone (work and hobbies)
Absence of friends but don't care
Neither desire nor enjoy relationships
Take pleasure in few if any activities
4 of 7
mostly males
6 months or longer |
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Term
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Definition
| Treatment-therapy if forced because of spouse or boss-maybe antipsychotics |
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Term
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Definition
| Treatment-therapy if forced because of spouse or boss-maybe antipsychotics |
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Term
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Definition
Personality disorder-Cluster A
Magical thinking/odd beliefs
Experience unusual perceptions
Paranoid ideations
Eccentric/odd behavior and appearance**
Constricted/inappropriate affect
Unusual, odd thinking & speech
Lack close friends
Ideas of reference
Anxiety in social situations
Rule out other disorders or problems
5 criteria needed
typically male
neologism-made up words |
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Term
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Definition
Treatment-low level antipsychotics
Therapy for fam
Prognosis-lifelong |
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Term
| Anti-Social Personality Disorder |
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Definition
Cluster B
Conformity to law is lacking
Obligations are ignored
Reckless disregard for anyone's safety
Remorse is lacking
Underhanded
Planning is insufficient
Terrible temper
3 criteria needed |
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Term
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Definition
Development-Oppositional Defiant Disorder age 3 to 11, then conduct disorder age 11-18, then Antisocial
Signs:Sociopathic triad-wetting/soiling, fire-starting, cruelty to animals |
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Term
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Definition
| Treatment-therapy (behavioral or cog), antipsychotics |
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Term
| Narcissistic Personality Disorder |
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Definition
Cluster B
Special or unique***
Preoccupied with fantasies(hero)
Entitlement to whatever they want
Conceited
Interpersonal exploitation (manipulative
Arrogrant/haughty esp when challenged
Lack empathy for others
need 5 for diagnosis
mostly men/advanced professions
Rule don't apply to them bc they are above it
wound that caused it
Brought to therapy by others |
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Term
| Avoidant personality disorder |
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Definition
Cluster C
Certainty of being liked before social
Rejection/criticism dom social situation
Intimate relationships strained (shame)
New interpersonal relationship inhibited
Get around any occupational activities
Embarrassment(potential) prevents risks
Self viewed as inept, inadequate, ect
4 of them-female dominated
very appreciative, loyal, won't make decisions
Treat with SSRI's, cog or behavioral therapy, anti-anxiety/depression medication |
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Term
| Dependent Personality Disorder |
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Definition
Cluster C
Reassurance required for all decisions
Expressing disagreement impossible/hard
Life's responsibilities handled by other
Initiating projects is difficult
Alone-helpless, hopeless, uncomfortable
Nurturance-excessive lengths to get
Companionship needed always, immediately
Exaggerated fears of being left alone
5 needed-female dom |
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Term
| Obsessive-Compulsive Personality Disorder |
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Definition
Cluster C
Lose pt of activity bc of details
Ability to complete tasks compromised by
perfectionism
Worthless objects kept-hoarding
Friends/leisure excluded bc of work
Inflexible on morality and ethics
Reluctant to assign tasks(fear not right
Miserly towards self and others
Stubborn
4 needed
always been this way
Anti-anxiety meds, cog/behavioral therapy |
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Term
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Definition
| Axis 1-Dysthymia, depression, and major depression |
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Term
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Definition
Axis 1-Helpless, hopeless, never going to change, sense of worthlessness, sadness, crying spells, apathy, anhedonia, changes in appetite/sleep/weight/enegergy(vegetative signs of disorder)
decrease in activities of daily life (ADLs)-triggered by life events, stress, ect.
Treatment-sleep 8 hrs nightly with no naps, exercise, eat right, dress up/clean up daily, antidepressants, cog/behavioral therapy |
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Term
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Definition
Axis 1-Always a little below normal in mood, blah attitude, always tired, no super low pts, suicidal moments, stressed, pessimistic
Diagnosis-depressed most the day more days than not for at least 2 yrs
2 of following symptoms needed: eating or sleep disturbance, low energy, low self-esteem, poor concentration, difficulty making decisions, feelings of hopelessness
Symptoms never break for more than 2 months, no major depressive episode, no mania or hypomania, never better or worse unless intervention
Treatment: antidepressants, cognitive therapy |
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Term
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Definition
No mania or hypomania-Axis 1
May have psychotic features (delusions), not related to substance abuse or other med disorders, actions outside "norm" attributable to substance abuse, impacts 2 areas of life, one episode lasting 6 months
Treatment-antidepressants, cog therapy, behavioral therapy, electroshocktherapy |
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Term
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Definition
| Bipolar I, Bipolar II, Cyclothymia, Schizoaffective |
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Term
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Definition
more manic than depressed episodes
mania-energized, aggitated, impulsive, insomnia, irritability-expansive/creative in a burst/hyperfocused, promiscuous, money-spending
Drop below normal at least once but mostly hypomanic/manic
won't take meds b/c stabilizes lower than their normal-take meds when negative consequences build up
Treatment-lithium, mood stabilizers, some anti-seizure meds, antidepressants, cog/behavioral therapy, fam therapy |
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Term
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Definition
at least one manic/hypomanic episodes but mostly depressed
suicidal, crying, med compliant
Treatment: antidepressants, mood stabilizers, therapy, fam therapy |
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Term
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Definition
cycles of mood from depression to mania but not as severe
Fam discomfort causes them to seek treatment
Antidepressants, therapy, fam therapy |
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Term
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Definition
1 major depressive episode and 1 manic episode plus a schizophrenic break
treatment-antipsychotics and either a mood stabilizer &/or antidepressant |
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Term
| Schizophrenia and Delusional disorder |
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Definition
Axis 1-split b/t cognition and emotions-"bad wiring"-disorder of thought
psychosis-break in reality
neurotic-delusional but sees reality |
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Term
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Definition
| set of twisted beliefs, filters reality through those twisted beliefs, cults are community's with this disorder |
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Term
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Definition
disturbance lasting 6+ months
at least one month of active phase (2 pos symptoms and one neg)
deterioration on social, occupational, and familial functioning (at least 2) |
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Term
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Definition
| delusions, false/faulty beliefs, hallucinations auditory/visual/tactile/olfactory, disorganized thought or speech, disorganized/distraught behavior |
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Term
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Definition
| flat affect, poverty of speech, loss of motivation or direction or directedness, absence of energy, loss of feelings of pleasure, delusions |
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Term
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Definition
| Schizophrenia that has been present less than 6 months-not often diagnosed |
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Term
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Definition
Axis 1
Non-bizarre delusions that last @ least a month w/ no other schizophrenic symptoms |
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Term
| Brief psychotic disturbance |
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Definition
| delusions that last one day-often most likely drug related |
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Term
| Paranoid-type schizophrenic |
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Definition
| preoccupation w/ delusions or auditory hallucinations, speech is fine, no catatonic behavior, no inappropriate or flat affect, believes someone is out to get them, paranoia about dental work and radio waves |
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Term
| Disorganized schizophrenic (hebaphrenic) |
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Definition
| disorganized thought/speech/behavior, inappropriate affect, but not catatonic, most likely to hurt you |
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Term
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Definition
| may not be paranoid, disorganized and catatonic or excessive meaningless energy |
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Term
| Undifferentiated schizophrenia |
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Definition
| Schizophrenic who doesn't fit any other category |
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Term
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Definition
| had schizophrenic break at some point, no current prominent symptoms, no positive symptoms (rarely used) |
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Term
| Schizophrenia and delusional disorders |
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Definition
Treatment-antipsychotics, fam therapy, education for patient on why meds are important
Most quit taking meds-think they don't need them or that they are poisoning them, ect. |
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