Term
| Who performed the 1st systemic study of relation of stress to disease in the 1920's? |
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Definition
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Term
| Who developed a model of stress called the *general adaption syndrome*? |
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Definition
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Term
| What are the three stages of Hans Selye's General Adaptation Syndrome? |
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Definition
| 1)the alarm stage. 2) the stage of resistance, in which adaptation is ideally achieved. 3) the stage of exhaustion, in which acquired adaptation or resistance may be lost. |
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Term
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Definition
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Term
| What is a nonspecific bodily response to any demand caused by either pleasant or unpleasant conditions? |
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Definition
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Term
| What are 3 signs of fight or flight responses? |
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Definition
| htn, tachycardia, increased cardiac output |
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Term
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Definition
| Social Readjustment Rating Scale (holms and rahe) |
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Term
| What characterizes the way people who are less likely to experience psychosomatic disorders face stress? |
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Definition
| face stress optimistically rather than pessimistically |
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Term
| Are stressful life events always unpleasant? |
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Definition
| no; they can be pleasant or unpleasant |
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Term
| What are GI disorders related to stress? |
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Definition
| GERD, peptic ulcer(more m), colitis(IBS-more f), crohn's |
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Term
| What are cv disorders related to stress? |
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Definition
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Term
| What respiratory disorder is related to stress? |
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Definition
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Term
| What disorders relating to physical pain relates to stress? |
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Definition
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Term
| Which axis involves MH and other focus? |
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Definition
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Term
| Which axis involves personality and mental retardation? |
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Definition
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Term
| Which axis involves medical conditions? |
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Definition
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Term
| Which axis involves social issues? |
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Definition
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Term
| Which axis involves GAF score? |
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Definition
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Term
| What distinct disorder can occur along w/fight or flight syndrome? |
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Definition
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Term
| What involves a discrete period in which there is a sudden onset of intense apprehension, fearfulness, or terror and feelings of impending doom? |
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Definition
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Term
| What are the four *PHYSICAL* symptoms that comprise a panic attack? |
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Definition
| sob; palpitations, chest pain or discomfort; choking or smothering sensations; fear of "going crazing" |
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Term
| Panic attack involves physical symptoms coupled with what? |
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Definition
| one month or more of: 1)concern about the attack. 2)worry about the implications of the attack. or 3) a change in behavior about the attacks. |
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Term
| What can occur in the context of other mental disorders and some general medical conditions (cardiac, respiratory, gi, etc) |
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Definition
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Term
| Panic attacks are often missed by physicians as they address what? |
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Definition
| as they address the symptoms as the cause of the original panic attack |
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Term
| How do symptoms of panic different from general anxiety? |
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Definition
| by its discrete nature and greater severity |
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Term
| What are 3 types of panic atacks? |
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Definition
| 1) unexpected (out of the blue). 2) situationally bound (occur on exposure to or anticipation of a cue). 3) situationally predisposed (not invariably associated w/the cue) |
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Term
| What is defined as anxiety about, or avoidance of, places or situations from which escape might be difficult or embarrassing or in which help may not be available in the event of a panic attack? |
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Definition
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Term
| What is the essential feature of panic disorder? |
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Definition
| the presence of recurrent, unexpected panic attacks followed by at least one month of: 1) persistent concern about having another attack. 2) worry about the possible implications or consequences of the panic attacks, or 3) a significant behavioral change related to the attacks |
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Term
| Which is dx more frequently: panic disorder with or without agoraphobia? |
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Definition
| without agoraphobia dx 2x as often as w/agoraphobia |
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Term
| Is panic disorder dx more frequently in m or f? |
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Definition
| 3x as often in women than men |
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Term
| Can you have agoraphobia w/o hx of panic disorder? |
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Definition
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Term
| What is tx of panic disorder? |
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Definition
| cognitive behavioral therapy and pharmacotherapy (xanax, paxil, ssri's better than benzo's) |
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Term
| What pharmacotherapy is used for panic disorder? |
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Definition
| (xanax, paxil, ssri's better than benzo's) |
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Term
| What is the essential feature of specific phobia? |
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Definition
| marked and persistent fear of clearly discernible objects or situations |
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Term
| With specific phobia, what does exposure to stimulus provoke? |
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Definition
| immediate anxiety response |
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Term
| With specific phobia, does the person recognize that the fear is excessive? |
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Definition
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Term
| What psychological symptoms does a specific phobia cause? |
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Definition
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Term
| Animal, natural environmental (storms, water), blood-injection-injury, situational (tunnels, elevators), and other are types of what? |
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Definition
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Term
| What is the tx of specific phobia? |
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Definition
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Term
| why are ssri's better than benzo's? |
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Definition
| less sedating, less addictive |
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Term
| What involves recurrent obsession or compulsions? |
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Definition
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Term
| What are persistent ideas, thoughts, impulses, or images that are experienced as intrusive and inappropriate? |
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Definition
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Term
| What mental disorder is severe and time consuming, can cause marked distress or impairment, and involves persistent ideas and competitive behaviors? |
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Definition
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Term
| Are obsessions recognized as unreasonable in ocd? |
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Definition
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Term
| What are repetitive behaviors which relieve the anxiety? |
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Definition
| compulsions (praying, counting, etc) |
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Term
| Is ocd characterized by the presence of obsessions or compulsions? |
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Definition
| no. instead involves a pervasive pattern or preoccupation w/order, perfectionism, control |
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Term
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Definition
| behavior therapy and pharmacotherapy: ssri's (prozac, celexa, lexapro, paxil, zoloft), clomipramine. meds work best w/therapy |
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Term
| What pharmacotherapy is useful for ocd? How does pharamcotherapy work best? |
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Definition
| ssri's (prozac, celexa, lexapro, paxil, zoloft), clomipramine. meds work best w/therapy |
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Term
| What is the essential feature of generalized anxiety disorder? |
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Definition
| excessive anxiety and worry (apprehensive expectation) |
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Term
| What is apprehensive expectation? |
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Definition
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Term
| What is apprehensive expectation? |
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Definition
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Term
| How frequently must episodes occur for generalized anxiety disorder to be dx? |
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Definition
| more days than not for a period of at least 6 mos |
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Term
| To which other axis I disorder is generalized anxiety disorder related? |
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Definition
| not related to another axis I disorder |
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Term
| Trembling, twitching, feeling, shaky somatic symptoms (sweating, nausea, or diarrhea), and exaggerated startle response are symptomatic of what psychiatric illness? |
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Definition
| generalized anxiety disorder |
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Term
| What is tx of generalized anxiety disorder? |
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Definition
| suportive thearpy and well thought out pharmacotherapy due to long-term nature of disorder: benzo's, buspirone, ssri's |
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Term
| Of medications must you be wary for generalized anxiety disorder? |
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Definition
| BEWARE OF STREET DRUGS AND ALCOHOL- self medication |
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Term
| What is the essential feature of the dissociative disorders? |
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Definition
| disruption in integrated functions of consciousness, memory, identity, or perception |
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Term
| What is the inability to recall important personal information, usually of a traumatic nature, that is too extensive to be explained by ordinary forgetfullness? |
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Definition
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Term
| What is a sudden, unexpected travel away from home or one's customary place of work, accompanied by an inability to recall one's past and confusion about personal identity? |
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Definition
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Term
| What is characterized by a persistent or recurrent feeling of being detached from one's mental processes of body that is accompanied by intact reality testing? |
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Definition
| depersonalization disorder |
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Term
| What was formerly known as multiple personality disorder? |
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Definition
| dissociative identity disorder |
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Term
| What is characterized by the presence of 2 or more distinct identities or personality states that recurrently take control of the individual's behavior? |
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Definition
| dissociative identity disorder |
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Term
| Is dissociative identity disorder characterized by separate personalities? |
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Definition
| no. characterized by identity fragments. |
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Term
| What is tx for dissociative identity disorder? |
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Definition
| insight orientied psychotherapy; hypnotherapy. no antipsychotic meds indicated. antidepressants/antianxiety meds may help |
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Term
| What are 3 good pt engagement techniques? |
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Definition
| reflective listening, open ended questions, genuineness |
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Term
| What 6 things must be ruled out in psychiatric disorders? |
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Definition
| general medical condition. substance abuse. cognitive disorders. psychotic disorders. mood disorders. anxiety disorders. |
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Term
| Should you know your referral sources? |
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Definition
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