11-3 Flashcards
recurrent obsessions (increase distress) or compulsions (decrease distress)
Obsessive-Compulsive Disorder
Obsessional belief can be of delusional intensity (100% certainty)
OCD w/ absent insight (delusional beliefs)
CSTC overactivity and serotonin deficiency
OCD Neuroanatomical correlates
behavioral therapy: expose pt. w/o allowing to engage in compulsion
Standard OCD treatment
antidepressants that increase serotonin (SSRI)
Standard OCD treatment
psychosurgery of ant. cingulate gyrus ( cingulotomy) or ant. limb of internal capsule (capsulotomy)
Refractory OCD treatment
deep brain stimulation using electrical impulses delivered in brain electrode attached to thoracic pacemaker
Refractory OCD treatment
OC behavior about perceived defect in appearnace
Body Dysmorphic Disorder
OC behavior with excessive accumulation of possessions
Hoarding
compulsive picking
Excoriation
compulsive hair pulling
Trichotillomania
> 1 distressing/disruptive somatic symptom; disproportionate thought about seriousness of symptom, anxiety about symptom, time and energy devoted to symptom
Somatic Symptom Disorder
preoccupation with having/acquiring serious illness although symptoms are NOT present or mild, pt performs excessive health-related behaviors
Illness Anxiety Disorder
Schizophrenia Specturm disorder with persistent fixed, false belief about body/health with delusional intensity
Delusional Disorder (Somatic Type)
altered voluntary motor or sensory function with no medical explanation, incompatibility b/n symptom and neurological conditions
Conversion Disorder (Functional Neurological Syndrome)
fakes/induces symptoms on self without external rewards (primary gain)
Munchausen’s Syndrome
fakes/induces symptoms on another person without external rewards (primary gain)
Munchausen’s Syndrome by Proxy
fakes/induces symptoms on self for external rewards (secondary gain)
Malingering
fakes/induces symptoms on another person for external rewards (secondary gain)
Malingering by Proxy
