5: Trauma, Anxiety, Obsessive-Compulsive and Related Disorders Flashcards
Major stress hormone of the body
Adrenocorticotropic hormone (ACTH) leading to cortisol release
Prevalence of PTSD
Lifetime - 6.8%, Current Year - 3.5%
Criteria of PTSD (6)
- Exposure to event
- Intrusion symptoms
- Avoidance symptoms
- Arousal and reactivity symptoms
- Alterations in cognition and mood
- Duration greater than 1 month
Examples of groups with elavated prevalence of PTSD
Veterans, rape victims, breast cancer patients
Special type of PTSD with disconnection to self
PTSD with prominent dissociative symptoms
Vulnerability factors for PTSD
Biology, psychology, characteristics of event, and social factors
Risk of PTSD with cortisol
Lower cortisol = higher risk
Treatments for PTSD (4)
- Trauma-focused Cog-Behav Therapy
- Stress-management/Relaxation Therapy
- Eye Movement Desensitization and Reprocessing (EMDR)
- Biological Treatments (SSRI and benzodiazepines)
Components of Trauma-focused CBT for PTSD (4)
- Psychoeducation
- Anxiety Management
- Exposure
- Cognitive Restructuring
Treatment for those unable to tolerate exposure to PTSD event
Stress-inoculation therapy (targets stress management and effects of PTSD)
EMDR
Processes distressing memories to reduce their impact using bilateral sensory input
Specific Phobia Criteria (5)
- Fear or anxiety about specific object or situation
- Stimuli provokes immediate fear or anxiety
- Avoidance or enduring stimuli
- Reaction out of proportion
- Lasts longer than 6 months
Categories of Specific Phobias (5)
- Animal
- Natural environment
- Blood-injection-injury
- Situational
- Other
Fear of places/situations that they might have trouble escaping or getting help
Agoraphobia
Best theory of phobias
Created by classical conditioning, reinforced by operant conditioning
Evolutionarily-selected rapid conditioning
Prepared classical conditioning
Treatments for phobias
- Behavioral therapy using exposure and desensitization
- Applied tension technique for blood-injection-injury phobias to avoid fainting
Social Anxiety Disorder Criteria (4)
- Fear or anxiety about social situations where exposure to scrutiny is possible
- Fear of showing anxiety symptoms
- Avoidance symptoms
- Lasts longer than 6 months