7 Flashcards
GAD diagnostic criteria
high anxiety and excessive worry for > 6 months
Symptoms of GAD
restlessness, gatigue, insomnia, irritability
what percent of GAD patients have another axis I diagnosis
90%
Lifetime prevalence of GAD
6%
Exercise has anxiety reducing propertys!!
True exercise is medicine
SSRI for GAD
30% reduction of symptoms
Benzo treatment for GAD
30-50% reduction
Mindfulness meditation
Focusing attention on 1 thing, promising 75% response
etiology
orgin
PTSD last?
last geater than a month
PTSD re-experiencing
flashbacks, nightmares, intrusive memories, outside of thier control, intense vivid memory,
PTSD avoidanc/numbing
amnesia, emotional numbness, avoidance, dissociation
PTSD hyperarousal (SNS)
startle response, vigilance, insomnia, angry outburst
Traums DSM
the person experienced, witnessd or was confronted with an event or events that involved actual or threatened death or serious injury or a threat to the physical integrity of self of others the persons response involved intense fear, hleplessness or horror
2/3 of populations will experience an event that DSM would classify as a ? event
tramatic
lifetime prevalence of PTSD
7%
immediately post trauma
over 90% experience PTSD symptos
only 10% will develop full blown PTSD after
immediately post trauma
depersonalization and derealations
panic attack
Yerkes Doison
if your level of arousal is low you cant do someting good, but if you have too much arousal you will not perform well.
In PTSD they still have flashbacks
t
a rookie mistake in therapy PTSD
the therapist says tell me everything and the patient does it and its overwhelming
What happens following severe trauma is the person gets so good at aviodance that the person uses it all the time
T
predictors of PTSD
genetic vulnerability (explains about 30% of variance in some studies newurological vulnerability lack of social support percieved severity of trauma use of physical violence in trauma axis I co-morbidity
experience changes the brain
in childhood when we are traumatized our brain in permantly more likely to have flight or flight.
adverse childhood experiences study
PTSD: ppl as adults that had experienced tramatic events were more likely to experience every illness
