Anxiety 2 Flashcards
What are the criteria for OCD?
- obsessions and compulsions
- time consuming - greater than 1 hour a day
- cause clinically significant distress
- not substance induced or better explained
What is an obsession?
recurrent/ persistent thoughts, urges, images
What is a compulsion?
repetitive behavior a person uses in response to a recurrent obsession
who is affected more with OCD, men or women?
EQUAL occurence rates
What is the onset of OCD usually associated with?
after a stressful event
What do most patients with OCD also suffer from?
1/2 of OCD patients have major depressive disorder
2/3 of OCD patients with tourettes also have OCD
What are the psychotherapies used to battle OCD?
- CBT - systematic desensitization
- ACT - acceptance and commitment
- supportive pyschotherapy
What are the pharmacotherapies used to battle OCD?
first line: SSRIs
second line: clompiramine - TCA
third line: antipsychs
What pharmacotherapy specifically does not work for OCD?
Benzos
What defect of the brain appears like OCD?
temporal lobe epilepsy
What disorder is this describing “rigid, moralistic, holic, list oriented, no repetitive discrete behaviors to undo anxiety, no insight to their behavior”
obsessive compulsive personality disorder - OCPD
How long must symptoms be present to diagnose someone with PTSD?
-symptoms must be present for >1 month
What are the exact requirements of symptoms related to diagnosing someone with PTSD (4)?
- > 1 intrusion symptom - reliving event
- avoidance of stimuli associated with event
- > 2 negative changes in cognition and mood
- > 2 alterations in arousal and reactivity
- not related to substance or medical
- need to be exposed to trauma
- causes distress and impairment
Does a patient with PTSD need to directly experience the traumatic event?
NO - new definition states that person can just know other family member suffered
What is the most common thing to cause PTSD?
assualt
