Chapter 7 - Obsessive Compulsive And Trauma Related Disorders Flashcards
Treatment of PTSD and ASD
SSRI but with risk of relapse
Exposure to fears to eliminate fear response
Imaginable exposure
Use of virtual reality
Cognitive processing therapy to reduce guilt
Early intervention
Acute stress disorder
3 days to 1 month after trauma From death, injury or sexual violation of person, other, learning or repeat exposure Recurrent re experiencing Psychological distress Numbing and detachment Altered sense of reality Avoidance of reminders Sleep distuevance
Obsessive compulsive disorder
Obsessions and compulsions
Time consuming or cause critically significant distress
Chronic
Person realized the wrong
Obsession
Intrusive and recurring thoughts, images/ impulses that are persistent and uncontrollable that usually appear irrational
Compulsion
Repetitive and clearly excessive behaviors or mental acts that the person is driven to perform to reduce anxiety or prevent calamity
Etiology PTSD
fear circuit (especially amygdala) smaller hippocampus precedes onset attention to threat and neuroticism 2 factor theory Severity and nature of trauma Coping -- dissociation high intelligence and strong social skills are helpful
Treatments for OCD and related disorders
medication through SRIs and SSRIs
Exposure and responsive prevention (Victor Meyer)
Etiology Hoarding Disorder
evolutionary – hunters and gatherers
cognitive behavioral model: poor planning skills, unusual belief and avoidance behaviors
poor attention, organization skills, extreme emotional attachment
Etiology Body Dismorphic Disorder
more attuned to features that are thought to be important to attractiveness
details more than whole
Etiology OCD
lack of yedasentience
compulsions are reinforced as they reduce anxiety
lack of confidence in memory
thought suppression
Yedasentience
subjective feeling of knowing when you’ve done enough
Etiology OCD and related disorder
orbitofrontal cortex
caudate nucleus
anterior cingulate
Hoarding Disorder
need to acquire new things and abhor letting go of old things regardless of value
may not even be able to use things properly
includes animal hoarding
Body Dismorphic Disorder
preoccupied with an imagined or exaggerated defect on their appearance
3-8 hours of primping
repetitive behaviors in response to appearance concerns
high levels of shame, anxiety and depression
Post Traumatic Stress Disorder
comes from death, injury, or sexual violation experienced personally, witnessed, learned from someone close or from repeated exposure Intrusive reexperiencing Avoidance of stimuli Mood and cognitive change Increased arousal and reactivity chronic
