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NCMHCE > Disorder: Comorbidity, Treatment and Assessment > Flashcards

Disorder: Comorbidity, Treatment and Assessment Flashcards

1
Q

Adjustment Disorder

A

Treatment: Crisis intervention and brief psychodynamic therapy

Instrument: None

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2
Q

Major Depressive Disorder

A

Comorbidity: Substance abuse, panic, OCD, Eating, borderline

Treatment: CBT, interpersonal psychotherapy, behavioral activation, mindfulness, exercise.

Instrument: Beck Depression Inventory, Hamilton, SCID

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3
Q

Persistent Depressive Disorder

A

Comorbidity: Substance abuse and Anxiety

Treatment: CBT, interpersonal psychotherapy, social skills, assertiveness, decision making.

Instrument: Beck depression inventory, steen happiness index

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4
Q

Bipolar Disorders

A

Comorbidity: Panic and social anxiety, ADHD, conduct disorder, disruptive behavior disorder, substance abuse

Treatment: Medication, family psychoeducation, social rhythm, CBT, group during recovery

Instrument: SCID, treatment of attitudes questionnaire, hypomania checklist.

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5
Q

Cyclothymic Disorder

A

Comorbidity: Substance and Sleep related disorders

Treatment: Functional family Therapy, sleep and social rhythm, Interpersonal therapy, career and group

Instrument: Hypomanic checklist (HCL32) can help differentiate.

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6
Q

Panic Disorder

A

Comorbidity: Anxiety, agoraphobia, major depression, bipolar disorder, mild alcohol use disorder.

Treatment: CBT, Panic control therapy (PCT), ACT, support for family

Instrument: ADVIS, Burns anxiety inventory

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7
Q

Phobias

A

Treatment: exposure, relaxation, breathing and paradoxial intention.

Instrument: Beck anxiety inventory and burns anxiety inventory

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8
Q

Agoraphobia

A

Comorbidity: anxiety, panic, social anxiety, depressive, PTSD and alcohol use.

Treatment: Panic control therapy (PCT)

Instrument: Beck anxiety inventory, mobility inventory for agoraphobia, agoraphobic cognition questionnaire.

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9
Q

Social Anxiety Disorder

A

Comorbidity: anxiety, depression, alcohol use

Treatment: Cognitive therapy with exposure, homework, role playing, relaxation, social skills.

Instrument: Fear of negative evaluation and social interaction (SIAS), Achenbach, Revised childrens manifest anxiety scale.

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10
Q

Obsessive and Compulsive Disorder

A

Comorbidity: Panic disorder, social anxiety, Generalized anxiety disorder, phobias, tic, borderline personality disorder, body dysmorphia, tichotillomania

Treatment: exposure and response prevention, cognitive approaches

Instrument: Yale-Brown obsessive compulsive scale (Y-BOCS), ocd inventory

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11
Q

PTSD

A

Comorbidity: Depressive, Bipolar, anxiety, and substance use.

Treatment: Prolonged exposure therapy, cognitive processing therapy (cpt), anxiety management training, stress inoculation.

Instrument: Clinical administered PTSD scale (CAPS), PTSD checklist.

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12
Q

Generalized Anxiety Disorder

A

Comorbidity: Anxiety, unipolar disorder

Treatment: CBT, cognitive restructuring, behavior therapy, affective therapy (AWARE) and ACT.

Instrument: Beck anxiety, the penn state worry questionnaire.

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13
Q

Alcohol Use Related Disorders

A

Comorbidity: Bipolar disorder, schizophrenia, personality disorders.

Treatment: Comined behavioral interventions - motivational enhancement, cognitive therapy, social skills training, relax training, cognitive restructuring, 12 step, family therapy.

Instrument: CAGE, rapid alcohol problem screen, MAST, AUDIT

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14
Q

Feeding and Eating Disorders

A

Comorbidity: Social phobia, OCD, GAD, PTSD, schizophrenia.

Treatment: Multidisciplinary approach, CBT, DBT

Instrument: Questionnaire on eating and weight patterns, eating disorder examination questionnaire.

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15
Q

Anorexia Nervosa

A

Comorbidity: Bipolar, depressive and anxiety disorders

Treatment: Multidisciplinary, CBT, DBT, group therapy, transdiagnotisc, interpersonal psychotherapy, family

Instrument: Questionnaire on eating and weight patterns

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16
Q

Bulimia Nervosa

A

Comorbidity: Depressive

Treatment: Manualized CBT

Instrument: DBT, CBT, therapeutic alliance, modifying eating behaviors, eating disorder inventory.

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17
Q

Female Sexual Interest/Arousal Disorder

A

Comorbidity: Depression, thyroid, anxiety, IBS

Treatment: Medication, Couples therapy

Instrument: Sexual interest and desire inventory.

18
Q

Dissociative Identity Disorder

A

Comorbidity: PTSD, depressive, borderline, conversion, somatic, eating, and substance

Treatment: no recommendations

Instrument: no recommendations, social roles, gender identification, sexuality.

19
Q

Sleep-Wake Disorders

A

Comorbidity: Depressive and Anxiety are most common

Treatment: Medication, CBT, bright light therapy, sleep education, paradoxical intention, relaxation

Instrument: sleep anything

20
Q

Somatization Symptom Disorder

A

Comorbidity: Medical issues, anxiety, depressive disorder

Treatment: affective CBT, group and family therapy.

Instrument: Anxiety disorder interview schedule (ADIS-IV-I)

21
Q

Factitious Disorders

A

Comorbidity: None provided

Treatment: Stress management.

Instrument: Clinical Interview

22
Q

Delirium

A

Comorbidity: None

Treatment: medical/neurological, psychotherapy and medication, eliminate causal factors.

Instrument: none, mental status exam

23
Q

Personality Disorders

A

Treatment: Psychodynamic, CBT, DBT, mindfulness, mentalization-focused, schema therapy.

Instrument: Millon Clinical multiaxial inventory, MMPI, structured clinical interview.

24
Q

Paranoid

A

Treatment: Little effectiveness studies, individual treatment, cognitive therapy. Group is not recommended.

Instrumentation: Millon Clinical multiaxial inventory, MMPI, structured clinical interview.

25
Q

Schizoid

A

Treatment: Schema, behavioral, social

Instrumentation: million clinical multiaxial inventory, MMPI, structured clinical interview.

26
Q

Schizotypal

A

Treatment: Supportive, lengthy and slow, cognitive therapy, behavioral therapy for speech patterns.

Instrumentation: Millon Clinical multiaxial inventory, MMPI, structured clinical interview.

27
Q

Antisocial

A

Treatment: Individual therapy, anger management, social skills, schema, mentalization based therapy, behavior therapy, reality therapy and cognitive approaches.

Instrumentation: Millon clinical multiaxial inventory, MMPI, structured clinical interview.

28
Q

Borderline

A

Treatment: DBT, mentalization, transference focused, schema focused, CBT, group therapy may be more effective than individual.

Instrumentation: Millon Clinical multiaxial inventory, MMPI, structured clinical interview.

29
Q

Histrinoic

A

Treatment: Long term individual psychotherapy, CBT is treatment of choice, group therapy

Instrumentation: MCMI, MMPI, structured clinical interview.

30
Q

Narcissistic

A

Treatment: psychoanalytic (anger, envy, self-sufficiency), cognitive behavioral therapy, group therapy.

Instrumentation: Millon Clinical Multiaxial Inventory, MMPI, Structured Clinical Interview.

31
Q

Avoidant Personality Disorder

A

Treatment: Psychodynamic, behavioral, group and family therapy.

Instrumentation: MCMI, MMPI, Structured clinical interview.

32
Q

Dependent Personality Disorder

A

Treatment: Psychodynamic, CBT, Schema therapy

Instrumentation: MCMI, MMPI and structured clinical interview

33
Q

Obsessive Compulsive Personality Disorder

A

Treatment: Psychodynamic

Instrumentation: Dysfunctional thought record, MCMI, MMPI, Structured Clinical Interview

34
Q

Psychotic

A

Treatment: Behavioral and Psychosocial therapies and medication

Instrumentation: Positive and Negative symptoms scales, structured interview for psychotic symptoms.

35
Q

Dissociative Identity Disorder

A

Treatment: Individual Therapy and medication

Instrumentation: Cambridge depersonalization scale, structured clinical interview.

36
Q

Schizophrenia

A

Treatment: Medication and psychosocial interventions, behavior therapy, skills training and social support group

Instrumentation: Positive and negative syndromes scales, structured interview for psychotic symptoms.

37
Q

Schizoaffective

A

No evidence available

38
Q

Intellectual Disabilities

A

Onset prior to 18.

39
Q

ADHD

A

Treatments: Education, attention management training, behavioral management training, social skills, stress management, anger management, problem solving, reinforcement

Instrumentation: Wechsler, Disruptive behavior disorders rating scale, child behavior checklist, impairment rating scale, connors

40
Q

TIC Disorder

A

Treatments: Stress reduction, habit reversal training, psychoeducation, improve social functioning, self esteem

Instrumentation: Yale Global Tic Scale

NCMHCE (7 decks)

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