exam 2 final day Flashcards
Treatment for BDD
Antidepressants
History for treating BDD
early trials only showed mild or mode rant improvement with using antidepressants
modern trials show that higher doses of anti depressants help with bed
Exposure with Response Prevention
since bed is similar to OCD, ERP is also use
focus is to identify and change distorted perception of body during exposure and
prevention of checking response (it is important to not offer reassurance during this time)
ERP leads to more improvement than medication
Resistence to pyshciatirc referel
How is a psych going to help them when they can just go to the plastic surgeon
PTSD
A pattern of symptoms that persist long after a traumatic situation has occurred
f
history of PTSD
been in the DSM since 1980
you can find reference to PTSD as early as world war 1 (known as shell shock)
Acute Stress disorder
PTSD occuring in the first month after the trauma
Trauma definition in order to be diagnosed for PTSD
you need exposure to actual or threatened death, serious injury, or sexual violence
ex. Combat experience, school shootings, a serious car accident, rape.
Prevalance of PTSD
7% of the population
COmmon traumas of PTSD
combat
19% of vets who served in Iraq and Afghanistan
rape
74% of rape victims met criteria for ASD
3 months later 35% met criteria for ptsd
Gender differences in PTSD
women are more likely to develop PTSD
9.7% of women
3.6 % of men
interesting because men are the ones who are in the battlefield
Etiology
some people argue that ptsd does not have a place in abnormal because it is a normal reaction
Age of PTSD
PTSD can occur at any age
Symptoms of PTSD (4 categories)
1.) intrusively experiencing the traumatic event
wake up and are sure they are in combat
2.) avoidance
if you are raped in college you will drop out of college
a man was in iraq but then couldn’t be on the beach
3.) mood and cognitive changes
-reduced responsiveness
-pyschic numbing
people feel detached from people
-anhedonia
-survivor guilt
4.) increased arousal and reactivity
irritable or agressive behavior
may demonstrate hyper alertness
exaggerated startle response
reckless or self destructive behavior
Severeity of Stressor
67% of POW’s developed PTSD
Generalized psychological vulnerability
Family instability may instill this sense that the world is an uncontrollable dangerous place
Social Support
may act as a buffer against developing PTSD
hardiness
ability to deal with stress
if you have a history of stress you can cope with it better than those who haven’t
Premorbid pyscholgical function
if you had a anxiety disorder before the trauma you are at higher risk for developing PTSD
EXPOSURE to treat PTSD
exposure to the cues associated wight he original trauma
could involve recreation
could involve visiting the scene of an accident
Virtual Reality therapy
one combat software program was very very accurate
simulations are incredibly intense
Medication for PTSD
anit depressants benzos and beta blockers
