Final Exam Flashcards
What is anxiety?
A mood state that follows from apprehension about (potential) negative future outcomes
How is some anxiety important for life?
Helpful by motivating action and increasing concentration, avoiding potential threats through problem-solving
Social/cultural forces have contributed to anxiety
Media, performance, norms, testing
Fight or flight system
panic response to perceived threat CRF stimulates the hypothalamic-pituitary-adrenocortical HPA axis
Behavioural inhibition system
freeze response which signals our bodies to stop and evaluate the situation to determine the threat
The triple vulnerability theory
The first vulnerability=diathesis which is your generalized biological vulnerability
The second vulnerability= generalized psychological vulnerability Eg. Believing the world is dangerous
The third vulnerability specific psychological vulnerability Eg. Learning about others experience to dangers makes you anxious thinking about those things
Most common health concern
Anxiety
Exposure therapy
Most anxiety disorders are categorized by avoidance, which worsens the anxiety. There are many types of ET.
Existential approaches to anxiety
Rather than focusing on specific strategies focus on meaning in life despite unfortunate truths
Benzodiazepines
Xanax, Valium, Ativan are fast acting CNS depressants that affect the GABA system
SSRI’s
antidepressants that are helpful at managing anxiety
4 notable features that people with GAD have
- intolerance of uncertainty: set of negative beliefs
- Positive beliefs about worry: the worry is what keeps me safe
- Poor problem orientation: difficulty seeing the problem
- cognitive avoidance
Panic disorder and agoraphobia relation
Panic comes with retreat then staying at home so nobody sees your panic
Difference between sudden or expected panic attack
Sudden happens out of the blue and expected have a clear trigger
Self-fulfilling prophecy
The fear of having panic attacks can cause one
Interoceptive exposure for panic disorder
up to 70% of people significantly improve. exposure to bodily sensations associated with panic
Psychosis
term for when we lose touch with reality
3 psychotic symptoms
Positive, negative and disorganized
Positive symptoms
Delusions and hallucinations
Delusion
A belief not grounded in reality
Delusions of grandeur
some sense as believing themselves to be a high religious figure
Delusion of reference
Associate an idea with another idea when they aren’t associated
Somatic Delusions
Someone is convinced something is wrong with them
Erotomanic delusions
Believe you have a loving relationship with a celebrity
Cotard’s syndrome
Believing some parts of your body is dead
Hypnagogic Hallucinations
Occur while falling asleep
Hypnopompic Hallucinations
Occur as you are waking up
Negative symptoms
The absence or insufficiency of normal behaviour such as avolition, anhedonia, asociality, affective flattening
Disorganized Symptoms
Disorganized speech, disorganized movement, inappropriate affect
Prodrome Phase of Schizophrenia
Disorganized thoughts, social withdrawal, sleep disturbance, suspiciousness, intense focus on ideas which may seem disturbing can take between 2 and 10 years before a full psychotic disorder emerges
Phase 2: Acute Psychotic Episode
The easiest phase to assess and diagnose. Positive symptoms emerge
Phase 3: recovery phase
Occurs after the symptoms of the acute psychotic episode have subsided
how do other schizophrenia spectrum differ?
Symptom type and severity, symptom duration, causes of symptoms, comorbidity with other disorders
Schizotypal Personality
Pattern of social and interpersonal deficits and a reduced capacity for close relationships, and eccentricities of behaviour
Brief psychotic disorder
Psychotic symptoms lasting at least one day but no longer than a month
Schizophreniform Disorder
Episode within the last month but less than 6 months
Delusional Disorder
Presence of delusions with a duration of one month or longer
Schizoaffective disorder
An uninterrupted period of illness during which there is a major mood episode
Causes of psychosis
cat poop (toxoplasma gondii), Fingerprint ridges, eye-tracking differences, living in cities
Dopamine’s role in psychosis
Most antipsychotic meds work by blocking dopamine, drugs that increase dopamine can cause psychosis
CBT for psychosis
Aaron Beck founding father of CBT focuses on getting people back into society, have reference points so they can connect with reality
What is trauma?
Any disturbing experience that results in significant fear, helplessness, dissociation, confusion, or other disruptive feelings intense enough to have a long-lasting negative effect on a person’s attitudes, behaviour, and other aspects of functioning
Window Of Tolerance
If you’re feeling hyper aroused you’re likely over your window of tolerance. Hypoarousal means the body is being understimulated (low mood, low energy, exhausted state)
Trauma happens when you are outside the normal window of tolerance
Challenges of assessing PTSD
Many different types of traumatic events.How do you gather information without asking too many detailed questions?
What if someone describes an event as traumatic but does not meet the criteria
OSI Clinics
Dedicated to people who experience traumatic events because of their employment
Moral Injury
Describes the psycho-spiritual consequences of events that seriously violate ones core moral beliefs and expectations
Treatment for PTSD
SSRI, Exposure therapy, eye movement desensitization
Acute stress disorder
Similar criteria to PTSD
Main distinction: can be diagnosed 3 days to 1 month after the traumatic event
Complex PTSD
May be diagnosed in adults or children who have repeatedly experienced traumatic events, such as violence, neglect or abuse
Very different from ptsd
ICD is a better guide
Dissociation
Disruption of and or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control, and behaviour
Derealization
Experiences of unreality or detachment with respect to surroundings, individuals or objects are experienced as unreal, dreamlike, foggy, lifeless, or visually distorted
Depersonalization
Experiences of unreality, detachment, or being an outside observer with respect to ones thoughts, feelings, sensations, body, or actions
Disassociated personality disorder
Formerly multiple personality disorder. Distinct personalities known as alters
A memory may be fragmented. Highly stigmatized
Only one-third of American psychiatrists confidently believe that DID should be included in the DSM. What are some reasons why?
Highly likely to be agreeable
DID patients are highly suggestible and DID symptoms may be reinforced by therapists.
Could result in false report of childhood trauma.
Could lead to the idea of distinct personalities being reinforced.
Clinical characteristics of DID
The estimated average number of alters is 15. Almost everyone with DID has experienced significant childhood trauma(97%) and 68% reported incest.
Limited social support during or after traumatic events.
What disorders include cluster A
Odd and eccentric: Schizoid, Schizotypal, Paranoid
What disorders include cluster B
Borderline, Narcissistic, Histrionic, and Antisocial
Antisocial Personality disorder hypotheses
Underarousal hypothesis=evidence that people with ASPD are chronically understimulated
Fearlessness Hypothesis= people with ASPD do not experience fear to the same degree as others
DBT therapy
Distress tolerance
Interpersonal effectiveness
Emotion regulation
Mindfulness