Midterm #1 - Preoccupation and Obsession Flashcards
soma
- body
somatic symptom
- relate to body (pain)
somatic symptom disorder criterion A
- 1+ somatic symptom
- distressing/results in significant disruption of daily life
- THERE IS A SYMPTOM
somatic symptom disorder criterion B
- excessive thoughts, feelings, and behaviours related to somatic symptoms
- disruptive and persistent thoughts
- persistent high level of anxiety
- excessive time and energy devoted to symptoms
somatic symptom disorder criterion C
- symptom may not be continuously present
- state of being symptomatic is present
illness anxiety disorder criterion A
- preoccupation with having/getting a serious illness
illness anxiety disorder criterion B
- somatic symptoms not present
- preoccupation clearly disproportionate
illness anxiety disorder criterion C
- high anxiety about health
illness anxiety disorder criterion D
- performs excessive health related behaviours
illness anxiety disorder criterion E
- preoccupation present for 6+ months
causes of somatic symptom and illness anxiety
- extra sensitivity to illness cues
- genetic causes (modelling)
- trauma
treatment of somatic symptom and illness anxiety
- CBT to reduce stress
- exposure: minimize health seeking behaviours
conversion disorder criterion A
- 1+ symptoms of altered voluntary motor or sensory function
conversion disorder criterion B
- evidence of incompatibility between symptoms and recognized neurological/medical conditions
conversion disorder criterion C
- symptom/deficit not better explained by another disorder
- physical symptom with no cause
- psychological effecting physical
conversion disorder - functional neurological disorder
- functional = severe physical dysfunction without organic cause
malingering
- faking
factitous disorder
- between malingering and conversion
factitious disorder imposed on another
- providing symptoms in another
- usually mother to child
OCD criterion A
- presence of obsessions, compulsions, or both
obsession
- recurrent/persistent thoughts, urges, or images
- intrusive, cause anxiety/stress
- attempts to ignore/supress thoughts with a compulsion
compulsion
- response to obsession
- repetitive behaviours or mental acts in response
- behaviour/mental acts used to prevent/reduce distress or situation
OCD criterion B
- obsessions/compulsions are time consuming or caused clinically significant distress or impairment
vicious cycle of OCD
- obsessive thought
- anxiety
- compulsion
- temporary relief
OCD stats
- 1.6%-2.3% lifetime prevalence
- 1:1 male-to-female ratio, but more boys than girls in childhood
OCD causes
- thoughts regulated by brain circuits (like anxiety)
- thought suppression leads to compulsions
- stress/trauma
OCD treatment
- exposure and response prevention
1) exposure to feared though 2) prevent typical response - SSRIs, some short-term effectiveness
body dysmorphic disorder criterion A
- preoccupation with one or more physical flaw or defect
- not very observable to others
body dysmorphic disorder criterion B
- repetitive behaviours
- ie. grooming, mirror checking, skin picking, looking for reassurance
treatment of body dysmorphic disorder
- exposure and response prevention
- similar to OCD
- SSRI?
how much have cosmetic procedures increased by?
- 98%
plastic surgery and BDD
- 8%-25% of ppl who get surgery
- unsatisfied, get more surgeries
trichotillomania
- urge to pull out hair
excoriation
- skin-picking