mood disorders Flashcards
bilogical abnormalities in depression
dec serotonin, nor epi, dopamine
altered cortisol and thyroid hormones
altered sleep
neuroanatomical prob
genetics
define anxiety disorders
excessive fear and anxiety plus behavioral disturbances
dx criteria for normal anxiety
diffuse, unpleasant apprehension c autonomic sx and restlessness
awareness of physiological sensation and being nervous or frightened
relate anxiety to psychoanalytic theory
result of conflict bet unconscious sexual or aggressive wishes and superego
inc tolerance to treat
fear that self will fragment because others are not responding with needed affirmation and validation
disintegration anxiety
self is being invaded and annihilated by an outside malevolent force
persecutory anxiety
oedipal phase in boys in which a parental figure (father) amy damage the boy’s genitals or cause bodily harm
castration anxiety
guilt feelings about not living up to internalized standards derived from parents
superego anxiety
relate anxiety to behavioral theory
conditioned response to specific stimulus developing mistrust
relate anxiety to existential theories
response to perceived void in existence and meaning
living in purposeless universe
biological sci present in anxiety
inc SY tone
in NE, cortisol and CRH
dec serotonin
limbic and cerebral cortex affected
dx criteria for panic disorder
abrupt surge of intense fear or intense discomfort that peaks w/in minutes
- palpitations
- sweating
- trembling
- shortness of breath
- choking
- chest pain
- dizzy
- chills or het
- paresthesis
- derealization
at least one attack follower by
- concern for additonal panic attacks
- maladaptive change in behavior p attack
dx criteria for agoraphobia
fear or anxiety in
- public transport
- open spaces
- enclsoed spaces
- crowds
- outside of home alone
finds it difficult to escape easily escapable situations
dx criteria for generalized anxiety disorder
excessive anxiety and worry at least 6 mo
diff to control worry
3 or more
- restlesness, one edge
- fatigued easily
- diff concentration or mind blank
- irritability
- muscle tension
- sleep disturbance
causes impairment