Obsessive Compulsive Disorder, Obsessive Compulsive Personality Disorder & Panic Disorder Flashcards
What is OCD?
- an anxiety disorder in which people have unwanted and repeated thoughts, feelings, ideas, sensations (obsessions), or behaviors that make them feel driven to do something (compulsions).
- Presence of obsessions, compulsions or both.
- Obsessions & Compulsions must be time consuming, up to 1+ hour.
- Causes distress in their social/occupational life.
How do people with OCD tend to feel about themselves?
- Less competent
- Inner torture
What are the 2 components of an obsession?
- Reoccurring & persistent thoughts, ideas urges or images that are experiences. These obsessions are unwanted and intrusive that can cause anxiety or distress.
- Individuals attempt to ignore or suppress (consciously ignore) or erase such thoughts or images with ANOTHER thought or action.
What are the 2 components to a compulsion?
- Repetitive behaviors (e.g: ordering, checking, hand washing, can also be mental repetitive behaviors).
- Feels driven to react to the obsession. Behaviors are aimed at reducing anxiety w/ obsession.
TXI Flooding
- Getting patient to completely absorb what they completely fear. (e.g: the female in the movie making all of them put their hand on dirt)
Systematic desensitation
- Gradual step progression
- Gradually trying to get rid of the feer
- sock example
Systematic desensitation: In vivo
In person
Systematic desensitization: Imagination
Imagine what they fear
Panic Disorder
emotional terror combined with of overwhelming & frightening bodily sensations
What is a panic attack?
- Wave of intense fear or discomfort which reaches its peak w/ in minutes.
How many symptoms must be present for a panic disorder?
At least 4 symptoms
What are the required symptoms for a panic attack?
- Heart racing, fluttering, skipping beats
- Breaking out in a sweat
- Trembling or shaking
- Trouble catching breath
- Feel like they were choking
- Chest pain, pressure or tightness
- Feeling nauseous, sick to their stomach
- Feeling dizzy, light headed or unsteady
- Feeling chills or like they are burning up
- Numbness or tingling in fingers or feet
- Feeling like things are unreal, dream state or derealization
- Fear that one is going crazy or PHRENOPHOBIA
- Fear that they may die
What symptoms are for panic disorder w/o agoraphobia?
- At least 1 of the attacks has been followed in 1 month
1. Persistent concern or worry about having additional panic attacks & their consequences
2. Significant maladaptive attacks or behaviors to avoid having another panic attack (e.g: avoiding exercise)
What is obsessive compulsive personality disorder?
- Pervasive pattern w/ orderliness, perfected & to have mental & interpersonal control w/ others & w/ the self at the expense of being flexible & living life
How many symptoms must be present for OCPD?
4
What are the symptoms for OCPD?
- Preoccupation w/ details, rules, orders, list to the extent that the major purpose of the activity is lost
- Need to show perfectionism in tasks, where the perfectionism can interfere w/ the completion of the tasks
- Excessively focused on work
- Overly conscious, inflexible on ethical matters.
- Is reluctant to work w/ somebody else unless they comply w/ their EXACT expectations
- Close minded, show stubbornness & rigidness
- Hoarding
- Unable to discard items that don’t have value or even sentimental value.
Panic Disorder w/ Agoraphobia
- Extremely avoiding a situation or place
Panic disorder w/ agoraphobia case example
- fearful of falling in when having a panic attack, avoided places that were out in the open such as highways, had to be by a wall, just in case he had a panic attack, feared he would have a panic attack daily.
How was the case of panic disorder with agoraphobia treated?
Gradually facing his fear, identify automatic thoughts, trying to get rid of the safety behaviors.
What is a case example of OCD?
Judy from the casebook, where her obsessions centered on satan and demons.
- Fear that bad luck would happen unless she did something
- Feared that the number 3 and 13 indicated bad luck.
- Her compulsions: Dressing, undressing, saying amen when passing a funeral home or cemetery,
- More compulsions: checking rituals before leaving the house to make sure she was not responsible for anything to happen to her cat.
How was Judy’s case of OCD treated?
- Identifying the obsessive ideas
- Identifying the rituals that followed the obsessive ideas
- Organized Hierarchy of what she was obsessed about.
- Exposed to their fear
- Preventing the rituals
