OCD and Trauma Flashcards

1
Q

what is an obsession?

A

unwanted recurrent intrusive thoughts

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2
Q

are obsessions wanted or unwanted in OCD?

A

unwanted

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3
Q

what is compulsion?

A

behaviors or rituals aimed to reduce distress or preventing a dreaded event that stems from obsessions

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4
Q

is OCD ego syntonic or dystonic?

A

ego dystonic

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5
Q

how to diagnose OCD?

A

obsessions or compulsions are time consuming more than 1 hr per day or cause significant distress or impairment in social occupational areas of life

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6
Q

what syndrome is OCD associated with?

A

tourette syndrome

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7
Q

what is tourettes?

A

vocal and motor tics for longer than a year

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8
Q

what is first line Rx for OCD

A

CBT and SSRI

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9
Q

what is second line rx for OCD?

A

clomipramine

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10
Q

what type of drug is clomipramine?

A

tricyclic antidepressant

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11
Q

what is body dysmorphic disorder?

A

preoccupation with slight or imagined flaw in appearace that is not observable or appears slight to others

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12
Q

what actions do ppl with body dysmorphic disorder do?

A

check mirror a lot, excessive grooming, skin picking

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13
Q

what is Rx for body dysmorphic disorder?

A

CBT

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14
Q

do you have to be the one that experiences the trauma that can lead to PTSD?

A

no…loved one could have been the one, or you experience or you witness event

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15
Q

what are the five symptom domains in ASD and PTSD?

A
intrusive symptoms
negative alteration in mood
dissociative symptoms
avoidance symptoms
hyperarousal symptoms
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16
Q

what are intrusive symptoms in PTSD?

A

recurrent intrusive thoughts about the event…can feel like it is recurring or even have dreams about it

17
Q

how long is acute stress dirsorder?

A

more than 3 days and less than one month

18
Q

when can you diagnose Acute stress disorder?

A

at least 3 days after event

19
Q

how long must disturbance be to have PTSD diagnosis?

A

at least one month

20
Q

what is first line Rx for PTSD?

A

CBT with exposure and SSRIs

21
Q

what is contraindicated in PTSD treatment?

A

benzodiazepines

22
Q

what is Rx for acute stress disorder?

A

CBT…no pharmacotherapy

23
Q

what is adjustment disorder?

A

reaction to non life threatening stressor like divorce or job loss that leads to marked distress that interferes with social function

24
Q

What is timeline of symptoms in adjustment disorder?

A

occur within three months following stressor and go away within 6 mos of the stressor ending

25
Q

what happens if symptoms persist longer than 6 months post stressor in adjustment disorder?

A

it gets diagnosed as generalized anxiety disorder