OCD + Trauma and Related Disorders Flashcards
Represented by intrusive thoughts, rituals, preoccupations and compulsions
Cause severe distress
Time consuming and interfere significantly with patient’s routine, occupational functioning, social activities and relationships
Obsessive Compulsive Disorder
Prevalence of OCD
2-3% prevalence
M=F
Can occur in adolescence or childhood
Mean onset of OCD
20 y/o
Recurrent and persistent thoughts, urges or images that are experienced, at some time during the disturbance, as intrusive and unwanted, and that in most individuals cause marked anxiety or distress.
The individual attempts to ignore or suppress such thoughts, urges, or images, or to neutralize them with some other thought or action (i.e., by performing a compulsion).
Obsessions
Repetitive behaviors (e.g., handwashing, ordering, checking) or mental acts (e.g., praying, counting, repeating words silently) that the individual feels driven to perform to an obsession or according to rules that must be applied rigidly.
The behaviors or mental acts are aimed at preventing or reducing anxiety or distress, or preventing some dreaded event or situation; however, these behaviors or mental acts are not connected in a realistic way with what they are designed to neutralize or prevent, or are clearly excessive.
Compulsions
Preoccupation with one or more perceived defects or flaws in physical appearance that are not observable or appear slight to others.
At some point during the course of the disorder, the individual has performed repetitive behaviors (e.g. mirror checking, excessive grooming, skin picking, reassurance seeking, or mental acts (e.g., comparing his or her appearance with that of others) in response to the appearance concerns.
Body dysmorphic disorders
Characterized by a pattern of markedly disturbed and developmentally inappropriate attachment behaviors, in which a child rarely or minimally turns preferentially to an attachment figure for comfort, support, protection, and nurturance
Reactive Attachment Disorder
On set of Reactive Attachment Disorder
at least 9 mos of age
pattern of behavior that is culturally inappropriate, overly familiar behavior with relative strangers
Has experienced a pattern of extremes of insufficient care
Disinhibited Social Engagement Disorder
onset of dishinbited social engagement disorder
at least 9 mos of age
Exposure to actual or threatened death, serious injury, or sexual violence
intrusion symptoms associated with the traumatic event, beginning after the traumatic event
Persistent avoidance of stimuli associated with the traumatic event
Negative alterations in cognitions and mood associated with the traumatic event
Marked alterations in arousal and reactivity associated with the traumatic event
Posttaumatic Stress Disorder (PTSD)
duration of disturbance of PTSD
more than 1 month
onset of PTSD
Any age after first year of life
Symptoms begin with first 3 mos after trauma
Other symptoms remains symptomatic for more than 1 year and sometimes >50 years
Exposure to actual or threatened death, serious injury, or sexual violation
Intrusion Symptoms, Negative Mood, Dissociative Symptoms, Avoidance Symptoms, Arousal Symptoms
Duration of the disturbance is 3 days to 1 month after trauma exposure.
Acute Stress Disorder
Duration of disturbance of Acute Stress Disorder
3 days to 1 month after trauma exposure.
Presence of emotional or behavioral symptoms in response to an identifiable stressor
Romantic relationship breakup
Marked business difficulties
Marital problems
Adjustment disorder
Onset of Adjustment Disorder
occurring within 3 months of the onset of the stressors
Characterized by disruption of and/ or discontinuity in the normal integration of consciousness, memory, identity, emotion, perception, body representation, motor control and behavior
dissociative disorders
3 dissociative disorders
Depersonalization/derealization disorder
Dissociative amnesia
Dissociative identity disorder
Unbidden intrusions into awareness and behavior, with accompanying loss of continuity in subjective experience
Inability to access information or to control mental functions
Dissociative Disorders
Clinically significant persistent or recurrent depersonalization and/or derealization
Intact reality testing
Depersonalization/Derealization Disorder
Inability to recall autobiographical information that is inconsistent with normal forgetting
Dissociative Amnesia
unable to remember an event or period of time (most common)
Local Dissociative Amnesia
unable to remember a specific aspect of an event or some events within a period of time
Selective Dissociative Amnesia
complete loss of identity and life history
Generalized Dissociative Amnesia
Multiple personality disorder
Presence of 2 or more distinct personality states or an experience of possession
Recurrent episodes of amnesia
Dissociative Identity Disorder
