Psych: Disorders Flashcards
1
Q
- Fear that is excessive or unreasonable
- Interferes w/ normal function
- Cued by presence or anticipation of a specific object or situation
- Pt. recognizes fear is excessive
- Tx: Systematic Desensitization
A
Specific Phobia
2
Q
- Exagerated Fear of Embarrassment in Social Situations (public speaking, using public restrooms)
- Tx: SSRIs or β-blockers
A
Social Anxiety Disorder
3
Q
- Exaggerated fear of open or enclosed places, using public transportation, being in-line or in crowds, or leaving home alone
A
Agoraphobia
4
Q
- Pattern of uncontrollable anxiety for at least 6 months that is unrelated to a specific person, situation, or event
- A/w sleep disturbance, fatigue, GI disturbance, and difficulty concentrating
- Tx: SSRIs, SNRIs, Buspirone, Cognitive Behaviour therapy
A
Generalized Anxiety Disorder
5
Q
- Emotional symptoms (anxiety, depression) causing impairment following an identifiable psyosocial stressor (divorce, illness) and lasting < 6 months ( > 6 months in presence of Chronic stressor)
A
Adjustment Disorder
6
Q
- Recurring intrussive thoughts, feelings, or sensations (obsessions) that cause severe distress
- Relieved in part by the performance of repetitive actions (compulsions)
- Ego dystonic: behavior inconsistant w/ one’s own beliefs and attitudes (vs. obsessive-compulsive personality disorder)
- A/w Tourette disorder
- Tx: SSRIs, Clomipramine (TCA)
A
Obsessive-compulsive Disorder
7
Q
- Preoccupation w/ minor or imagined defect in appearance, a specific body part, leading to significant emotional distress or impaired functioning
- Pts. often repeatedly seek cosmetic surgery
- Body image disturbance - pts. feel their whole body is abnormal
A
Body Dysmorphic Disorder
8
Q
- Persistent reexperiencing of a previous traumatic event (war, rape, robbery, serious accident, fire)
- May involve nightmares or flashbacks, intense fear, helplessness, or horror
- Leads to avoidance of stimuli a/w the trauma and persistently increased arousal
- > 1 month w/ onset of symptoms beginning anytime after event, and cauasing significant distress, negative cognitive alterations, and/or impaired functioning
- Tx: Psychotherapy, SSRIs
A
PTSD
9
Q
- Stress that lasts between 3 days and 1 month
A
Acute Stress Disorder
10
Q
- Pt. Consciously fakes, profoundly exaggerates, or claims to have a disorder in order to attain a specific Secondary (external) gain
- Poor compliance w/ Tx or follow-up of diagnostic tests
- Complaints cease after Secondary gain
A
Malingering
11
Q
- Pt. Consciously creates physical and/or psychological symptoms in order to assume “Sick-Role” and to get medical attention (Primary (internal) gain)
- Know they do it, but don’t know why they do it
A
Factitious disorders
12
Q
- Chronic factitious disorder w/ predominantly physical signs and symptoms
- Characterized by a history of multiple hospital admissions and willingness to receive invasive procedures
- They actually cause the disorder themselves
A
Munchausen syndrome
13
Q
- When illness in a child or elderly pt. is caused by caregiver
- Motivation is to assume a “Sick Role” by proxy
- Form of child/elderly abuse
A
Munchausen Syndrome by Proxy
14
Q
- Category of disorders characterized by Physical Symptoms w/ no identifiable physical cause
- Both illness production and motivation are unconscious drives
- Symptoms not intentionally produced or feigned
- More common in women
- Not faking but can’t find anything wrong
A
Somatic Symptoma and Related Disorder
15
Q
- Variety of complaints in one or more organ systems lasting for months to years
- A/w excessive, persistent thoughts and anxiety about symptoms
- May co-occur with medical illness
A
Somatic Symptom Disorder
