Q3 OCD and Trauma Related Disorders Flashcards

1
Q

what is a recurrent, intrusive, unwanted thought

A
  • obsession
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2
Q

what are behaviors or rituals that are aimed at reducing distress or preventing a dreaded event

A
  • compulsion
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3
Q

people spend how much of their time in obsessions and compulsions

A
  • > 1 hours
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4
Q

obsessions and compulsions themes

A
  • contamination
  • harm
  • order/symmetry
  • forbidden/taboo
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5
Q

obsessions are (ego-dystonic/ego-syntonic) for the person suffering from them

what does this mean

A
  • ego-dystonic

- not enjoyable for the ego

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6
Q

what a pervasive preoccupation with orderliness, perfectionism, and control that begins by early adulthood

A
  • OCDP
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7
Q

OCD is associated with what other condition

A
  • Tourette’s disorder
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8
Q

treatment of OCD

A
  • CBT: exposure therapy
  • SSRIs
  • clomipramine
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9
Q

what is preoccupation with slight or imagined flaw in physical appearance that is not observable or appears slight to others

A
  • body dysmorphic disorder
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10
Q

what does someone with body dysmorphic disorder often get

A
  • repetitive cosmetic or plastic surgeries
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11
Q

what happens when a person experiences, witnesses, or learns of an event that involves actual death or threatened death, serious injury, or threat of harm to self or others

A
  • trauma
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12
Q

peak age for sexual abuse

who is the perpetrator

A
  • 9-12

- male who knows the victim

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13
Q

what are the symptom domains of acute stress disorder/PTSD

A
  • intrusive symptoms
  • negative alterations in cognitions/mood
  • dissociative symptoms
  • avoidance symptoms
  • hyperarousal symptoms
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14
Q

what symptoms are recurrent, intrusive thoughts about the event

A
  • intrusive symptoms
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15
Q

what is the persistent inability to experience positive emotions (inability to experience happiness, satisfaction, or loving feelings)

A
  • negative mood
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16
Q

what is an altered sense of the reality of one’s surroundings or oneself (seeing oneself from another’s perspective, being in a daze, time, slowing)

A
  • dissociative symptoms
17
Q

what are persistent or recurring experiences of feeling detached from one’s body, mind, and/or feelings (feeling as though one were in a dream; feeling a sense of unreality of self or body or of time moving slowly)

A
  • depersonalization
18
Q

what are persistent experiences of unreality of surroundings (the world around the individual is experienced as unreal, dreamlike, distant, or distorted)

A
  • derealization
19
Q

what symptoms occurs when you avoid thoughts, feelings, places or people that arouse memories of the event

A
  • avoidance symptoms
20
Q

what symptoms present with, hypervigilance, problems concentrating, exaggerated startle response

A
  • hyperarousal
21
Q

time frame of acute stress disorder

A
  • > 3 days

- less than 1 month

22
Q

acute stress disorder may progress to PTSD after how long

23
Q

patient with PTSD often present to primary care with what symptoms

A
  • somatic complaints
24
Q

therapies for PTSD

A
  • exposure-based CBT

- meds

25
what meds are first line for PTSD
- SSRI's
26
what meds are contraindicated for PTSD why
- benzos - abuse potential - memory impairments
27
MOA of benzos
- GABA-A enhancement | - anti-anxiety properties
28
FDA warnings about combining Benzos with
- opioids
29
how does an adjustment disorder differ from acute stress disroder
- symptoms of distress are out of proportion to the severity or intensity of the stressor
30
adjustment disorder symptoms time frame
- begin within 3 months of stressor onset | - resolve within 6 months of stressor termination
31
treatments for adjustment disorder
- supportive therapy - CBT - +/- SSRIs