Social anxiety and OCD Flashcards
Primary concern
associated with social
anxiety disorder:
fear of negative evaluation from others
Do social situations need to be avoided in order to receive a social anxiety disorder diagnosis?
yes?
Obsession
Unwanted, intrusive thoughts, images, or urges that cause significant distress. Examples:
Contamination obsessions: fear of germs or dirt
Harm obsessions: fear of causing harm to oneself or others
Intrusive thoughts: violent or disturbing images
Nature: not voluntary or pleasurable, obsessions are often recognized as excessive or irrational
Compulsion
Behaviors or mental acts performed to reduce the distress from obsessions. Examples:
checking: repeatedly checking locks, stoves, or appliances
washing: excessive handwashing or cleaning
counting or repeating: counting items or repeating actions mentally
purpose: compulsions are often done to neutralize the obsession, even of the action is unrelated or excessive
What is the main impairment criteria associated with OCD?
having obsessions or compulsions that are time consuming or impairing
How does early onset of OCD impact prognosis?
Those with early-onset OCD may need to try more medications before finding relief from their symptoms and may need more trials of psychotherapy than people whose OCD begins later in life.
List the anxiety disorders (4 disorders) we have covered in class in the order that they are most likley to appear
in development
seperation
social
OCD
GAD
Describe functional impairments an individual with social anxiety may experience. How are these different than
functional impairments an individual with OCD may experience?
social: higher dropout rates, lower productivity, lower SES, being unmarried, reduced quality of life, etc.
OCD: avoid relationships to protect others, delays in performance due to perfectionism, avoidance of medical settings, etc.
Describe the relationship between obsessions and compulsions in OCD.
compulsions are done in response to obsessions. the goal of compulsions is to prevent or reduce anxiety surrounding obsessions, but only have temporary relief, leading to repetitive behaviors
What differentiates normative obsessions and compulsions from clinical levels of obsessions and compulsions?
frequency, severity, duration
how much time they consume and how much distress they bring to the person
What are the diagnostic criteria for social anxiety disorder?
fear about one or more social situations where the person is exposed to possible scrutiny by others.
fear that they will act in a way that shows their anxiety in a way that is negatively evaluated
social situations almost always provoke fear or anxiety
social situations are avoided
fear is out of proportion to the event, lasts 6 months or more
What are the diagnostic criteria for OCD?
a: presence of obsessions, compulsions, or both
B; they are time consuming