Test 2 Flashcards

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1
Q

Generalized anxiety disorder (GAD)

A

(Excessive anxiety, worry, free floating anxiety)->but no danger

Symptoms: restlessness, fatigue, irritability, muscle tension, sleep disturbances

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2
Q

Phobias: specific:

A

Persistent fears of a specific object/situation

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3
Q

Agoraphobia

A

Fear of being in a situation w no escape
Exposure therapy most efficient

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4
Q

What causes phobias? Evidence, developed, maintained

A

Best evidence: behavioural
Developed thru: classical conditioning/modeling
Maintained thru: avoidance

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5
Q

Tx of phobias (specific)

A

Exposure techniques:

Systematic desensitization
Learn relaxation skills
Create fear hierarchy
Confront feared situation

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6
Q

2 types of desensitization

A

In vivo desensitization (live)
Covert desensitization (imaginal)

(New approach: virtual reality)

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7
Q

3 types of tx of phobias

A
  1. Systematic desensitization
  2. Flooding; forced non gradual exposure
  3. Modelling; therapist confronts patients feared objects
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8
Q

Modelling tx for phobias

A

Key to success: actual contact with feared object/situation

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9
Q

Social anxiety

A

Anxiety in social situations (worried about being judge/functioning poorly in front of other ppl)

Most likely in poor ppl/women

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10
Q

Symptoms social anxiety

A

Negative thoughts
Embarrassant
Physical reactions
Avoidance/safety behaviours

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11
Q

Cognitive perspective on social anxiety

A

Theory: self defeating beliefs:
Unrealistic high social standards
Tend to believe they are unattractive/ socially skilled

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12
Q

Tx social anxiety

A

Change beliefs
Exposure
Social skills/assertiveness training
Often use antidepressants

But therapy is as effective as meds and less relapse

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13
Q

Panic disorder

A

Attacks are periodic/unpredictable
Worry about having an attack
Fears: going crazy, dying, losing control

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14
Q

Panic disorder, symptoms

A

Extreme physical sensations
Peak rapidly (within 10 mins)

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15
Q

Biological perspective, panic disorder

A

Theory: irregular norepinephrine activity

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16
Q

Tx, panic disorder

A

Antidepressants/benzodiazepines
Break cycle of attack, anticipation, fear
Combo tx test

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17
Q

Cognitive perspective theory, panic disorder

And tx for it

A

Overly sensitive to certain bodily sensations (anxiety sensitivity)
Misinterpreted signs of medical catastrophe

Tx
Accurate interpretations
Interoceptive exposure (biological challenge procedure)
Relaxation breathing

18
Q

Obsessive compulsive disorder (ocd) characteristics

A

Obsession
Intrusive/foreign, persistent thoughts

If resisted-> anxiety

19
Q

OCD causes/tx

A

Behavioural, compulsions reduce anxiety

Tx
Exposure/response prevention

20
Q

Cognitive OCD

A

Try to neutralize bad thoughts but->fail

Tx
Identify&change distorted cognitions
Cognitive+behavioural tx therapy (CBT)

21
Q

Biological ocd
Tx

A

Abnormal serotonin activity/brain structure & functioning-> orbitofrontal cortex & cauclate nuclei

Tx
Antidepressants
Meds+ CBT may be more effective

22
Q

OCD video

A

Mom overprotective of kids
Germs/disease phobia
Specific ritual
Fixation on numbers

23
Q

Mood disorders
Unipolar depression

A

Only have lows (no high, no mania)

24
Q

Unipolar depression
Symptoms

A

Low mood/irritability (especially in children/ado)
Loss of pleasure/interest
Weight, appetites or sleep changes
Agitation
Fatigue
Feeling hopeless, low self esteem
Problems of attention/communication
Suicidality

25
Q

Film clip unipolar depression

A

Chemical imbalance

26
Q

Diagnosing unipolar depression

A

Major depressive disorder
Persistent depressive
Double depression

27
Q

Theoretical perspectives unipolar depression

A

Biological theory: genetic factors
-> M2 (identical)=twins 46%
->D2 (fraternal) twins 20%

Biochemical factors
-> serotonin/norepine

28
Q

Tx unipolar depression

A

Antidepressants create more (serotonin, dopamine)<- neurotransmitters (BUT lots of side effects)

Electro convulsive therapy (ECT)->unilateral ECT
(BUT side effect=memory loss)

29
Q

Theoretical perspectives unipolar depression
Analytic/dynamic theory n tx

A

Death of a loved one=regress to oral stage

Relationships (with parents mostly) lead to insecurity/unsafe

Tx
Review of post events/feelings

30
Q

Behavioural theory unipolar depression

A

Less rewards end to less constructive behaviours
-> research= number of social rewards important

Tx
Reward appropriate behaviours
More pleasurable activities

31
Q

Cognitive theory unipolar depression

A

Learned helplessness

Believe have no control over your life “if nothing i do can save me, ill do nothing” type shit

Ex: seligman and lab dogs
Attributions: internal attribution: I’m responsible this is happening bcuz of me.
Global and stable

EX. its all my fault (internal) i ruin everything (global) and i always will (stable)

Solutions
Better attributions
Ex. She had a role in this too (external) but i have been a jerk (specific) and i dont usually act like that (unstable)

Negative thinking

32
Q

Beck, 4 cognitive components

A

Maladaptive attitudes
Cognitive triad (ppl interpret themselves/future in neg way)
Errors in thinking=disqualifying the positive
Automatic negative thoughts

33
Q

Bipolar disorder

A

Lows of depression, highs of mania
Usually starts in adolescence/early adulthood
Onset btw 15-44y
Same thing for W n M
Poverty effect
Chronic incurable BUT treatable
Cyclical: matter of time until mood shifts

34
Q

Bipolar disorder, maniac

A

Important, energized, delusions, talk fast, sex drive, impulsivity, hostility

35
Q

Bipolar disorder, depressive

A

Sadness, despair, loss of energy, suicidal thoughts, changes in sleep/eating habits

36
Q

Film clip bipolar disorder

A

Becca brown: living w bipolar disorder

37
Q

Bipolar disorder
Symptoms of mania
5 main areas

A

Emotional=high, euphoric but also irritable, impatient

Motivational=start lots of projects but easily distracted

Behavioural=talk fast without sense

Cognitive= unable to plan, self awareness

Physical

38
Q

Diagnosing bipolar disorder

A

At least mania from a week

2 kinds:
Bipolar 1: full manic/major depressive episodes
Bipolar 2: hypomanic episodes (less severe) and major depressive episodes

Cyclothymie disorder: many periods of hypomanic symptoms/mild depression
Symptoms: 2+ years, periods of normal mood, may progress to bipolar 1/2

39
Q

Causes of bipolar disorders

A

Biological model:
Genetic factor (inherited predisposition)

40
Q

Permissive theory bipolar disorder

A

Low serotonin starts mood disorders (with NE)
Low serotonin+low NE=depression
Low serotonin+high NE=mania

41
Q

Tx bipolar disorder

A

Fic chemical imbalance
Lithium therapy-> v effective, 60% w mania improve
BUT determine correct dosage is difficult
If too high= lithium intoxication (poisoning)
Compliance issue-> weight gain
May enjoy mania
Helps somewhat w dep episodes

42
Q

ABC

A

Activating event->rejection
Belief->no one likes me
Consequence->distress