Trauma and Stressor Related and Obsessive-Compulsive Disorders Flashcards
Adjustment Disorder
- duration/onset
Symptoms must develop within 3 months of stressor
Adjustment Disorder
- symptoms
Marked by a psychological stressor that leads to functioning impairment
Marked by a psychological stressor that leads to functioning impairment
Adjustment Disorder
Adjustment Disorder
- specifiers
depressed mood
anxiety
mixed anxiety/depressed
disturbance of conduct
mixed disturbance of emotions and conduct
Adjustment disorder
-differential dx
PTSD Normative stress reaction Acute stress disorder MDD Personality disorder Psychological factors affecting medical condition
Adjustment disorder
- interventions
CBT, REBT, ACT relaxation/mindfulness stress inoculation therapy grief therapy interpersonal therapy
Acute Stress disorder
- duration/onset
3 days to one month
Acute Stress disorder
- symptoms
exposure to actual or threatened death, serious injury or sexual violence Intrusions Avoidance Cognition/Mood Arousal lasting 3 days to 1 month
Acute Stress Disorder
- differential Dx
PTSD Adjustment D/O Panic D/O psychotic D/O Dissociative ID D/O OCD Traumatic brain injury
Acute Stress Disorder
-interventions
expressive outlet for trauma psychiatrist identify support system support group EMDR or hynosis stress inoculation anxiety management training identify cognitive distortions
exposure to actual or threatened death, serious injury or sexual violence Intrusions Avoidance Cognition/Mood Arousal lasting 3 days to 1 month
Acute Stress Disorder
PTSD
- duration
greater than one month
PTSD
- symptoms
INTRUSION - recurring memories; dreams; flashbacks/dissociation
AVOIDANCE - avoid reminders, thoughts
COGNITION/MOOD - unable to recall; negative beliefs of self; blame self/others; diminished interest; withdrawn; unable to experience positive emotions
AROUSAL - irritability; anger; self-destructive/reckless behavior; hypervigilance; startle response; poor concentration; sleep disturbance
PTSD
- specifiers
w/ dissociative symptoms
w/ delayed expression - full criteria met at least 6 months after event
PTSD
- differential
adjustment disorder acute stress disorder anxiety disorder OCD MDD TBI Personality disorder Dissociative disorder conversion disorder Psychotic disorder
PTSD
- intervetions
coping skills systematic desensitization guided imagery group therapy cognitive processing therapy narrative therapy to address intrusive thoughts Trauma-focused CBT CBT EMDR mindfulness anxiety management bibliotherapy
Disinhibited Social Engagement Disorder
- duration/onset
Age of at least 9 months
Disinhibited Social Engagement Disorder
- Symptoms
Child approaches and interacts with unfamiliar adults
not limited to impulsivity (as in ADHD)
child experienced neglect and/or repeated changes in caregiver
Disinhibited Social Engagement Disorder
- specifiers
Persistent - greater than 12 months
Reactive Attachment D/O
- duration/onset
developmental age 9 months to 5 years
Reactive Attachment Disorder
- symptoms
emotionally withdrawn toward caregiver: rarely seeks or responds to comfort when distressed
social/emotional disturbance: minimal response to others; limited positive affect; unexplained irritability, sadness or fearfulness with caregiver
insufficient care: social/emotional neglect, repeated changes in caregiver, rearing in institution
Reactive Attachment Disorder
- specifiers
Persistent (symptoms present for greater than 12 months)
Reactive Attachment Disorder
- differential
Autism
Intellectual Disability
Depressive Disorder
emotionally withdrawn toward caregiver: rarely seeks or responds to comfort when distressed
social/emotional disturbance: minimal response to others; limited positive affect; unexplained irritability, sadness or fearfulness with caregiver
insufficient care: social/emotional neglect, repeated changes in caregiver, rearing in institution
symptoms present at older than 9 months and younger than 5 years old
Reactive Attachment Disorder
- symptoms
Obsessive-Compulsive disorder
- duration
none specified
Obsessive-Compulsive disorder
- symptoms
obsessions, compulsions, or both that are severe time- consuming and/or cause significant impairment
Obsessive Compulsive disorder
- specifiers
w/good or fair insight
w/ poor insight
w/ absent insight/delusional beliefs
Tic related
Obsessive Compulsive Disorder
- differential
GAD; Anxiety D/O due to medical; ADHD Substance Induced Anxiety Body Dysmorphic; eating D/O Phobia; Trichotillomania; MDD Somatic Disorder; Delusional/Psychotic TIC/Stereotypic Mvt
Obsessive Compulsive Disorder
-interventions
Challenge thinking errors
Medication
motivational interviewing
Rehearsal (learn new set of behaviors to replace old habits)
Modeling
Cognitive Restructuring
Behavior Therapy- exposure and response prevention therapy
Meditation/relaxation
Role-Play (hear how irrational thoughts can sound and encourage change
Body Dysmorphic disorder
-duration
none specified
Body dysmorphic disorder
- symptoms
preoccupation with 1 or more perceived defects or flaws in physical appearance- not observable/minor to others
Repetitive Behaviors: check mirror, excessive grooming, skin picking, reassurance seeking
Body Dysmorphic Disorder
- specifiers
w/ muscle dysmorphia - idea that body is too small/insufficiently muscular
Body Dysmorphic disorder
- interventions
CBT
ACT
Mindfulness
Exposure and response prevention
preoccupation with 1 or more perceived defects or flaws in physical appearance- not observable/minor to others
Repetitive Behaviors: check mirror, excessive grooming, skin picking, reassurance seeking
Body Dysmorphic Disorder
