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DSM - 5 > Trauma and Stressor Related and Obsessive-Compulsive Disorders > Flashcards

Trauma and Stressor Related and Obsessive-Compulsive Disorders Flashcards

1
Q

Adjustment Disorder

- duration/onset

A

Symptoms must develop within 3 months of stressor

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2
Q

Adjustment Disorder

- symptoms

A

Marked by a psychological stressor that leads to functioning impairment

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3
Q

Marked by a psychological stressor that leads to functioning impairment

A

Adjustment Disorder

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4
Q

Adjustment Disorder

- specifiers

A

depressed mood

anxiety

mixed anxiety/depressed

disturbance of conduct

mixed disturbance of emotions and conduct

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5
Q

Adjustment disorder

-differential dx

A 
PTSD
Normative stress reaction
Acute stress disorder
MDD
Personality disorder
Psychological factors affecting medical condition
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6
Q

Adjustment disorder

- interventions

A 
CBT, REBT, ACT
relaxation/mindfulness
stress inoculation therapy
grief therapy
 interpersonal therapy
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7
Q

Acute Stress disorder

- duration/onset

A

3 days to one month

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8
Q

Acute Stress disorder

- symptoms

A 
exposure to actual or threatened death, serious injury or sexual violence 
 Intrusions
Avoidance
Cognition/Mood
Arousal
lasting 3 days to 1 month
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9
Q

Acute Stress Disorder

- differential Dx

A 
PTSD
Adjustment D/O
Panic D/O
psychotic D/O
Dissociative ID D/O
OCD
Traumatic brain injury
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10
Q

Acute Stress Disorder

-interventions

A 
expressive outlet for trauma
psychiatrist
identify support system
support group
EMDR or hynosis
stress inoculation
anxiety management training
identify cognitive distortions
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11
Q 
exposure to actual or threatened death, serious injury or sexual violence 
 Intrusions
Avoidance
Cognition/Mood
Arousal
lasting 3 days to 1 month
A

Acute Stress Disorder

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12
Q

PTSD

- duration

A

greater than one month

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13
Q

PTSD

- symptoms

A

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

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14
Q

PTSD

- specifiers

A

w/ dissociative symptoms

w/ delayed expression - full criteria met at least 6 months after event

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15
Q

PTSD

- differential

A 
adjustment disorder
acute stress disorder
anxiety disorder
OCD
MDD
TBI
Personality disorder
 Dissociative disorder
conversion disorder
Psychotic disorder
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16
Q

PTSD

- intervetions

A 
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
17
Q

Disinhibited Social Engagement Disorder

- duration/onset

A

Age of at least 9 months

18
Q

Disinhibited Social Engagement Disorder

- Symptoms

A

Child approaches and interacts with unfamiliar adults

not limited to impulsivity (as in ADHD)

child experienced neglect and/or repeated changes in caregiver

19
Q

Disinhibited Social Engagement Disorder

- specifiers

A

Persistent - greater than 12 months

20
Q

Reactive Attachment D/O

- duration/onset

A

developmental age 9 months to 5 years

21
Q

Reactive Attachment Disorder

- symptoms

A

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

22
Q

Reactive Attachment Disorder

- specifiers

A

Persistent (symptoms present for greater than 12 months)

23
Q

Reactive Attachment Disorder

- differential

A

Autism

Intellectual Disability

Depressive Disorder

24
Q

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

A

Reactive Attachment Disorder

- symptoms

25
Q

Obsessive-Compulsive disorder

- duration

A

none specified

26
Q

Obsessive-Compulsive disorder

- symptoms

A

obsessions, compulsions, or both that are severe time- consuming and/or cause significant impairment

27
Q

Obsessive Compulsive disorder

- specifiers

A

w/good or fair insight

w/ poor insight

w/ absent insight/delusional beliefs

Tic related

28
Q

Obsessive Compulsive Disorder

- differential

A 
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
29
Q

Obsessive Compulsive Disorder

-interventions

A

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

30
Q

Body Dysmorphic disorder

-duration

A

none specified

31
Q

Body dysmorphic disorder

- symptoms

A

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

32
Q

Body Dysmorphic Disorder

- specifiers

A

w/ muscle dysmorphia - idea that body is too small/insufficiently muscular

33
Q

Body Dysmorphic disorder

- interventions

A

CBT

ACT

Mindfulness

Exposure and response prevention

34
Q

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

A

Body Dysmorphic Disorder

DSM - 5 (13 decks)

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