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26 Cards in this Set
- Front
- Back
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Panic Attack Sx
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(Stop Take Back the Night it's 4C-able 2P in 3D)
-Sweating -Trembling -shortness of Breath -Nausea -Chills -Choking -Chest pain -Crazy -Derealization -Dying -Dizzy -Palpitations -Parasthesias |
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Definition of a Panic Attack
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-4/13 sx
-reaches peak in 10 minutes -TERROR |
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Agoraphobia
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-The fear of fear; being trapped without a way out.
-Situations are avoided or endured with marked distress. -Not limited to only a few specific situations (eg. Social Phobia due only to social situations) |
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Panic Disorder w/o Agoraphobia
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A. Both 1 & 2
1. Recurrent unexpected panic attacks 2. 1+ attacks followed by 1+ months of 1+/3 -concern about add'l attacks -worried about effects of attack -significant change in behavior due to attack B. NO Agoraphobia C. NOT due to substance abuse or GMC D. NOT SP, OCD, PTSD, SAD |
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Panic Disorder w/ Agoraphobia
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Same as PD w/o, except...
**Presence of Agoraphobia** |
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Agoraphobia w/o Panic Disorder
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A. Agoraphobia related to the fear of developing panic-like symptoms
B. DOES NOT meet criteria for PD C. Not due to substance abuse or GMC D. If GMC present, fear is in excess of that usually associated with the condition |
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Specific Phobia Disorder- DSM
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A. Marked, persistent, unreasonable fear cued by a specific object or situation.
B. Exposure to stimulus almost always provokes a response which may result in situationally bound panic attacks. C. Person recognizes fear is excessive or unreasonable. D. Phobic situation is avoided or endured with intense anxiety. E. Avoidance, anxious anticipation, or distress interferes with person's normal routine. F. If under 18, must be for 6+ months. |
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Specific Phobia Subtypes
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BANSO
Blood/injection/injury Animal Natural environment Situational Other **You must provide a subtype under Axis I!** |
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Social Phobia- DSM
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A. Intense fear of scrutiny by others.
B. Exposure to feared social situation provokes anxiety and may result in situationally bound panic attack. C. Person recognizes fear is excessive or unreasonable. D. Social or performance situations are avoided or endured with marked anxiety. E. Fear interferes significantly with normal routine. F. If under 18, must be for 6+ months. G. Not due to substance abuse, GMC, or another mental disorder. H. If a GMC is present then, the social phobia present is unrelated to the GMC. |
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What is the most frequent phobia?
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Social Phobia
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Social Phobia Specifier
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Generalized- if the fears include most social situations
**Make sure it is not Avoidant Personality Disorder** |
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Generalized Anxiety Disorder- DSM
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A. Excessive anxiety and worry occurring more days than not for 6+ months.
B. Difficult to control worry. C. 3+ Sx D. Anxiety NOT confined to specific features of another anxiety disorder. E. Social/occupational impairment F. NOT due to substance abuse, GMC and occurs outside of a MD, PD or PDD. |
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GAD Sx
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3/6 (STIR For Crisis) STIRFC
-Sleep disturbance -muscle Tension -Irritability -Restlessnes -easily Fatigued -difficult Concentrating |
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Obsessive-Compulsive Disorder- DSM
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A. Either obsessions or compulsions.
B. Recognition that the obsessions or compulsions are excessive or unreasonable. C. Social/occupation impairment D. NOT restricted to another anxiety disorder (eg. obsessive about food= eating disorder) E. NOT due to substance abuse or GMC |
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Types of obsessions
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SOSAD
-Safety -Orderliness -Sex -Aggression -Dirt/contamination |
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Specifier for OCD
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With Poor Insight- if for most of the time during the current episode the person does not recognize that the obsessions and compulsions are excessive or unreasonable.
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PTSD- DSM
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A. Exposure to a traumatic event that entails actual or threatened death or serious injury to self or others.
B. Event is persistently reexperienced through -thoughts/perceptions -dreams -feeling/acting if event were recurring -distress in response to internal or external related cues -physiological reactivity to related cues. C. 3+ avoidance behaviors D. 2+ arousal sx E. Lasts 1+ months F. Social/occupational impairment |
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PTSD avoidance behaviors
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1. Efforts to avoid thoughts/feelings/conversations
2. Efforts to avoid activities/places/people 3. Inability to recall important aspect of event. 4. Diminished interest/participiation in significant activities 5. Feeling of detachment from others 6. Restricted range of affect. 7. Sense of foreshortened future. |
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PTSD arousal sx
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HIDDE
1. Difficulty falling/staying asleep. 2. Irritability 3. Difficulty concentrating 4. Hypervigilance 5. Exaggerated startle response |
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PTSD Specifiers
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1. Acute/Chronic (< 3 months, or >= 3 months)
2. With Delayed onset- occurs 6+ months after the stressor |
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7 Predictors of PTSD development
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FFPPNS10 (Double F, Double P, NS, 10)
-Female -Family Hx -Pre-existing psychiatric dx -Prior exposure -Nature/charicteristic of exposure -Support factors (does person perceive support) -Exposure before age 10 |
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Acute Stress Disorder- DSM
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-PTSD "light"
-Btwn 2 days and 4 weeks -3+ dissociative sx while experiencing or re-experiencing event. -1+ re-experiences |
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ASD Dissociative sx (5)
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NADAD
-Numbing -Awareness reduction -Derealization -Amnesia (dissociative) -Depersonalization |
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AD due to GMC
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PURELY in response to having medical issues
Specify with: -With GA -With Panic Attacks -With OC sx |
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Substance Induced AD
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Hx of panic attacks, anxiety, OC sx, during or within 1 month of intoxication or withdrawal.
Sx must be in excess of those normally associated with intoxication or withdrawal and warrant independent clinical attention |
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Specifiers for Substance Induced AD
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With onset during...
Intoxication OR Withdrawal With... -generalized anxiety -panic attacks -oc sx -phobic sx |
