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89 Cards in this Set
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anxiety disorder
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preocupation with and avoidance of thoughts or situations that provoke fear or anxiety
anticipation of future problems, out of proportion to the threat caused by danger childhoood adversity, attachment relationships and separation anxiety can be learned through classical conditioning |
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fear
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in the face of a real danger, helps behavioral responses to threat
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excessive worry
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associate with anxiety, uncontrollable sequence of negative emotional thoughts that are concerned with possiblefuture threats
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panic attacks
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a sudden overwhelming experience or terror or fright,
cued: only in the presecence of particular stimuli unexpected: without warning predisposition |
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phobias
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persistent, irrational narrowly defined fears that are associated with a specific object or situation
avoidance! irrational and unreasonable |
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obessesions
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unwanted anxiety provoking thought, may seemy crazy, rarely act upon impulse
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complusion
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cannot be resisted, reduce anxietybut dont produce pleasure,
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panic disorder
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recurrent, unexpected panic attack, followed by a period of 1 month or more with fear of attack
women 2x more likely |
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social phobia
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afraid or avoid social sit,
performance anxiety interpersonal interaction fear of humiliation or embarassment more common in women |
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generalized anxiety disorder
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anxiety or worry, trouble controlling worries,lead to sig distress, most daus for 6 months or more, worry about dif events and activities
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depression caused by
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severe loss
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Psychological factors
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perception of controllability
catastrophic misinterpretation attentional biases thought suppression |
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per of control
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lack of control, helpless,
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catastrophic misinterpretation
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bodily sensations, thoughts or images, negative thoughts followed by behav to increase safety when they are actually counterproductive,
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attentional biases
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sensitive to cues that signal the existence of future threats, when they see the cue that causes the anxiety it tirggers a maladaptive cycle
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to treat anxiety
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psychoanalytic
system desensitization exposure treatment relaxation skills training- tense relax breathing retraining- practice slow breathing cog therapythoughts >responses, iden cog,examine evidence, antianxiety meds |
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benzodiazepines
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gad and social phobia
not for specific or ocd can relapse sedation, motor and cog side effects, addiction |
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ssris
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all forms of anxiety fewer side effects
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tricylic
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weight gain
dry moith over stim jittery, nervous, lightheaded for ocd if anything... |
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tramatic stress
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event that involves actual or threatened death or serious injury to self or oters and creates intense feelings of fear helplessness or horror (6-8 months)
comorbidity with depression, anger,sub abuse |
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acute stress disorder
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w/i 4 weeks after exposure of tramtic event, dissociative symptoms, reexperiencing, anxiety
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PTSD
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reexperiencing avoidance or arousal delayed onset (6-8 mon)
cog behav exposure to trama most effective, imagery rehearsal therapy, cog restructuring antidepressants |
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dissociative symptoms
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dazed, spaced out, depersonalization, derealization, dissociative amnesia
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trama caused by
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risky behav, adverse environ, ppl who are anxious or have a faily history of mental disorders
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contributions to trama
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if have social support or less severe stressors
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operant conditioning in trama
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avoidance by reducing fear, avoidance prevents the extinction of anxiety through exposure
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classical cond in trama
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fear when terror is paired with cues
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dissociative disorders
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persistent, maladaptive disruption in the integration of memory, consciousness or iden, two or more personalities
four types before you jump to this conclusion rule out the obvious: head trama, drug, alcohol, stroke, mem impairment little biological cause social cause: created by therapist? |
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depersonalization disorder
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feelng of being detached
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dis iden dis
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mult per dis
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dis fugue
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sudden and unexpected travel away from home with inability to recall details about past with confusion about iden and assumptions of new iden
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treatment of dis
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integration of personalities, hypnosis,
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somatoform disorders
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physical symptoms that dont exist, real in mind not in body, worry about deadly disease
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conversion disorder
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mimic neuro dis, no bodily sense, psych conflict converted to bio
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somatization disorder
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mult complaints in absence of reality
more in women, low ses, aa and latinos comor with depression, anxiety, and antisocial personality dis bio cause: diag by exculsion psych factors: primary and secondary gain, cog tendency to amplify |
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munchhausen
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make themselves sick by taking pills etc
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hypochon
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fear that is suffering from illness
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pain dis
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preocupation with pain, depen on pain med
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body dysmorphic dis
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imagined defect of appearance, plastic surgeon,
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treatment of somotoform
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operant approaches,
cog behav antidepressants |
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antisocial personality disorders
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have difficulty shifting their attention to consider neg consequences fo behav, less able to consider meaning of important signals and punishment
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dependent personality
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sumssive role in rel, need reassurance and support, cling to those that will take care of them, at risk of depression sociotrpohy- can become depressed if exper stress in interpersonal
1. pref for affiliation 2. fear of criticism 3. self-confidence lack 4. overlaps with borderline can be caused by overprotective parents, insecurely attached children. cog therapy usually enter bc of something else! dont have core sense of self. |
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borderline personality
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instablity in mood and rel, find it dif to be alone, rapid mood shifts, anger, identity disturbance
treatment: dialectical behav ther: learning to be comfortable with strong emotions, therapist acceptance of patients behav splitting: entirely good/ bad dont know how to get their needs met, fear abandonment but usually get it due to temperament, based on chaotic parenting, go to extremes to get atttention, self loathing, cant see an end to feelings (help them realize they are temporary) |
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antisocial per dis
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prior to age 15
3/7 symptoms after 15 psychopathology checklist genetic factors and adverse enviornment irrepsonsible and antisocial behav in childhood, impulsive and reckless, lack conscience |
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paranoid per dis
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tendnecy to be inappropriately suspicious of others, expectation of being harmed, inflexible of views or expectations
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schizoid per dis
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per patterns of indifference to to other ppl couple with a diminshed rage of emotional exper and expression
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cluster A
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paranoid, schizoid and schizotypal
often appear odd or eccentric |
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Clus B
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ppl who often appear dramatic emotional or erratic
antisocial borderline histronic narcistic |
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Clus C
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ppl who often appear anxious or fearful
avoidant dependent obessive compulsive |
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schizotypal
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discomfort with close rel cog and percep distortions
weird behav, not psychotic! overlap with borderline and avoidant gen related to schizophren |
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histronic
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excessive emotionality and attention seeking center of attention needed
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narcissistic
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grandiosity need for admiration and lack of empathy, all knowing, expect submissiveness,
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avoidant
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social inhibition, feelings of inadequacy and hypersensitvity to neg eval
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obsessive compulsive personality
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preoccpuation with orderliness and perfectionsim at the expense of flexibility
dot realize its odd but it is dysfunctional |
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egosyntonic nature
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doesnt care or understnad their prob and doesnt seek help
schizotypal if rel schizophrenic, (paranoid and avoidant) |
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per dis
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duration of the pattern and the social impairment associated with the traits in question
socal dysfunction interfer with persons ability to get along and perform social roles |
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every human has a desire for
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affiliation- close rel
and power- impact |
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cog perceptions
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how they view themselves- dependnet on external
distortion of affilation and power |
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personality
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how a person relates to the world, temperament, consistent, thinking and behav
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onset of schizo
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15-35
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3 phases
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prodromal: becomes isolated/odd, build up
active: psychotic appear disturbed residual: return to baseline, pos symptoms decrease, some are maintained |
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positive symptoms of schizo
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hallucinations and delusions
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hallucinations
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perceptual disturbances, can occur in any sense, persistent, psychotic symptoms
auditory! |
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Delusions
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idiosyncratic beliefs that are rigidly held in spite of their preposterous nature
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neg symptoms of schizo
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lack of intitative, social withdrawl, deficits in emotional responding
affective disturbances: blunt affect |
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anhedonia
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inabiliity to experience pleasure
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apathy
avolition alogia |
socially withdarwn
lack of will impoverished thinking and speech all neg symptoms |
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Disorganization
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thinking disturbances: say things that dont make sense, irrevalent responses, use words in weird ways
Shifting topic abruptly |
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Disorganization
Perservation |
part of thinking disturbances in disorganization
persistently repeating the same word or phrase over and over |
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Diorganization
bizzare behavior |
catatonia and inappropriate affect
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catatonia
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immobility and marked muscular rigidity, excitement and overactivity, reduced responsiveness
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inappropriate affect
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incongruity and lack of adaptability in emotional expression
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for schizophrenia needs 2 or more symptoms
for more than 1 month |
neg symptoms
delusions hallucinations social/occupational disturbance persist at least 6 months |
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acute psychotic episode
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if symptoms of schizo only present for 6 months or less
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schizoaffective disorder
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between schizo and mood disorders
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delusional disorder
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preocupied for at least 1 month with delusions that are not bizzarre
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brief psychotic disorder
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psychotic symptoms for one day -one month
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genetic factors in schizo
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play a role, more likely to have been exposed to problems during mothers pregnancy
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social factors of schizophrenia
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social class, poverity, stress and social isolation, poor nutrition play a causal role
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family environ in schizo
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negative relationships have an effect
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negative effects of antipsychotic for schizo
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muscular rigidity, involuntary postures, motor inertia
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treatment for schizo
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family-oriented aftercare
social skills training cognitive therapy- cog enhancement therapy (those who have recovered from active symptoms) assertive community treatment |
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anorexia
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25-30% loss of normal weight
cognitive disturbance in evaluating weight loss intense fear of gaining weight, lack of menstration, lanugo-fuzzy arms, anemic, kidney function effect, dental erosion, electrolyte embalance, struggle for control |
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eating disorders comorbid with
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ocd, ocp, depression
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bulimia
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over eat, purging, self esteem issues, depression,
purging and non purging type (exersise or fasting) |
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social factors of eating disorders
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troubled fam relationships, rejection in bulimia, anorexic fam cohesive and non confrontational
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psych factors of eating disroders
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perfection and control
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biological factors
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genetic,
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treatment of eating disorders
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gain weight!
family therapy antidepressants cog behav: dysfunctional beliefs, prepare to expect relapse broaden perspective of freinds, fam and feelings to take attention away from weight loss. |