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37 Cards in this Set
- Front
- Back
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What are 3 classic findings in patients with Avoidant personality disorder?
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-Pervasive social discomfort
-Feelings of inadequecy -Hypersensitive to criticism/judgement |
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What are 2 defense mechanisms commonly used by Avoidant individuals?
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-Projection
-Displacement |
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What is Displacement?
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Transferring a feeling about/response to one object, to another
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Example of displacement:
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Man gets yelled at by boss, goes home and yells at his kids
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What is Projection?
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Attributing one's own feelings about others or self, to another
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Example of Projection:
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-Man feels hostile towards boss
-Attributes hostile motives to his boss's actions |
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What is the prevalence rate of Avoidant PD in the general population?
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.5-1%
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Why might pts with Avoidant PD be confused with a Schizoid patient?
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Both have very few friends
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How are Avoidant pts different from Schizoid?
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They WANT friends but are too scared of rejection; schizoids just don't care and are happy without friends
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What is it called if a patient has panic attacks when in situations where they might be embarassed or humiliated under public scrutiny?
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Social phobia
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What is a common effective treatment for Social Phobia?
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SSRIs + CBT
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When would SSRIs be helpful in patients with Avoidant pd?
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Only if they experience anxiety in social situations..
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What axis would you put social phobia and avoidant PD on?
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Social phobia - axis I
Avoidant PD - axis II |
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and the 2 most common defense mechanisms used by patients with avoidant PD are:
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-Displacement
-Projection |
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What are the 4 diagnostic criteria for Separation Anxiety Disorder?
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-Developmentally inappropriate anxiety about separation from home/caretaker
-At LEAST 4 WEEKS -Before age 18 -Clin signif impaired functioning |
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At what age/stage of development is Separation Anxiety typically seen to start?
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11-12 yo - Late Latency period
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What is a common precipitating factor for development of SAD?
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Life-txing disease of parent/caretaker
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What signs/symptoms are often seen in patients with separation anxiety disorder?
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-Multiple somatic complaints difficult to diagnose (HA, nausea, dizzy)
-Strong mood symptoms/anxiety |
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What comorbid mood disorders are patients with SAD at increased risk for developing?
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-Major Depression
-Psychotic disorders |
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What is usually involved in the multisystemic approach to treating SAD?
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-Relaxation techniques for anxiety
-SSRIs for mood symptoms |
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Should children with separation anxiety disorder be separated from their parent?
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YES - slowly and gradually
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How is Generalized AD different from SAD?
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Anxiety is more general - not focused on separation from the parent
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What vegetative symptoms are common in patients with SAD and comorbid Major depression?
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-Insomnia
-Anorexia |
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What is the MAINSTAY of treatment for SAD?
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Behavioral modification
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What gives SAD the best prognosis?
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Early diagnosis and interventional treatment
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What is the condition where a patient suddenly departs from home, travels to a new location, and is unable to recall the past?
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Dissociative Fugue!
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What happens to the identity of a patient with dissociative fugue?
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They can't recall it and may develop a new one
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Can Dissociative fugue occur in a patient with Dissociative Identity Disorder?
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Nope
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What is DISSOCIATION?
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A defense against OVERWHELMING TRAUMA where the memory of the traumatic event is 'split off' to exist on a parallel level
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How common is dissociative fugue?
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Rare
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What is Depersonalization?
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Persistant or recurrent perception of oneself as 'unreal' or 'strange'
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What is Dissociative amnesia?
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Selective inability to recall specific information usually about one's identity, but general information is intact (home, identity)
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What is Dissociative Identity Disorder?
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Multiple personality disorder - person invents multiple personalities to deal with trauma that usually happened in their childhood
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How does the behavior of people with Dissociative fugue compare to those with Dissociative amnesia?
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Usually more purposeful - move away, take on a new identity, occupation
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How are patients with Delirium or Dementia different from those w/ Dissociative fugue?
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Travels are less purposeful, don't take on a new identity
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What drug can render more diagnostic information in an interview of a patient with dissociative fugue?
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-Amytal sodium (amobarbital)
-Benzodiazepine |
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What is a predisposing factor to dissociative fugue?
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History of head trauma
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