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29 Cards in this Set
- Front
- Back
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Panic disorder
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BOTH:
1.) recurrent unexpected panic attacks 2.) at least ONE has been followed by 1 month or more of one (or more) of the following: a.) persistent concern about having another b.) worry about implications c.) significant change in behavior related to attacks |
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panic attack
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FOUR of more of these develop abruptly, reach peak w/i 10 mins:
-palpitations -sweating -trembling -SOB -feeling of choking -CP -nausea -dizzy -derealization -fear of losing control/going crazy -fear of dying -parestesias -chills/hot flashes |
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generalized anxiety disorder
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-anxiety for more days than not for at least 6 MONTHS about multiple events
-difficult to control worry -3 or more of following (only 1 in children): restlessness, fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance -not confined to features of Axis I |
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PTSD
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1. exposed to traumatic event
-witnessed event involving death or threatened death or serious injury, or physical threat to self or others -response = fear, horror, helplessness 2.) traumatic event persistently reexperienced 3.) persistent avoidance of stimuli 4.)persistent symptoms of increased arousal 5.)duration more than ONE MONTH 6.) clinically significant distress (criteria for all of these) |
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OCD
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-either obsessions OR compulsions
-recognizes they are unreasonable -marked distress, are time consuming, interfere w/ life -obsessions/compulsions not restricted to axis I if another axis I disorder present -not due to drugs (criteria for all of these) |
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obsession
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1.)recurrent persistent thoughts, impulses, images,
2.)impulses not simply excessive worries 3.)person attemps to ignore them or neutralize them w/ another thought/action 4.) recognizes thoughts are product of their own mind |
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compulsion
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1.) repetitive behaviors or mental acts person feels driven to perform in response to obsession
2.)acts aimed at reducing stress or preventing an event |
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Somatization
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-before 30 y/o
-4 pain symptoms -2 GI symptoms -1 sexual symptom -1 pseudoneurological symptom (not limited to pain- conversion symptoms) -cannot be fully explained by med. condition -if there is a medical condition, complaints are in excess of what is expected -symptoms are NOT intentionally produced or feigned |
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hypochondriasis
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-preocupation w/ fears of having or the idea that one has a serious disease
-persists despite reassurance -belief is not of delusional intensity -at least 6 MONTHS -presents w/ fear and concern rather than dramatic symptoms -most have comorbid disorders |
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major depressive episode
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5 or more (w/ one being depressed mood of loss of interest)during the same 2 week period:
-depressed mood -loss of interest(anhedonia) -weight loss/gain, appetite change -insomnia/hypersomnia -psychomotor agitation/retardation -fatigue -feelings of worthlessness -diminished ability to think/concentrate -suicidal thoughts |
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major depressive disorder
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2 or more major depressive episodes
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Dysthymic disorder
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-depressed mood for most of the day for more days than not for the past 2 years
-never w/o symptoms for more than 2 mo. at a time 2 OR MORE OF: -poor appetite/overeating -insomnia/hypersomnia -fatigue, low NRG -low self-esteem -poor concentration/indecisive -feeling hopeless |
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double depression
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someone w/ dysthymic disorder who has a major depressive episode w/i the 2 year period
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manic episode
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3 OR MORE:
-gradiosity -need less sleep -more talkative/pressured speech -racing thoughts -distractibility -inc. goal-directed activity -excessive involvement in pleasurable activities |
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5 Axes
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I. Major mental illness
II. Personality disorder, development/intellectual disorders III. Medical problems IV. Stressors VI. GAF- number b/t 0-100 |
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ADHD
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-6 or more symptoms of inattention for at least 6 months -OR-
-6 or more symptoms of hyperactivity/impulsivity for at least 6 months -some symptoms present B4 the age of 7 -symptoms present in 2 or more settings |
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autism
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6 TOTAL
-at least 2 social interaction -at least 1 communication -at least 1 repetitive behavior -delays in at least ONE of the following areas prior to age 3--> language, social interaction, symbolic/imaginative play |
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social interaction
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-nonverbal behavior impairment
-no peer relationships -lack of seeking to share enjoyment ("show and tell") -lack of reciprocity |
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communication
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-delayed or no spoken language
-won't sustain convo -repetitive use of language -lack of make-believe play |
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diff b/t asperger's and autism
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Asp is later onset (5-6 yrs), motor impairment, NO delays in language
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Asperger's
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-at least 2 social interaction impairment
-at least 1 restricted pattern -NO delay in language -No delay in cognitive development, age-approp self help skills (except social interaction), curiosity abt environment -can look like schizo but that presents at 18-25 not early childhood |
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PDD's
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-autism
-rett's disorder -childhood disintegrative disorder -asperger's -PDD NOS |
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conduct disorder
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3 or more w/i the past 12 months and at least ONE w/i the past 6 months:
-destruction of property -deceitfulness, theft -serious violation of rules -aggression to people/animals** (not in ODD) |
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ODD
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at least FOUR of the following lasting at least 6 months:
-loses temper* (don't see in conduct disorder) -argues w/ adults -defies/refuses to comply -deliberately annoys people -blames others for probs -easily annoyed "touchy" -angry/resentful -spiteful/vindictive |
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separation anxiety
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3 or more for at least 4 weeks/ B4 age 18:
-distress when sep anticipated -worry about losing/harm -worry that bad event will lead to sep -won't go to school -reluctance to be alone -reluc/refuse to go to sleep w/o person being there -repeated nightmare a/b sep -complaints of physical symp when sep occurs or is anticipated |
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looseness of assoc
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jump w/ no connection b/t subjects
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flight of ideation
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jump w/ a little connection b/t 2 subjects
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depressive disorders due to
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serotonin and NE
-dysfunc in prefrontal cortex, limbic system, hypothalamus, brain stem |
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HPA overactive in which 2 conditions
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anxiety and depression- elevated cortisol levels
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