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118 Cards in this Set

  • Front
  • Back
What are the OCD obsessions?
unwanted thoughts
What are the OCD compulsions?
repetitive behaviors
Compulsions are designed to reduce what from obsessions?
anxiety
OCD often cause what?
shame, guilt, anxiety
Common obsessions?
-contamination
-intrusive thoughts (religions, sexual, violent)
Common compulsions?
-checking (car, oven, looks)
or
-repeating (lights, handwashing, counting)
What kind of lifetime prevalence rate for OCD?
low
What is Posttraumatic Stress Disorder?
Psychological disturbance attributed to the experience of a major traumatic event
How is the trauma re-experienced in PTSD?
In dreams, flashbacks, hallucinations
How do people try to avoid PTSD?
Avoidance of reminders, feelings of numbness (social withdrawal, memory problems)
List examples of persistent arousal of PTSD:
Problems sleeping, hyper vigilance, exaggerated startle response
War veterans have what chance of PTSD?
1/4
Prisoners of war have what chance of PTSD?
2/3
Victims of WHAT are likely to have PTSD?
Victims of repeated sexual abuse, natural disasters
How high of a lifetime prevalence rate for PTSD?
Very high; prognosis good if treated
How many months do you have to have symptoms of GAD to be diagnosed?
6
Definition of GAD (Generalized Anxiety Disorder):
Chronic level of high anxiety/worry not connected to any specific threat
Common symptoms of GAD:
Restlessness, irritability, easily tired, muscle tension, problems sleeping
How high of prevalence rate for GAD?
Low
Acquistion (beginning of behavior) of GAD is because of what?
Classical conditioning (example: Dr. Pavlov and dogs learning behavior)
Maintenance of GAD is because of what?
Operant conditioning (example: positive or negative reinforcement?)
Definition of preparedness:
Biologically predisposed to fear certain stimuli
Definition of Eating Disorder:
Severe disturbances in eating behavior characterized by preoccupation with one's weight and unhealthy efforts to control weight
Symptoms of Anorexia Nervosa:
-<85% of recommended weight
-Refusal to maintain healthy weight
-Intense fear of gaining weight
-Disturbed body image
-Absence of 3 menstrual cycles (3 months)
Finish the sentence: With anorexia nervosa, people take extreme, dangerous measures to lose _____.
WEIGHT!
Finish the sentence: Anorexics have ___ ______ into negative effects of behaviors.
Poor Insight
Restricting type of Anorexia:
No bingeing or purging behavior
Non restricting type of Anorexia:
Episodes of bingeing and/ or purging
How high of percent of females have anorexia?
Very low
How high of percent of males have anorexia?
Very low, lower than females
Blank percent of all cases occur in females for anorexia:
90%
What percent of anorexia is fatal?
10
What percent recover from anorexia?
70
How long does it take to recover from anorexia?
6-7 years
Symptoms of Bulimia Nervosa:
-Needs to happen atleast two times a week, for three months
-Binge eating, (large intake of food, feeling out of control)
Compensatory behaviors of Bulimia:
Vomiting, laxatives, fasting, exercise
Purging type of Bulimia:
-Individual purges during episodes
Non-purging type of Bulimia:
No purging, but still engages in compensatory activites
Guilt after binges in Bulimia lead to:
Compensatory behaviors (vomiting, exercise, laxatives, etc.)
True or false: Bulemics have a body weight lower than normal
False, at or above normal level
What kind of internal problems correlate with Bulimia?
Cardiac, Dental, Metabolic, Gastrointestinal
Bulimics are more likely to recognize behavior as what?
Problematic
What percent of men and women have bulimia?
Very low, 1-3
What percent of all cases occur in females?
90%
Does bulimia have a higher or lower mortality rate than anorexia?
Lower
How high of percent of recovery rate for bulimia?
70%, high, 10% remain highly symptomatic
Differences between anorexia and bulimia?
-anorexia has weight component, more negative physical effects, little insight, behavior dictated by FEAR
-bulimia has no weight component, better understanding of maladaptiveness, behavior dictated by GUILT
Social and cultural factors of Bulimia and Anorexia?
Emphasize unrealistic ideals, westernized societies
Familial factors of Bulimia and Anorexia?
over-controlling parents= struggle for independence, extreme control of body weight
Definition of Schizophrenia:
Marked by delusions, hallucinations, disorganized thinking, and deterioration of adaptive behaviors
Positive symptoms (presence of inappropriate behaviors with additional appropriate behaviors) of Schizophrenia:
Hallucinations, delusions, bizarre behavior, flight of ideas
Negative symptoms (absence of appropriate behaviors) of Schizophrenia:
Flat or inappropriate emotions, lack of energy, changes in speech, social withdrawal
Symptoms of paranoid type of Schizophrenia:
-delusions of persecution (people are out to get me)
-delusions of grandeur (famous or important "I'm Jesus")
Symptoms of disorganized type of schizophrenia:
-erratic, disorganized behavior
-incoherent speech
-inappropriate emotional responses
When does onset of Schizophrenia normally occur?
Early adulthood, history of odd behavior, thinking in past
Known prevalence rate of Schizophrenia:
1%
how high is recovery rate of schizophrenia?
Low, 15-20%
Moderate to severe schizophrenia leads to what?
-lifelong illness
-often taken to treatment facilities
Genetics of Schizophrenia:
-48% identical twins
-17% fraternal twins
-46% both parents have schiz.
-more genetic, more vulnerable
Neurochemical factors of schizophrenia:
Dopamine problem, and drugs that decrease DA improve symptoms of Schizophrenia
Brain problems associated with Schizophrenia:
-structural problems in prefrontal cortex, enlarged ventricles
Definition of personality disorder:
pervasive characteristcs that are inherent within a person and that are enduring overtime and situation
What are the symptoms of Antisocial personality disorder?
-since age 15
-failure to conform to social norms
-deceitful, manipulative
-impulsing, irresponsible
-irritable, aggressive
-reckless disregard for safety and right of others
-lack of remorse
When do signs of Antisocial Personality Disorder usually set in?
In childhood
True or False: Many serial killers have Antisocial Personality Disorder.
True. Intelligent and charming but are sadistic and do tortuous things. Example: Ted Bundy, Charles Manson
True or False: CEO's do not have Antisocial Personality Disorder.
True and False. CEO's can have many characteristics of APD.
What is prevalence rate of APD for males and females?
3% males, 1% females
Are substance use and APD related?
Yes. High overlap between substance use and APD
Is APD lifelong?
Yes
True or False: APD is easy to treat.
False. Difficult to treat, lack of insight that they have the disease
What causes APD?
-Inconsistent or no discipline in childhood
-Decreased SNS and fear response
-Reduced volume in frontal lobe-> more impulsive, inability to assess risk
Symptoms of Borderline Personality Disorder:
-Frantic efforts to aboid abandonment (real or imagined)
-Severe emotional instability
-Feelings of emptiness
-Unstable, intense relationships
-Impulsive, damaging, suicidal behaviors
-Unstable self-image
Is Borderline Personality Disorder often diagnosed as Bipolar disorder?
Yes
What is prevalence rate of BPD?
1-3%, Females 3X as likely as males, Lifelong
True or false: BPD is difficult to treat.
True. DBT-> Linchan UW study
Are people with BPD easy to deal with?
No. Not much insight. Hard to deal with in therapy
What causes BPD?
Trauma, punishment or trivialization of emotional experiences in childhood; 35% accordance in identical twins; Increase in amygdala activation-> difficulties in emotional control
Narcissistic Personality disorder symptoms:
-self-importance, entitlement
-arrogant
-fantasizes of success, power, beauty
-needs excessive admiration
-exploits others, lacks empathy
-thinks others are envious
What is prevalence rate of NPD?
1%, lifelong, hart to treat
An example of NPD?
Donald Trump, Omarosa, Everyone on Bad Girls Club
What causes NPD?
-excess praise, idealization
-emotional abuse, unpredictable or neglectful parenting, feelings of inadequacy, low self-esteem
What do therapists do cognitive therapy?
Change thoughts of disorders, reduce symptoms, good for depression, anxiety
Theory of cognitive therapy?
Maladaptive thoughts lead to symptoms
What happens to patients cognitive therapy?
They recognize irrational thoughts, evidence based thinking to counter irrational thoughts
After cognitive therapy, better thinking=
fewer symptoms
Is cognitive therapy "positive thinking"?
No
Theory of Behavioral therapy?
Maladaptive behaviors lead to symptoms, good for phobias, BPD
In cognitive therapy, changed behaviors = ________
Fewer symptoms
What is systematic desensitization?
Gradual exposure to reduce anxiety (phobias)-> behavioral therapy
What is relaxation therapy?
Progressive muscle relaxation (PMR), deep breathing (decrease SNS response) -> behavioral therapy
What is cognitive behavioral therapy?
Mixture of cognitive + behavioral, disorder improved by changing thoughts and behaviors
What is Pharmacotherapy?
treatment of mental illness with medication
Antidepressant drugs:
More 5HT and NE improves mood, but suicide concerns and placebo effects
Antianxiety drugs:
Relieves tension, apprehension, slows down CNS, but concerns with interactions, withdrawal, addiction, overdose
Antipsychotic drugs:
Reduce psychotic symptoms (hallucinations, delusions, disorganization), blocks DA receptor sites, reduces DA activity, but concerns with side effects, interactions
Mixture of Pharmacotherapy + CBT
Best for depression, anxiety, drugs quickly reduce symptoms, CBT changes thoughts/ behaviors, learn skills for coping
Client-centered therapy:
Therapist is genuine, validating, empathetic, shows "unconditional" positive regard, Carl Rogers humanistic approach
What is developmental psychology?
study of human development across the lifespan
What is the attachment theory?
The close emotional bonds of affection that develop between infants and their caregivers, develops over first few months
What is separation anxiety?
Emotional distress seen in infants when separated from people with whom they have formed an attachment
Why do we become attached?
Babies associate primary caregiver with food (basic need) - classical conditioning
Who is Harry Harlow?
Conducted rhesus monkey studies, removed babies from mothers, wire mother, cloth mother, when frightened, monkeys returned to cloth mother even when they didn't have food
What cause reaction in Rhesus Monkey studies?
instinct and need for contact comfort
What is imprinting?
rapid, innate learning of caregiver characteristics soon after birth, innate, extreme in birds, some in humans
Who is Konrad Lorenz?
Studied imprinting in geese, birds will follow and become attached to the first moving object they encounter after hatching
What is the Yerkes-Dodson Law?
Low and high levels of arousal lead to poor performance, mid-level of arousal is good performance
You know you are disordered when _____.
You have a different response than typical, it's an interference with everyday life, and it is personally distressing = deviance.
What are the three factors of the biopsychosocial model?
All behaviors result of 3 factors: nature, nurture, personal/ psychological (coping) factors
What is the DSM?
Diagnostic and statistical manual of human disorders; lists symptoms
What is Panic Disorder?
lots of panic attacks and worried; with or without agoraphobia; specific phobias and intense fears of something in particular
What is a manic episode?
Elevated mood
What is Major Depressive Disorder?
Depressive episodes, depressed mood
*Anthydonia- lack of enjoying things
-Symptoms must exist for atleast two weeks
What is Bipolar Disorder?
Many manic episodes, irritable, increased pleasure seeking activity
What is Cyclothymia?
Baby form of bipolar disorder, 2 years
What is Dysthymia?
Baby form of depression, 2 years
What is the Negative Cognitive Triad?
Life is bad, won't get any better
What is the Stress, Diathesis Stress Model?
You have to have vulnerability and stress to have depression
What is anthydonia?
Lack of enjoying things