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102 Cards in this Set

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Anxiety

Unpleasant mental stage where you worry about the possibility of future dangers or upsetting events; unpleasant but not harmful or pathological.

Fear

Is the emotional response to real or perceived imminent threat

Anxiety

Anticipation of future threat

Nervousness


Elevated Heart rate


Restlessness


Ventilating fast


Overthinking/Rumination


Uncontrollable feelings of worry


Sweating & Shortness of breath



Avoidance of things that trigger anxiety


Nausea


Xerostomia/Dry mouth


Irritability/Inability to concentrate


Overwhelming fear


Uneasiness, panick, fear


Sleep difficulties

Symptoms of anxiety

Mild (1)


Moderate (2)


Severe (3)


Panic (4)

4 Levels of Anxiety

Mild (1)

Perceptual field: Greater

Moderate (2)

Perceptual field: Narrowed

Severe (3)

Perceptual field: Greatly reduced

Panic (4)

Perceptual field: Disrupted

Mild (1)

Focus: Enhanced

Moderate (2)

Focus: Selective inattention

Severe (3)

Focus: Slightly Unable to

Panic (4)

Focus: Completely Unable

Mild (1)

Focus:


*Enhanced learning


*Increased energy


*Increased motivation

Moderate (2)

Focus:


*Central concerns

Severe (3)

Focus:


* Focus on small details


* Inability to focus or solve problems

Panic (4)

Focus:


*Complete inability to focus


*Inability to control self


*Loss of rational thought

A. Separation Anxiety Disorder


B. Selective Mutism


C. Specific Phobia


D. Social Anxiety Disorder


E. Panic Disorder


F. Agoraphobia


G. Generalized Anxiety Disorder


H. Substance/Medicine-induced Anxiety Disorder


I. Disorder-specific

Types of Anxiety Disorders

Cognitive Behavioral Therapy

CBT

a. Anti-anxiety


b. Antidepressants


c. Beta-blockers


d. Benzodiazepines

Medications in Anxiety Disorders

Separation Anxiety Disorder

Characterized by being fearful or anxious separation from the attachment figures to a degree that is developmentally inappropriate

SAD

High anxiety levels after separation from a person or place that provides feelings of security or safety

Frequent nightmares


Emotional/violent tantrums


Anticipation of untoward events


Refusal to go to sleep/work



Fear of:


Separation


Alone/away


Death/loss

Symptoms and Diagnosis of SAD

4 weeks in children and adolescents and 6 months or more in adults

Timeline in Separation Anxiety Disorder

Dialectical Behavioral Therapy

DBT

Selective Mutism

Characterized by lack of speech in social interactions with children and adults despite having excellent or normal verbal communication skills

Selective Mutism

Starts in childhood, but if left untreated, can persist into adulthood

a. Consistent failure to speak in social situations


b. Disturbance interferes with educational or occupational achievement


c. Continuous disturbance of: atleast 1 month


d. Failure to speak is not attributable to lack of knowledge


e. Failure to speak is not better explained by communication disorders or does not occur with other mental disorder

Symptoms and Diagnosis of Selective Mutism

Not refusing but unable to speak in social situation


Onset: before age 5


Silent at school, speaks normal at home


Persistent disturbance of: atleast 1 month


Excessive shyness


Educational or occupational impairment


Clingy


Having anxiety speaking in social situations

Symptoms of Selective Mutism (NO SPEECH)

Desensitization

Gradual exposure

Specific Phobia/Phobia

A persistent and irrational fear of specific object, activity, or situations that results in a compelling desire to avoid the dreaded object or situation

Ego-dystonic

Person is aware and dislikes it

Phobic stimulus

Intense fear of a specific object or situation ("phobic stimulus")

1. Animals


2. Natural Environment


3. Blood-injection-injury


4. Situational


5. Other

Specifiers of Specific Phobias

A. Intense fear of a specific or object or situation


B. Always provoking


C. Always actively avoided or endured with intense fear


D. Fear is out of proportion to the actual danger


E. Timeline: 6 months or more


F. Fear interferes with daily life

Symptoms/Criteria for Specific Phobias

Social Anxiety Disorder (Social Phobia)

Specific fear or worry of embarrassment in social situations

Social Anxiety Disorder (Social Phobia)

Characterized by a marked, or intense, fear or anxiety of social situations in which the individual may be scrutinized by others

Fear of being judged


Embarrassment/Humiliation


Avoidance


Rejection/being rejected



Social interactions


Overestimation of consequences


Clingy/clinging behavior


Interferes with daily life


Advaced worry/Anticipation


Lasting 6 months or more

Symptoms of Social Anxiety Disorder (Social Phobia)

Panic Disorder

Recurrent, unexpected panic attacks

Panick attack

An abrupt surge of intense fear or intese discomfort that reaches a peak within minutes

Agoraphobia

Fear of being alone in public where escape is difficult

Generalized Anxiety Disorder

*Excessive anxiety amd worry about a number of events/activities.


*Not associated with specific person or event


*No apparent reason

Posttraumatic Stress Disorder (PTSD)

Mental condition triggered by a traumatic or terrifying event, either witnessing it or experiencing it

Trauma symptoms


Recurrent distressing dreams or nightmares


Avoidance


Uncontrollable thoughts about the event


Mood changes


Always being on-guard/alert for danger


Trouble concentrating & sleeping


Intrusive symptoms: flashbacks, nightmares


Cognitive changes: negative thoughts about self, memory problem, hopelessness

Symptoms of PTSD

Flashbacks and nightmares

Intrusive symptoms

negative thoughts about self, memory problem, hopelessness

Cognitive changes

4 weeks in children and adolescents


6 months or more in adults

Separation Anxiety Disorder Timeline

Atleast 1 month

Selective Mutism Timeline

6 months or more

Specific Phobias Timeline

6 months or more

Social Anxiety Disorder Timeline

1+ month

Panic Disorder Timeline

6 months

Agoraphobia Timeline

1+ month

PTSD Timeline

<1 month

Acute Stress Disorder Timeline

>3 months but <6 months after the event

Chronic Stress Disorder Timeline

Atleast 6 months after the event or longer

Delayed Stress Disorder Timeline

Obsessive-Compulsive Disorder (OCD)

Essential features are recurrent obsessions or compulsions that are severe enough to be time consuming, cause marked distress or lead to significant impairment in functioning.

Obsessions

Recurrent and persistent thoughts, urges, or images that are experienced as intrusive and unwanted

Compulsions

Repetitive behaviors or mental acts that an individual feels driven to perform in response to an obsession or according to rules that must be applied rigidly.

Body Dysmorphic Disorder (BDD)

Characterized by preoccupation with perceived flaws and defects in appearance often unnoticeable to others.

Body Dysmorphic Disorder

Common in adolescent and young adults

Pre occupation


Edo dystonic


Repetitive behaviors


Fixated about flaws


Excessive concern in appearance


Cosmetic surgery


Thoughts


"I look ugly". "I look deformed"


Obsession


Not easily treated

Body Dysmorphic Disorder Symptoms

Depression


Eating disorders


Fear of social gatherings


Extensive medical bills


Comorbid MDD, OCD, or subs-Abuse Disorders


Too much substance use or misuse


Suicidal thoughts or behaviors

BDD if left untreated, it can lead to "DEFECTS"

Hoarding Disorder

Characterized by persistent difficulty discarding or parting with possessions, regardless of their actual value

Congested homes or rooms


Leaflets, newspaper brochure


Unable to discard possessions


Too much acquisition of items or;


Things they don't need


Excessive buy


Regrets throwing away stuffs

Hoarding Disorder Symptoms

Trichotillomania (Hair-pulling disorder)

Recurrent pulling out of one's hair, resulting in hair loss

Hair-pulling behavior


Attempts to decrease or stop hair-pulling


Impairs daily life and functioning


Rituals involving hair (rolling in between fingers, biting into pieces, swallowing hair

Trichotillomania

Excoriation (Skin-picking Disorder)

Recurrent skin-picking resulting in skin lesions

Mood Affective Disorders

A collection of psychiatric conditions that involves a pervasive distortion of one's emotional state or affect.

Mania

Symptoms: Often has almost completely loss of functions and requires hospitalization

DIGFAST

Mania Symptoms

Atleast 1 week

Mania Timeline

Hypomania

Symptoms: milder version of mania, lesser impact on function

Atleast 4 consecutive days

Hypomania Timeline

Bipolar Disorders

Characterized by presence of extreme mood swings that include emotional highs (mania or hypomania) and lows (depression)

Bipolar I

*Alternating mania and depression followed by return to normal functioning


*Only appearance of one manic episode is enough to be diagnosed

Bipolar II

Atleast one major depressive episode + one hypomanic episode

Cyclothymia

A related disorder that fluctuates between mild depression to hypomania

Major Depressive Disorder (MDD)

Symptoms: abnormal extension over elaboration of sadness and grief

Atleast 2 weeks

Major Depressive Disorder (MDD) Timeline

Depressed mood


Anhedonia


Appetite disturbance with weight change


Sleep disturbances (insomia or hypersomnia)


Psychomotor disturbances (agitation or retardation)


Fatigue or loss of energy


Guilt feelings and worthlessness


Diminished ability to concentrate or indecisiveness


Suicidal ideations

Major Depressive Disorder (MDD) Symptoms

Persistent Depressive Disorder

-Characterized by persistent depressed mood for atleast 2 years


-Adolescents/children: depressed and irritable mood for atleast 1 year

Early onset: before age of 21


Late onset: above age of 21

Persistent Depressive Disorder Timeline

Disruptive Mood Dysregulation Disorder (DMDD)

Characterized by severe temper outburst (verbal and behavioral) that are put of proportion to the situation

Disruptive Mood Dysregulation Disorder (DMDD)

Outbursts occur 3 or more times a week

Onset: before 10 years of age


-only diagnosed for children between 6 to 18 years old

Disruptive Mood Dysregulation Disorder (DMDD) Timeline

Temper outburst


Annoyed or angry


Negative effects of relationship


Tempered tantrums


Rage


Unable to regulate mood


Moody and ill-tempered


Screaming


3x or more in a week on average

Disruptive Mood Dysregulation Disorder (DMDD) symptoms

Stimulants

Reduces Irritability and controls impulses

Methylphenidate

Electroconvulsive Therapy (ECT)

-Induction of grand mal seizures through the application of electrical current to the brain to effect behavioral changes



-under general anesthesia

Personality Disorder

Is an enduring pattern of inner experience and behavior that deviates markedly from the expectations of the individuals culture, is pervasive and inflexible, has onset in adolescence or early adulthood, is stable over time, and leads to distress or impairment

Personality traits

Enduring patterns of perceiving or relating to, thinking about the environment and oneself that are exhibited in a wide range of social and personal contexts.

Paranoid personality disorder

A pattern of distrust and suspiciousness such that others' motives are interpreted as malovelent

Schizoid personality disorder

A pattern of detachment from social relationships and restricted range of emotional expression

Schizotypal personality disorder

A pattern of acute discomfort in close relationships, cognitive or perceptual distortions, amd eccentricities of behavior

Antisocial personality disorder

A pattern of disregard for, and violation of, the rights of others, criminality, impulsivity, and a failure to learn from experience

Borderline personality disorder

A pattern of instability in interpersonal relationships, self-image, and affects, and marked impulsivity

Histrionic personality disorder

A pattern of excessive emotionality and attention seeking

Narcissistic personality disorder

A pattern of grandiosity, need for admiration, and lack of empathy

Avoidant personality disorder

Pattern of social inhibition, feelings of inadequacy, and hypersensitivity to negative evaluation

Dependent personality disorder

A pattern of submissive and clinging behavior related to an excessive need to be taken care of.

Obsessive-compulsive personality disorder

A pattern or preoccupation with orderliness, perfectionism, and control

Personality change due to another medical condition

A persistent personality disturbance that is judged to be the direct pathophysiological consequence of another medical condition (e.g. frontal lobe lesion)