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DSM-5 Study Guide for Anxiety Disorders through Dissociative Disorders
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What three factors can help us distinguish between (normal) everyday anxiousness and clinically relevant (disorder-level) anxiety
1. Degree of impairment
2. Intensity of symptoms
3. Irrationality of perceived threat
Why is having a specific situational stimulus important in the planning of clinical intervention for anxiety disorders? Give an example of an anxiety disorder with a clear and specific stimulus and a disorder without a clear stimulus
1. It helps us know where to begin exposure treatment and it is highly successful
2. Specific phobia (spiders) and separation anxiety disorder (people)
3. Generalized anxiety disorder and panic disorder
Briefly describe the two primary components of the behavioral treatments for anxiety disorders
1. Exposure to the feared stimulus
2. Prevention of the escape or avoidance response
Label the variations of exposure-based interventions used in the treatment of anxiety and related disorders on the basis of the intensity (gradual vs. intense) and the nature (in vivo vs. imaginal) of the exposure utilized in the intervention.
1. Imaginal-gradual = systematic desensitization
2. Imaginal-intense = implosive therapy
3. In vivo-gradual = graduated exposure
4. In vivo-intense = flooding
Define worry.
Uncontrollable cognitive intrusions
What is an Adjustment disorder as defined in DSM-5?
The development of emotional or behavioral symptoms in response to a non-traumatic stressor occurring within 3 months of the onset of the stressor and not lasting more than 6 months unless the stressor is ongoing in nature
Name the three dissociative disorders presented in DSM-5
1. Dissociative Identity Disorder
2. Dissociative Amnesia
3. Depersonalization/Derealization Disorder
Describe Dissociative Identity Disorder
Characterized by two or more distinct personality states with gaps in recall of everyday events, important personal information, and/or traumatic events that are inconsistent with ordinary forgetting
Describe Dissociative Amnesia
The inability to recall personally relevant information, with no known neurological insult, that normally occurs after a traumatic precipitant
Describe Depersonalization/Derealization Disorder
Characterized by clinically significant persistent or recurrent depersonalization (unreality or detachment from one's body, mind, or self), and/or derealization (experiences of unreality or detachment from one's surroundings)
What do the three dissociative disorders have in common?
Characterized by a disruption or disturbance of consciousness, memory, identity and are frequently found in the aftermath of trauma
Name the four somatic symptom disorders presented in the DSM-5
1. Somatic Symptom Disorder
2. Illness Anxiety Disorder
3. Conversion Disorder
4. Factitious Disorder
Describe Somatic Symptom Disorder
One or more somatic symptoms that are distressing or result in significant disruption of daily life which include excessive thoughts, feelings, or behaviors related to the somatic symptoms or associated health concerns as manifested by at least one of three symptoms
Describe Illness Anxiety Disorder
Preoccupation with having or acquiring a serious illness with high levels of anxiety about health
Describe Conversion Disorder
One or more symptoms of altered voluntary motor or sensory function. Clinical findings provide evidence of incompatibility between the symptom and recognized neurological or medical conditions
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