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Atypical Exam 1
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Terms in this set (36)
Interviewing
Most valid diagnostic strategy for assessing PTSD
Signs
objectively observed indicators of a disorder
Symptoms
Subjective characteristics of disease felt only by the patient
categorical
Assumes each disorder is a separate and distinct disorder
Current organization of the DSMV
Dimensional
views disorders on a spectrum of several dimensions, spectrum.
syndrome
lowest rung on the hierarchy of understanding; no well established pathology
disorder
second rung on the hierarchy of understanding; syndrome that cannot be ready explained by other conditions
disorder
highest rung on hierarchy of understanding; pathology and etiology well understood
Compulsions (OCD)
irresistible urges to perform an act or repeated ritual
-Repeatedly checking, counting, cleaning, washing
Obsessions (OCD)
intense, unwanted worries, ideas, and images that repeatedly pop up in the mind
4 Categories of Mental Disorders
1. Poor Reality Content
2. emotional reaction not appropriate to the situation
3. Behavior that is harmful to the self or others
4. Without serving the interest of self
High amounts of trauma correlates with...
higher probability of PTSD
HPA axis
hypothalamic-pituitary-adrenal axis
statistical model
based on rarity
Central Nervous System (CNS)
consists of the brain and spinal cord
Pharmacodynamics
what the drug does to the body
Pharmacokinetics
what the body does to the drug
SAD comorbidity
2/3 have another anxiety disorder, 1/2 develop depressive disorder
CBD for SAD
exposure, homework and cognitive restructuring
Type one worry
typical worry triggers by everyday events
type two worry
worry about worry
Problems with GAD research
unrealistic diagnostic criteria
Ethics in psychopathology create disparities in...
prevalence rates, symptom presentation and severity, and mental health service utilization
Criticism of the current DSM
Co-morbidity, medicalization of normality, neglect of the attenuation paradox, and unsupported retention of a categorical model
Common Misconceptions of Psych Diagnosis
Mental illness is a myth; Psychiatric Diagnosis is pigeon-holing, unreliable, invalid and stigmatizes people resulting in self-fulfilling prophecies
Blood Brain Barrier (BBB)
dense membrane and tightly packed capillaries that protects the CNS
Neurotransmitter associated with SAD
Serotonin and Dopamine
Habituation
decreasing responsiveness with repeated exposure to a feared stimulus without the performance of the compulsive behavior
Key features of Generalized Anxiety Disorder (GAD)
Chronic and Excessive Worry
Key Features of Social Anxiety Disorder
Fear of evaluation from others; either negative or positive
What is most frequently comorbid with PTSD?
MDD
Brain regions PTSD
noradrenergic, HPA axis, GABA, glutamate, serotonin and dopamine.
Limbic System
Brain region associated with emotions
Neurotransmitter associated with reward sensitivity
dopamine
4 D's
deviance, distress, dysfunction, danger
Behavioral Activation
a counseling treatment that focuses on increasing engagement in valued life activities through guided goal setting
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