204 Exam 4

OCD

obsessions are?

thoughts or ideas that are intrusive and anxiety provoking

OCD

the disorder may be ____ to _____

moderate to severe

OCD

what areas of occupations are affected?

work, leisure, social, ADLs, IADLs

OCD
dysfunction in ____ ____ and _____

roles habits and routines

OCD

_____ and _____ skills are usually not affected

motor and communication skills

OCD

have impaired ____ skills

process skills

OCD

compulsions are?

repetitive purposeful behaviors performed in response to an obsession with the foal of preventing the discomfort caused by the obsession

OCD

which general skill is most affected?

cognition

OCD

what is the most well established type of therapy?

cognitive behavioral therapy

OCD

OT focuses on?

symptom management and replacement of negative patterns and habits

body dysmorphic disorder

is the preoccupation with?

perceived flaws in appearance

Body dysmorphic disorder

therapy recommendations are?

cognitive behavioral therapy

Body dysmorphic disorder

deficits in ____ occupations and any activity or occupation requiring ____ ____

social skills

Body dysmorphic disorder

____ ____ and ____ all negatively affected particularly in terms of grooming

habits roles and routines

Hoarding disorder

means having the need to ____ and the inability to ___ with possessions

having the need to collect and the inability to part with possessions

Hoarding disorder

the best therapy is?

cognitive behavioral therapy

Hoarding disorder

deficits in all which areas of occupations?

ADLs, IADLs, Leisure, social and maybe work

Hoarding disorder

_____ ____ and ____ all negatively affected

habits routines and roles

dissociative means?

an altered sense of reality or the inability to remember aspects of the event exist

depersonalization means?

a sense of being outside oneself watching oneself act

derealization means?

a sense that the world is somehow unreal

what is prolonged exposure therapy?

a type of CBT is highly effective

reactive attachment disorder (RAD) and disinhibited social engagement disorder

what is different what is the same?

behavioral manifestations are polar opposites, but functional deficits are the same

reactive attachment disorder

is found in ____ who have experienced _____ life circumstances

is found in child who experienced traumatic life circumstances

reactive attachment disorder

show excessive ____ to strangers and ____ to individuals adults they know well

show excessive friendliness to strangers and distant to individual adults they know well

reactive attachment disorder (RAD) and disinhibited social engagement disorder

problem areas of occupations?

social and educational

reactive attachment disorder (RAD) and disinhibited social engagement disorder

this child will often be a ____ or become a _____ at school

be a bully or become a bully

reactive attachment disorder (RAD) and disinhibited social engagement disorder

what is the first choice of therapy? 2nd choice?

family therapy

behavior management

reactive attachment disorder (RAD) and disinhibited social engagement disorder

most effective intervention?

prevention

reactive attachment disorder (RAD) and disinhibited social engagement disorder

what are the OT implications for the parents?

help them establish realistic expectations

PTSD

defintion?

emergence of PTSD always follows a major life stress one that is more severe and unusual than those found in everyday

PTSD

what’s the primary characteristic?

re-experiencing the event and the feelings

PTSD

function problems may include?

work, poverty, homelessness, incarceration, and relationship problems

PTSD

what therapies should be use?

cognitive behavioral therapy and prolonged exposure therapy

Acute stress disorder

same symptoms as PTSD but for it to be diagnosed Acute stress disorder what must happen?

diagnosed immediately after traumatic event, if it persists it then will be PTSD

somatic means?

bodily

Hypochondriasis

persistent, excessive worry about having a serious illness

cyberchondria

excessive, anxiety‑driven escalation of health concerns caused by repeated online searching of symptoms, leading to increased distress rather than reassurance

munchausen syndrome

1. a mental condition in which a person repeatedly seeks medical attention for falsified, exaggerated, or self-inflicted physical symptoms.

somatic symptom disorder

characterized by?

patient seeking medical care for physical symptoms in the absence of a clear biological expiation

somatic symptom disorder

diagnostic criteria?

on eor more distressing somatic symptoms that cause distress or dysfunction

illness anxiety disorder

are likely to believe that?

any bodily symptom they may have is an indication of a catastrophic illness

illness anxiety disorder

what therapy is the most effective?

aerobic exercise with video

conversion disorder

have neurological symptoms such as? that aren’t real

paralysis, blindness, seizures

factitious disorder

the individual is?

aware that they are not actually sick

factitious disorder

what are the 2 kinds?

imposed on the self

imposed on another

substance use is?

the intake of substance orally or by smoking or inhaling

intoxication is?

immediate effects of substance

tolerance is?

a need to increase the does as the body accommodates

withdrawal?

the physiological symptoms that can accompany reduced use of the substance or the gradual decrease of the substance in the body as it is eliminated

addiction is?

when tolerance and withdrawal symptoms are present is it an addiction

delirium tremens are?

characterized by seizures hallucinations and severe tremors

dysphoria is?

a state of unease or generalized dissatisfaction with life.

delirium is?

is alteration in consciousness

dementia

a global loss of cognitive function

pill-rolling tremors are?

uncontrollable movements of the fingers that give the appearance of rolling small objects in hand

chorea is?

characteristic are jerky and involuntary movements that are note in the disorder

autosomal-dominant is?

nature of the disease means that if an individual inherits the gene from one parent

procedural memory allows

you to perform tasks automatically,

delirium

diagnostic criteria

includes disturbance in attention that develops over a short time period,

a change from the persons normal state and

fluctuation over time.

the rate of onset is ____ for delirium

rapid

the rate of onset for dementia is _____

gradual

delirium most often is accompanied by

a rapid onset illness

alzminers

eventually leads to?

total disability

Alzheimer’s disease

what are the two types?

one that has an early onset

one that develops later in life

Alzheimer’s disease

how long will they live after being diagnosed

8 to 10 years

Lewy body disease

is characterized by

fluctuating cognition with variation in attention and alertness from day to day and hour to hour, visual hallucinations, and Parkinsons disease-like motor symptoms

Vascular disease can affect many body systems because

interrupted blood flow inevitably results in damage to the associated system

TBI

what is the most evident sign of damage?

motor impairment

TBI diagnostic criteria?

injury to head with loss of consciousness