Abnormal Exam 2 CH 5 and 7

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A generalized state of apprehension of foreboding is called?

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1

A generalized state of apprehension of foreboding is called?

Anxiety

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2

Panic disorder

Type of anxiety disorder characterized by repeated episodes of intense anxiety or panic

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3

Generalized Anxiety Disorder

Persistent anxiety that is not limited to a particular situation

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4

PTSD

Long term maladaptive response to stressor

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5

OCD

Patterns of compulsive or repetitive behaviors that are associated with significant personal distress or impaired functioning

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6

According to Freud, what do phobic disorders represent

Unconscious fears coming to the surface, failing lid

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7

What is the statistical difference between men and women for panic attacks

Women have 2x more than men (women report it more)

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8

What are the limitations of drug treatments for panic disorders

Drugs can only help calm the symptoms down, they do not cure

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9

Specific phobia

Phobia that is specific to a particular object or situation

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10

Social phobia

Excessive fear of social interactions or situation

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11

Phobia

Fear of an object or situation that is disproportionate to the threat it poses

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12

Agoraphobia

Fear of being out in the open in busy areas, many become household bound

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13

When do social phobias generally begin

Age 15, usually due to school

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14

Claustrophobia

Fear of tight spaces

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15

Acrophobia

Fear of heights

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16

From the psychodynamic perspective, how do anxieties develop

Threatened leakage of unacceptable sexual or aggressive impulses or wishes into conscious awareness

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17

According to the psychodynamic perspective how do phobias develop

Phobic reaction is a projection of a person’s own threatening impulses into the phobic object

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18

Systematic desensitization

A fear reduction process by means of exposure to progressively more fearful stimuli while remaining deeply relaxed. Stimuli are arranged in sequence call fear-stimulus hierarchy

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19

As part of systematic desensitization, what must a phobic client learn

3 step process

Diaphragmatic breathing, develop hierarchy, breathing and showing hierarchy

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20

Gradual exposure

Stepwise process of gradual confrontation to the object or situation that is feared

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Flooding

Exposure to high levels of fear inducing stimuli

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22

What drugs are used to treat different kinds of phobias

Antidepressants

Sertraline (zoloft)

Parozetine (paxil)-social anxiety

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23

What do compulsions involve

A repetitive or ritualistic behavior that the person feels compelled to perform

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24

What do obsessions represent in the psychodynamic perspective

Obsessions represent leakage of unconscious impulses into consciousness, compulsions help keep these impulses repressed

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25

How do drugs like prozac work, what disorders are they used to treat

Increase availability of serotonin in the brain

Phobic disorders

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26

Central feautures of GAD

Excessive worrying

Heightened states of bodily arousal

Tenses

Being on edge

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27

How do cognitive behavioral therapists treat GAD

Use training in relaxation skills, learning to substitute adaptive for worrisome thoughts and decatastrophizing

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28

Exposure with response prevention

Teaches tolerance of anxiety triggered by their obsessive thoughts while preventing compulsive rituals

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29

Mood disorder

Psychological disorders characterized by usually severe or prolonged disturbances of mood

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30

Bipolar Disorder

Characterized by mood swings between states of extreme elation and depression

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Major depressive episode

A severe mood disorder characterized by major depressive episodes in the absence of mania or hypomania

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Dysthymia (persistent depressive disorder)

Chronic depression lasting for at least 2 years

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Cyclothymia

Chronic cyclical pattern of mild mood swings lasting at least 2 years

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34

Hypomania

Mild to moderate mania

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35

What is the most common diagnosable mood disorder

Major depression

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36

Who is most likely to suffer from depressive disorder

Women (report it more)

Low SES

Family history

History of childhood sexual abuse

Younger people

Divorce

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37

Postpartum Depression

Persistent and severe mood changes that occur after childbirth

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Postpartum psychosis

Mothers lose touch with reality and experiences symptoms such as hallucinations, delusions, and irrational thinking

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BPD 1

Applies to people who have had at least one full manic episode at some point in their lives

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40

Symptoms of a manic episode

A period of unrealistically heightened euphoria, extreme restlessness, and excessive activity

Disorganized behavior, impaired judgement, extreme social behavior, overly demanding, rapid speech, inability to weigh consequences

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41

Characteristics of cyclothymic disorder

Elevated or depressed mood not severe enough for diagnosis of bipolar disorder

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42

How do psychodynamic theorists characterize depression

Depression represents anger directed inward

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43

Cognitive triad of depression

Negative view of oneself

Negative view of the environment

Negative view of the future

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44

Cognitive distortion

Tendency to magnify the importance of minor failures (Aaron Beck error of thinking)

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45

How does Seligman believe that people learn to perceive themselves as helpless

Their experiences

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46

Three dimensions of attributional style

Internal factors-failure reflect their personal inadequacies

Global factors-failures reflect sweeping flaws in personality

Stable factors-failures reflect fixed personality

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47

Attributional style

Ways in which people explain the cause of events within their lives

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48

There is a strong relationship b/w eating ____ and low rates of bipolar disorder

Fish

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49

Suicide is most likely among whom

White and Native Americans

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50

What is suspected of causing an increasing in the suicide rate in elderly

Older people are more susceptible to diseases such as cancer and Alzeheimers

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51

The majority of suicides are apparently related to what

Stressful life events

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52

What does suicide represent to psychodynamic theorists

Inward-directed anger that turns murderous

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53

Most important predictor of suicide

Hopelessness about the future

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54

If someone you know discloses that they are contemplating suicide, what should you do

Talk with them, suggest other coping mechanisms, get them to professional help

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55

What percentage of those who actually committed suicide left clear clues beforehand

90%

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56

What should you not do if someone is talking about killing themselves

Ignore them

Invalidate them

Be condescending

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57

Case 1 (panic disorder)

Joe/Jose

Plane ride

Panic disorder and agoraphobia

Cognitive and behavioral therapy

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Case 2 (OCD)

Triggered by attempted sexual assault

Exposure and response therapy

Constant checking if things were unplugged, driving back and making sure she didn’t hit anybody

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59

Case 5 (MDD)

Carlos

Cousin recently passed from heart attack, worried about it happening to him

Depression

Antidepressant

Hospitalized

Psychotherapy

Depression→ major depression disorder

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Case 6 (BPD)

Gina

Involved in theater

Hospitalized in high school (manic to depressed)

Anti depressants led to second manic episode

Age 32 started new treatment

Bipolar 1

Back and forth with using and not using lithium

Insight-oriented therapy→ problems with her parents

Atypical anti-psychotics

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