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an alarm reaction to immediate danger or threat
fear
fear arousal
high
a negative mood state characterized by apprehension about future danger or misfortune
anxiety
anxiety arousal
moderate
recurrent, unexpected panic attacks
panic disorder
attacks must be followed by one month or more of persistent worry about having more attacks or significant maladaptive change in behavior
panic disorder criteria
SSRI then benzodiazepines
medication for panic disorders
Panic control treatment, exposure to feared internal sensations, to break the catastrophic cycle
Therapy for panic disorder
excessive anxiety and worry occurring most days for at least six months about a number of different events or activities
generalized anxiety disorder
restlessness, easily fatigued, difficulty concentrating, irritability, muscle tension, sleep disturbance
GAD physical symptoms
CBT involves confronting the function of worry and teaching coping skills for tolerance of uncertainty
therapy GAD
SSRI and buspar
Medication for GAD
marked fear or anxiety about a specific object or situation
specific phobia
the fear is persistent, out of proportion to the actual danger, and leads to immediate avoidance
Specific phobia criteria
classical and operant conditioning
causes of specific phobia
exposure therapy; gradual systemic exposure to the feared object or situation until habituation occurs
treatment for specific phobia
marked fear or anxiety about one or more social situations in which the individual is exposed to possible scrutiny by others
social anxiety disorder
being negatively evaluated (humuluated, embarassed, rejected)
central fear for SAD
what disorder can have performance specification; fear is restricted to speaking or performing in public
SAD performance anxiety
The tendency to overestimate the threat of social situations and engage in safety behaviors which prevent disconfirming evidence becoming a pattern
symptoms of SAD
CBT and group CBT that utilizes exposure to social situations and cognitive resturcturing to change negative self preceptions
treatments for SAD
SSRIs
Medication for SAD
presence of obsessions, compulsions, or both
Criteria for OCD
recurrent and persistent thoughts, urges, or images that are experienced as intrusive and unwanted, and cause marked anxiety/ distress
obsessions
repetitive behaviors or mental acts that the individual feels driven to perform in response to an obsession or according to rigid rules
compulsions
to reduce the distress/ anxiety caused by the obsession or to prevent a feared outcome, though they are not connected in a realistic way
purpose of compulsion
may involve abnormalities in the orbital frontal cortex, cingulate gyrus, and caudate nucleus
causes of OCD
high doses of SSRI
medication for OCD
exposure and response prevention
therapies for OCD
a mental health condition characterized by persistent physical symptoms that are not fully explained by a medical condition
somatic disorders
intentional production of or faking of physical symptoms for
external gain
Malingering
With no external gain and with deception, a person will falsify symptoms or induce an injury or illness about self or another
Factitious Disorder/Factitious Disorder imposed on another
persistent worry of having an illness and often trying to self-diagnosis despite any evidence of symptoms or diagnosis, symptoms must last for 6 months to qualify for diagnosis and must impact daily life functioning
illness anxiety disorder
a person’s psychological worry or concern is transformed into a physical symptom, often related to motor or sensory functioning
functional neurological disorder
combines knowledge of social and medical sciences to improve health and combat illness
behavioral medicine
studies the relationship between the immune/ defense system and the stress response
psychoneuroimmunology
studies how psychological factors affect wellness, illness, and medical treatments
health psychology/ coaching
state of minimal consciousness associeated with reduced motor and sensory activity
sleep
phase between relaxed wakefulness and sleep, theta brain patterns, can have wandering thoughts
stage 1 of sleep
brain emits sleep spindles (small bursts of brain activity) and K-complexes which includes memory consolidation and the inhibition of activity
stage 2 of sleep
delta brain waves begin, rested state can be achieved including lower levels of breathing, blood pressure, heartbeat, and use of oxygen
stage 3 of sleep
Deepest sleep, can take up to 15 minutes to wake from, will have difficulty hearing even loud noises
stage 4 of sleep
periods of light sleep throughout the sleep cycle characterized by darting eye movements and dreams
REM sleep
sleep lab study of physiological activity
polysomnography
brain wave activity
electroencephalograph
measures muscle movement
actigraphy
electrical activity of the heart
electrocardiogram
number and speed of eye movements
electrooculogram
inability to fall or stay asleep, waking up too early and/ or having non refreshing sleep
insomnia
periodicaly stopping breathing during sleep, can be influences by obesity
sleep apnea
episodes of sudden sleep during the day, can have episodes of cataplexy
narcolepsy
excessive sleepiness
hypersomnolence disorder
misalignment between internal and external influences on sleep and wakefulness causing persistent sleepiness caused by change in the cardian rhythm
caridac rhythm sleep wake disorder
abnormal behaviors associated with sleep
parasomnias
overwhelming urges to engage in behaviors that may violate the rights of others or in less severe ways, conflict with societal norms
impulse control disorder
outbursts of verbal and/or physical/property destruction aggression, diagnosed in childhood after the age of 6, at least 2 acts of aggression weekly for a 12-month period
intermittent explosive disorder
an irresistible drive toward fire setting that is recurring, deliberate
and purposeful
pyromania
inability to resist the urge to take items even when they are not needed
kelptomania
diagnosed in childhood, marked by repeated symptoms in the following areas: irritability/ anger, defiance/argumentative, and/or vindictive behavior for at least six months
oppositional defiant disorder
Children and adolescents may be diagnosed due to physically violent behavior toward others, animals, and/or property. One specifier in the diagnosis is the callous-unemotional type, when a child or adolescent has a shallow emotions and lacks feelings of guilt or empathy
conduct disorder