Week 2 - Matrix Individual
Week 2 - Matrix Individual
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Date Created: 11/13/15
Anxiety, Mood/Affect, and Somatoform/Dissociative Disorders Matrix Definiti Anxiety Mood/Affect Somatoform Dissociative ons Disorders disorders Disorders Disorders DSMIV TR Generalized anxiety Major Depressive Disorder: Conversion Depersonalization disorder disorder: Chronic, The occurrence of one or Disorder- Specific Persistent and distressing Disorders/ debilitating more major depressive symptoms or deficits in feelings of being detached Statistical nervousness (lifetime episodes (lifetime prevalence:voluntary motor or from one’s mind or body approximately 17% of the sensory functions with (lifetime prevalence estimate: prevalence estimate: no physiological cause between 5% of the U.S. population). up to 2.8% of U.S. population. (prevalence rate population). Dysthymic Disorder: among referrals to Panic Disorder: Depression that is less sever outpatient mental Dissociative amnesia health clinics: up to Episodes of acute but more chronic than a major 3.0%; prevalence rate Inability to recall important terror in the absence ofepressive episode, lasting atin general population personal information, usually real danger (lifetime least two years in adults or of a traumatic or stressful prevalence estimate: one year in children and up to 0.005%). nature (lifetime prevalence between 1%2%. adolescents (lifetime estimate: up to 6% in some -Somatization prevalence: approximately Disorder- Recurrent highly traumatized Phobias: 3 subtypes 6%). gastrointestinal, population. of phobias including sexual, or social, agoraphobia, Bipolar I Disorder pseudoneurological Dissociative fugue and specific: Combination of manic and symptoms without a Sudden and unexpected Persistent, irrational major depressive episodes physiological cause travel away from home fear and a voidance of (lifetime prevalence: (prevalence rate accompanied by forgetting of particular objects or approximately 1%). among women: 0.2% one’s past and personal situations (lifetime to 2.0%; among men less than 0.2%) identity (lifetime prevalence prevalence estimated: Bipolar II Disorder estimate: 0.2%). between 9% and 24%. Combination of hypomanic and major depressive episodes -Pain Disorder- Dissociative identity Obsessive (lifetime prevalence: Physical pain without a disorder physiological cause Compulsive approximately 0.5%). (prevalence rate: (formerly multiple Disorder: Anxiety unknown, but physical personality disorder). Page 1 of 1 producing, unwanted pains that are difficult Presence of two or more thoughts, usually to diagnose occur distinct personalities or Cyclothymic Disorder leading to compulsive Combination of hypomanic frequently in the identity state that recurrently rituals (lifetime and depressive mood swings general population). control an individual’s prevalence estimate: that are less severe than in behavior (lifetime prevalence 1%2.5%). Bipolar I and II disorders but estimate: highly controversial, Hypochondriasis but generally believed to occur chronically for at least -Pre-occupation with Posttraumatic Stress two years (lifetime occur at far less than 1%). Disorder: Various, prevalence: up to 1%). the fear of contracting, specific symptoms or the mistaken idea occurring in the wake that one has a serious disease (prevalence of a traumatic rate in the general experience (lifetime population range from prevalence estimate: over 8%. 1% to 5%; prevalence rate among primary care outpatients range Acute Stress from 2% to 7%: 4.0%to Disorder: 9.0%). It is estimated as many as 90% of rape -Body dysmorphic victims, prisoners of Disorder- war, and concentration Preoccupation with an camp survivors imagined or developed a stress exaggerated defect in disorder. physical appearance 5 to 10 % of the (prevalence rate people in automobile unknown). accidents develop a stress disorder. 20% of the residents in lower Manhattan experienced a stress disorder post 9/11. Page 2 of 1 Generalized Anxiety Major Depressive Disorders Conversion Disorders Dissociative Disorders Diagnostic Page 3 of 1 Criteria Disorders (GAD ) Persuasive anxiety for Depressed mood most of the One or more symptoms or Depersonalization disorder at least six months day, nearly every day deficits affecting voluntary persistent or recurrent difficulty controlling Diminished interest or motor or sensory function experiences of feeling the anxiety pleasure in all or almost all that suggests a neurological detached from one’s body or The anxiety includes activities nearly every day or other general medical mental processes, as if three or more of the Significant weight loss or condition. watching one’s self from the following symptoms: weight gain Psychological factors are outside. restlessness, fatigue, Insomnia or hypersomnia judged to be associated with During the period of difficulty (excessive sleeping) nearly the symptoms or deficit depersonalization, the person concentrating, every day. because the initiation or is not psychotic; that is he/she irritability, muscle Restlessness or lethargy exacerbation of the continues to know what is real tension, sleep nearly every day. symptoms or deficit is and not real. disturbance. Frequent fatigue or loss of preceded by conflicts or The experience of The anxiety, worry, energy. stressors. depersonalization causes or physical symptoms Feelings of worthlessness or The symptoms or deficit is significant distress or cause significant inappropriate guilt not intentionally produced or difficulty in social, distress or impairment Difficulty thinking, feigned. occupational, or other in normal functioning concentrating, or making The symptom or deficit important areas of and are not due to the decisions. cannot be fully explained by functioning. effects of a Recurrent thoughts of death a general medical condition, medication, drug, or or suicide, planning for or b the direct effects of a Dissociative Amnesia medical condition. suicide, or suicide attempt. substance, or as a culturally One or more episodes of sanctioned behavior or being unable to recall Panic Disorder (PD) Dysthymic Disorder: Two experience. important personal episodes of intense years or more of consistently The symptoms or deficit information, usually of a panic including at depressed mood and other causes clinically significant traumatic or stressful nature. least four of the symptoms that are not severe distress or impairment in The forgotten information is following symptoms: enough to meet criteria for social, occupational, or other too extensive to be accounted pounding heart, major depressive episode important areas of for by ordinary forgetting. sweating , shaking , functioning or warrants The forgetting causes shortness of breath, Bipolar I Disorder A medical evaluation. clinically significant distress feeling of choking, combination of major ore impairment in social, chest pain, nausea, depressive episodes and Somatization Disorder occupational, or other Page 4 of 1 dizziness, fear of manic episodes. A history of physical important areas of losing control, fear of complaints beginning before functioning. dying, numbness or Bipolar II Disorder age 30 that occur over the tingling, chills or hot Combination of major course of several years and Dissociative fugue flashes. depressive episodes and result in treatment being Sudden, unexpected travel hypomanic episodes. sought or significant away from one’s home or Persistent concern impairment in social, place of work with inability to about having Cyclothymic DisorderTwo occupational, or other recall one’s past. additional attacks, years or more of consistent important areas of Confusion about personal worry about mood swings between functioning. identity or the assumption of a consequences of an hypomanic highs and Each of the following complete or partial new attack, or changes in dysthymic lows. criteria must be met, with identity. behavior because of individual symptoms the attack. The following disorders above occurring at any time in the Dissociative Identity Panic attacks are not begins with the classification history of physical disorder due to the direct of the following episodes: complaints including the physiological effects Presence of two or more following: distinct identities or of a drug, medication, Major Depressive Episodes Four pain symptoms: pain personalities within one or medical conditions. severe depression lasting at related at least four different person. least two weeks, including sites or functions (head, At least two of these Phobias abdomen, back, ect.). Social Phobia fear in several emotional, cognitive, identities or personality states motivational, or physical Two gastrointestinal recurrently take control of the social situations, symptoms. symptoms other than pain: person’s behavior. believes others are nausea, bloating, vomiting Forgetting of personal watching them Manic Episodes Abnormally ect.). information that is too closely, worries of One sexual symptom other being humiliated and elevated, expansive, or extensive to be explained by irritable mood that lasts at than pain: such as sexual ordinary forgetting. embarrassed, least one week and impairs indifference, erectile rejection, sensitive. social and occupational dysfunction, ect.). Worries center bodily functioning. One pseudoneurological functions. Fears could symptom other than pain: prevent a person from Inflated selfesteem or impaired coordination or speaking, eating, or grandiosity. balance, paralysis or drinking in public, and Decreased need for sleep localized weakness, ect. Page 5 of 1 may refuse to use Excessive talking and/or public bathrooms. pressured speech. Either of the following: Phobias can lead to Racing thoughts. Physical symptoms cannot panic attacks. Extreme distractibility be explained by general Increase in goaldirected medical condition or the Agoraphobia: Fear of activity (for example, highly direct effect of a substance. wide open or crowed productive at work or school, If there is a general medical places, may stay home increased social and/or sexual condition, the physical this phobia tends to activity). complaints or resulting occur after a person Excessive pursuit of functional impairment cannot has experienced a pleasurable but foolish be fully explained by the panic attack. These activities (such as buying medical condition. people are not afraid sprees, sexual promiscuity, The symptoms are not of public places; they worthless investments). intentionally produced or only fear the fact of faked. having a panic attack Hypomanic Episodes in public may happen. Presence of at least three of Pain Disorder Will go in public with the symptoms of Pain in one or more trusted friend/loved mania(described above) anatomical sites is the major one. The episode is not severe focus of complaint and is enough to cause marked Specific phobias: Is sufficiently severe to warrant impairment in social or clinical attention. also referred to as occupational functioning. The pain causes clinically “simple phobias”. Is significant distress or not a social phobia or impairment in social, agoraphobia. Persistent, irrational occupational, or other important areas of fear of a specific functioning. object or situation. Psychological factors are Four common types judged to have an important include: role in the onset, severity, exacerbation, or maintenance Animal Type: fear of of the pain. animals, dog, cats, The symptoms are not Page 6 of 1 insects, spiders, bees intentionally produced or ect. faked. Environmental Type: Subtypes of pain disorder: heights, tornadoes, Pain disorder associated water with psychological factors Pain disorder associated Blood Injection with both psychological Injury Type: needles, factors and a general medical or sight of blood. condition. Situational Type: Hypochondriasis confined spaces, Preoccupation with fears of flying on a plane, or having, or the idea that one elevators. has a serious disease based Exposure to the on the person’s misinterpretation of bodily feared object or symptoms. situation usually The preoccupation persists provokes an intense despite appropriate medical anxiety, reaction. The person evaluation and reassurance. The belief in having a recognizes that the serious disease is not of fear is excessive or delusional intensity and is unreasonable. not limited to circumscribed The phobic object or situation is avoided or concern about appearance (a body of dysmorphic disorder, else endured with described on page 234. intense or distress. The preoccupation causes The avoidance, clinically significant distress anxious anticipation, or worry about the or impairment in social, occupational, or other feared object or important areas of situation interferes functioning. Page 7 of 1 significantly with The duration of the normal everyday disturbance is at least 6 functioning or there is months. substantial distress about having the Body Dysmorphic Disorder phobia. Preoccupation with an imagined defect in appearance. If a slight PostTraumatic physical anomaly is present, Stress Disorder the person’s concern is markedly excessive. (PTSD). The person The preoccupation causes experienced a clinically significant distress traumatizing or life or impairment in social, altering event. occupational, or other important areas of Intense feeling of helplessness and fear. functioning. Reoccurrence of traumatic ordeal Bad memories Dreams/Nightmares Flashbacks Psychological distress when cues bring back the events Avoidance of any reminders of the traumatic event (s). inability to recall certain events involving trauma Reduction in social activities Detachment from Page 8 of 1 others Dulled emotions Lacking certain feelings Sense of grim future Insomnia Anger Irritability Lack of Concentration Hyper vigilance Easily startled Significant distress or impairment of daily routine activities. Acute Stress Disorder Significant posttraumatic anxiety symptoms, occurring within 4 weeks of a traumatic event/experience. Anxiety disorder Somatoform Disorders Dissociative Classifica Mood/Affective Disorders - Page 9 of 1 tions Age Anxiety can occur Major depressive Somatization Dissociative disorders at any age. More disorders differ based symptoms can include are much different in prevalent in on age. Depressive a nervous stomach children than in adults. adolescents and disorders between the prior to your first day adults. ages of 20-60 of school or taking an Since children’s -Children with exam or test. behaviors are common anxiety will Bipolar does not Somatoform disorder when having imaginary display it develop until can be fully operational friends or forgetting. differently than adolescence and older. during early Those behaviors we adults. adolescence to early expect from children -Children may cry, Depression is adulthood. become attached, dangerous in later life First episodes of Dissociation for children complain on stages. conversion disorder are is common seeing stomachaches most common between fictional characters or and headaches. Depression in older the ages of 10-35. superheroes, and -Adults will be adults is the most Hypochondriasis having imaginary bothered by common psychiatric begins in early friends. Unlike adults compulsive disorder. adulthood and will who have these behavior and become an aspect of visionary effects would phobias, unlike that person’s life. not be expected. children. Body dysmorphic Children ages 3-5, who begins in the suffered abuse or adolescent years neglect, had higher (easily undetectable rates of dissociative parents and doctors disorders. misinterpret the If dissociation behavior as normal for continues throughout teenagers) (Hansell, adolescent and into Damour, 2008). adulthood the dissociation will only become worse. Page 10 of 1 Gender Demographically Females age 12 are twice Women are two times more 75 to 90 % diagnosed are women are two to likely to be diagnosed with females. likely to experience three times more likely depression than their male Conversion disorders. Disproportionate disorder than men to suffer counterparts. Men diagnosed with (DID) factors may result from from general anxiety conversion disorder often sexual abuse. disorders, panic have a personality Men with this behavior disorders, with Biological factors may characteristics associated become victims of the contribute to women having a agoraphobia and higher rate of depression. with antisocial personality criminal justice system, owing without agoraphobia, disorder. criminal behavior by one of specific phobias, and Genetics, premenstrual, Both men and woman can their alters than with the Post Traumatic Stress hormonal, pregnancy and suffer from hypochondriasis. mental health system. disorder childbirth. Both sexes suffer from dysmorphic disorders. a large gender study Panic disorders in Sociocultural factors, playing Dysmorphic begins in early performed found no women have a genetic the role of full time mother, adolescence. significant differences connection. homemaker, and filling Women suffer more from between women or men in the Hormones play a role the disorder than men. overall scores measured for several roles simultaneously. in the difference in Women focus on their dissociative psychopathology. gender response to Depression is seen less appearance, such as hips and generalized anxiety commonly in men. weight. disorders. Men focus on their body build, genitalia, or thinning Males are more likely to OCD occurs in display physical aggression hair. females 2635 years from psychological distress old. with behaviors such as drug OCD occurs in males or alcohol abuse. 515 years old. Males in prison have shown PTSD women will to have an increased rate of experience this from a depression. different perspective; Men are least likely to be Page 11 of 1 victim of rape, or victimized, which reduces the physical assault. factors of stress or depression. PTSD men are likely Men and women seem to experience combating share Bipolar I. crime and other violence causing Bipolar II is found more PTSD. commonly in women. Class Poor people and those Depression correlates with: Somatization disorder and Dissociative disorders occur that are lower Hypochondriasis is likely to at different rates and forms, socioeconomically poverty occur in those who live in or among the members of experience PTSD. among lower socioeconomic socioeconomic groups. low levels of education classes. Exposure to violence Variations among all classes or violent events in unemployment Those with formal or less of people. neighbors and cities is than formal education, or the a fearful event. inadequate employment unemployed. Developing a stress disorder under these Conversion disorder found circumstances is more frequently among those inevitable. in rural population. Living in poor Lower socioeconomic conditions contributes status or those with less to high rates of panic fluency in medical and disorders, phobias, and psychological concepts are generalized anxiety affected. (Hansell & Damour, 2008). Page 12 of 1 Hansell, J., Damour, L. (2008). Abnormal Psychology. (2 ed). Hoboken, NJ: Wiley Page 13 of 1
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