Exam 2 week 1 notes
Exam 2 week 1 notes Psych 303
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This 5 page Class Notes was uploaded by Alicia Condon on Friday October 9, 2015. The Class Notes belongs to Psych 303 at University of Wisconsin - Oshkosh taught by Phan Hong Lishner in Summer 2015. Since its upload, it has received 18 views. For similar materials see Abnormal Psychology in Psychlogy at University of Wisconsin - Oshkosh.
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Date Created: 10/09/15
Abnormal Psych Exam 2 notes Anxiety trauma and stresssorrelated and obsessive compulsive and related disorders Fear a future oriented mood state fight or ight or freeze sympathetic nervous system Anxiety a failure oriented mood or state apprehension physical symptoms of tension escape or avoidance distress or impairment From normal to disordered anxiety and fear characteristics of anxiety disorders symptoms of anxiety and fear avoidance and escape distress and impairment What are Panic Attacks abrupt experience of intense fear physical symptoms chest pains heart palpitations cognitive symptoms fear of death am I crazy 2 types lexpectedi know What triggers it 2 unexpectedi don39t know What triggers it Biological Contributions genetic vulnerability family record of panic attacks limbic systemmore sensitive correlated With panic attacks behavioral inhibition systemBISbrainstorm and cortex signals more sensitivegt more panic attacks FightFlight Systems amygdala and low levels of seretonin Psychological Contributions Early childhood uncontrollability and unpredictabilityabuse trauma Stressful life events trigger vulnerability Behavioral and cognitive views conditioning person associates situations With panic catastrophic thinking comorbidity more than one disorder especially depression Triple Vulnerability Model Biological Vulnerability glass is half empty driven irritable specific psychological vulnerability anxiety about health nonclinical panic generalized psychological vulnerability low self esteem inability to cope Generalized Anxiety Disorder overview and defining features excessive and uncontrollable multiple areas of life 6 plus months Associated symptoms muscle tension restlessness irritability fatigue Statistics 31 percent of general population 21 femalemale onset insidious chronic elderly more common prevalence rate increases to 1015 percent familial pattern GAD people are more likely to have a family member with GAD Treatment generally weak treatment cognitive behavioral treatments globally develop coping strategies meditation therapy and mindfulness more effective stay in the present moment Pharmacotherapy benzodiazapinessedative and addictive antidepressantshit or miss Panic disorder and agoraphobia panic disorderfear of a panic attack Overview and defining features of panic disorders someone experiences a panic attack then has future fear of panic attacks will trigger a false alarm often times people with panic disorders will go on to develop agoraphobia is the fear of going to a place or being in a situation where no one can help you side affectsvomiting dizziness Panic disorder and agoraphobia can be seen together or independently dsm 14 has them as a paired disorder but 5 as independent disorders Video of cousin ramming into cousins car after slapping Panic disorder facts and statistics 27 percent of general population onset females vs males60 of females to 40 of malesthis could be based off of Who seeks help Risk factors emotional reactivity very sensitive to small stressors physical alarm reaction catastrophic thinking fear of having a panic disorder and not being able to do anything about it African American Individuals more prone to panic disorder60 percent in clinical settings meet diagnosis compared to Whites 75 Panic disorder Associated disorders and treatments associated features introceptive avoidance do things to avoid introceptive ques Medication treatment SSRIS benzodiapedines relapse rates are high following medication discontinuation relapse rate 75 Within first 5 years if stops medication use Treatment panic control treatment tolerate anxiety instead of avoiding it cognitive therapy and exposure Psychological and combined treatment CBT cognitive Behavioral Therapy combined treatmentsshould NOT do exposure therapy if patient is on medication Patient should be medication free as possible because When on meds patient is not experiencing anxiety at full level during exposure therapy Specific phobias overvieW and defining features extreme irrational fears insight recongnize irrational fears vs psychoticno insight into fear avoidance unreasonableness impairment Facts and statistics females vs males 125 percent of general population but not everyone comes into treatment chronic Specific phobias animal natural environment thunderstorms situational ying driving blood injection injury vasovagal response fainting vertigogt Specific Phobias Behavioral Treatments extremely effective Exposure fear of discomfort in social or performing situations impairment avoid or endures with distress Performance only subtype only social anxiety if involved with performanceless severe than overall diagnosis Facts and statistics prevalence 121 in general population higher in females than males maybe due to females not seeking help 2rld most prevalent anxiety disorder after specific phobia onset usually around adolescence at beginning of puberty Causes and treatment biological and evolutionary vulnerability learning and conditioning cognitive perspective Psychological Treatments CBGThighly effective CBT Cognitive perspective very unrealistic belief of how they should be Feel as if they have to be perfect CBGT more effective than CBT alone Medication Treatments SSRI s Release rates are higher following discontinuation meds only help while taking them once you are off problems come back Separation Anxiety Disorder Unrealistic and persistent worry physical dangerabandonment normal in kids children show physical symptoms and grown ups show anxiety symptoms outcomes nightmares or fefuse to go to school 41 of children meet diagnosisthought to be severely underestimated 66 for adults 35 of symptoms in adulthood if untreated Chronic unless treated lots of people do recover without treatment with loving parents onset any time but most often in childhood Treatments exposure all anxiety disorders most recommended DR Marsha N linehan Trauma and stressor related disorders new classification in DSM V shared origin Includes PTSD actual stress disorders adjustment disorders attachment disorders PTSD criteria A trauma Breexperiencing Cavoidance numbing or emotional avoidance Dchange in thoughts or moods E hypervigilance and chronic arousal Required impairment l months to be diagnosedcriteria A must be met then a variation of the others PTSD overview Statistics combat sexual assault most common traumas car accidents are becoming a bigger reason discrepancy between trauma survivors and PTSD Types of Traumas natural disasters trauma events death of loved ones sexual assault human made disaster war etc PTSD additional terms acute small after 1st month chronicafter 3 month of incidence Delayed onset diagnosis 6 months after Acute Stress Disorder Where person has PTSD and common symptoms happen right away and goes away a month after delayed onset is the worse form because symptoms are suppressed for 6 months the farther away diagnosis and treatment is from trauma the worse the PTSD is Medication SSRI39s symptom suppression CBT approximately 12 sessions Graduated or massed ooding exposure does not follow normal course imaginative exposure instead do not allow them to block out thoughts and read story back to them Narrative development Jeffrey young so frightening because cant tell complete story Challenge maladaptive thoughts cognitive therapy style will never be safe and other black and white thought processes 0CD Overview Obsessioin intrusive and nonsensible thoughts images or urgesgt anxietygt compulsion thoughts so actions to neutralize anxious thoughtsgt decrease in anxietygt event anxietygt obsession No reason for compulsion in 0CD unlike in pyschotic disorder where compulsion for irrational reason
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