ABNORMAL BEHAVIOR AND THERAPY ANXIETY DISORDERS SOMATOFORM DISORDERS DISSOCIATIVE DISORDERS

DEFINITIONS  STATISTICAL  CULTURAL  BEHAVIORAL  PSYCHOANALYTIC  LEGAL –INSANITY –INCOMPETENT –COMMITMENT

ANXIETY DISORDERS  PANIC DISORDER  GENERALIZED ANXIETY DISORDER  PHOBIA  OBSESSIVE-COMPULSIVE DISORDER  POST-TRAUMANTIC STRESS DISORDER

PANIC DISORDER  RECURRENT/UNEXPECTED PANIC ATTACKS  SYMPTOMS ARE SEVERE AND ACUTE  LEAD TO CONCERN ABOUT FUTURE ATTACKS & LOSING CONTROL

PANIC DISORDER  Anxiety attack: 5 needed may last a couple of minutes to hours  heart palpitations  tense muscles, especially chest muscles often misinterpreted for heart  attack,  choking sensation from tight neck muscles,  faint or dizzy feeling,  increase sweat,  hot or cold flashes.

GENERALIZED ANXIETY DISORDER  PERSISTENT HIGH LEVELS OF ANXIETY  ANXIETY ATTACKS ARE MILD BUT CHRONIC FOR PERIOD OF MONTH OR MORE

G. A. D.  SYMPTOMS 1.Light headed, dizzy, feeling faint 2.Racing pulse, sweaty palms, hot/cold flashes 3.Hypervigilant, scan environment, worry 4.Easily distracted, can’t concentrate, impatient and irritable much of time

PHOBIA  PERSISTENT, IRRATIONAL, UNREALISTIC FEAR OF SPECIFIC OBJECT OR SITUATION WHICH BRINGS ON ANXIETY ATTACK  ANXIETY LEAVES WHEN STIMULUS REMOVED

PHOBIA  SIMPLE/SPECIFIC –MOST COMMON DOGS, SNAKES, HEIGHTS AND ELEVATORS AGORAPHOBIA—OPEN PLACES SOCIAL PHOBIAS-DEALING W/OTHERS FEAR EMBARASSMENT IN SOCIAL SITUATIONS/LOSE CONTROL

OBSESSIVE-COMPULSIVE DISORDER  OBSESSIONS: RECURRENT THOUGHTS, IMAGES, IMPULSES  COMPULSIONS: RITUALISTIC, REPETITIVE AND UNDESIRED BEHAVIORS  KNOWLEDGE OF SENSELESSNESS OF BEHAVIOR  RITUALISTIC BEHAVIOR LESSENS ANXITY FOR SHORT PERIODS

POST TRAUMATIC STRESS DISORDER  TRAUMATIC EVENT SUCH AS WAR, RAPE, HOSTAGE, EARTHQUAKE  NIGHTMARES AND FLASHBACKS  BEGIN TO FEAR SLEEP SO INSOMNIA

SOMATOFORM DISORDERS  HYPOCHONDRIASIS –PREOCCUPATION WITH BODY/HEALTH –NO RELIEF WHEN DIAGNOSED OK –FREQUENT VISITS TO DOCTORS –SECONDARY GAIN UP TO A POINT

CONVERSION/HYSTERIA  DRAMATIC PHYSICAL SYMPTOMS WITH NO ORGANIC CAUSE  PARALYSIS  ANESTHESIA  ANALGESIA  BACK PAIN, BLINDNESS, DEAF  CRAFT PARALYSIS  SECONDARY GAIN AND INDIFFERENCE

DISSOCIATIVE DISORDERS  DISSOCIATIVE AMNESIA  DISSOCIATIVE FUGUE  DISSOCIATIVE IDENTITY DISORDER –MULTIPLE PERSONALITY DISORDER

DISSOCIATIVE AMNESIA  AMNESIA FOR EVENTS FROM SEVERAL HOURS TO PERHAPS MONTH  PATIENT IS NOT DISTRESSED  REPRESSION OF TRAUMATIC EVENT

DISSOCIATIVE FUGUE  PRECIPITATED BY EXTREME STRESS  FLEE FROM SITUATION  TRAVELLING AMNESIAC  NO IDENTITY/ASSUMES NEW IDENTITY  INDIFFERENCE  RARE—CAN LAST MONTH TO YEARS

DISSOCIATIVE IDENTITY DISORDER  TWO OR MORE DISTINCT PERSONALITIES  GENERALLY MISSING TIME EXPERIENCED FOR ALTERNATES  BIOLOGICAL AND BEHAVIORALLY DIFFERENT SYMPTOMS  USUALLY PRECIPITATED BY CHILDHOOD ABUSE/TRAUMA

TREATMENT  PSYCHOANALYSIS  BEHAVIOR  HUMANISTIC/EXISTENTIAL  COGNITIVE  BIOMEDICAL

TREATMENT FOR ANXIETY DISORDERS  STRESS MANAGEMENT  LIMITED PSYCHOTHERAPY  RELAXATION, YOGA, MEDITATION  XANAX FOR 2-4 WEEKS  ANAFRANIL, PROZAC FOR OCD

PSYCHOANALYSIS  RESISTANCE  CATHARSIS  TRANSFERENCE  INTERPRETATION  INSIGHT