Chapter Five: Trauma and OCD Flashcards
(32 cards)
Reactive Attachment Disorder
- Childhood disorder
- Quiet demeanor
- Detached
- Un-enthusiastic
- Due to neglect
Disinhibitive Social Engagement Disorder
- Displays of closeness to people the child doesn’t know
- “Indiscriminant closeness”
- No selective attachment to primary caregiver
Disinhibitive Social Engagement Age of Onset
7-9 months
Adjustment Disorder
depressed mood, anxiety, conduct disturbance, mixed emotions
-MUST BE CAUSED BY A STRESSOR (i.e. divorce)
Acute Stress Disorder
Reaction to a stressful event
Acute Stress Onset
3 days - 1 month after the stressor
PTSD
Exposure to a traumatic event during which the individual experiences or witnesses death, actual or threatened injury, actual or threatened sexual violation
PTSD Gender
2x more likely in females
Common PTSD exposures
- Sexual assault
- domestic violence
- accidents
- combat
- natural disaster
PTSD Symptoms: Intrusive
- Distressing memories
- Dreams
- Flashback
- Cues that resemble the event
PTSD Symptoms: Avoidance
- Avoidance of feelings/thoughts
- Avoidance of external reminders
PTDS Symtoms: Negative mood
- Dissociative amnesia
- Negative beliefs about oneself
- Self blame about the event
- Persistent negative emotional state
- Disinterest
- Detachment
- Inability to experience positive emotions
PTDS Symptoms: Arousal/Reactivity
- irritability/angry outbursts
- reckless or self -destructive behaviour
- Hypervigilance
- Startle response
- Problems with concentration
- Sleep disturbance
PTDS Onset
One month after the incident
PTSD Specification
- Derealization
2. Depersonalization
PTSD Treatment
- SSRI: Paxil, Prozac
- CBT
- Exposure, imaginary, gradual, positive coping, social support
Trichlotilmania
pulling out ones own hair
-Early puberty
Excoriation
- Skin picking
- Made many attempts to stop
- 3/4 female
- puberty = onset
Substance induced OCD
-Drugs/alcohol
OCD due to another medical condition
PANDAS
PANS
OCD
-Anxiety disorder in which people have unwanted thoughts and repeated thoughts, feelings and behaviours (obsessions)
Obsessions
Intrusive thoughts, images or urges that the individual tries to eliminate or resist
Compulsions
Thoughts or actions used to surpress the obsessions
Categories of OCD
- Checking
- Ordering
- Washing
- Arranging
Must be more than one hour per day