Chapter Five: Trauma and OCD

Question 1

Reactive Attachment Disorder

Answer 1

• Childhood disorder
• Quiet demeanor
• Detached
• Un-enthusiastic
• Due to neglect

Question 2

Disinhibitive Social Engagement Disorder

Answer 2

• Displays of closeness to people the child doesn’t know
• “Indiscriminant closeness”
• No selective attachment to primary caregiver

Question 3

Disinhibitive Social Engagement Age of Onset

Answer 3

7-9 months

Question 4

Adjustment Disorder

Answer 4

depressed mood, anxiety, conduct disturbance, mixed emotions

-MUST BE CAUSED BY A STRESSOR (i.e. divorce)

Question 5

Acute Stress Disorder

Answer 5

Reaction to a stressful event

Question 6

Acute Stress Onset

Answer 6

3 days - 1 month after the stressor

Question 7

PTSD

Answer 7

Exposure to a traumatic event during which the individual experiences or witnesses death, actual or threatened injury, actual or threatened sexual violation

Question 8

PTSD Gender

Answer 8

2x more likely in females

Question 9

Common PTSD exposures

Answer 9

• Sexual assault
• domestic violence
• accidents
• combat
• natural disaster

Question 10

PTSD Symptoms: Intrusive

Answer 10

• Distressing memories
• Dreams
• Flashback
• Cues that resemble the event

Question 11

PTSD Symptoms: Avoidance

Answer 11

• Avoidance of feelings/thoughts

- Avoidance of external reminders

Question 12

PTDS Symtoms: Negative mood

Answer 12

• Dissociative amnesia
• Negative beliefs about oneself
• Self blame about the event
• Persistent negative emotional state
• Disinterest
• Detachment
• Inability to experience positive emotions

Question 13

PTDS Symptoms: Arousal/Reactivity

Answer 13

• irritability/angry outbursts
• reckless or self -destructive behaviour
• Hypervigilance
• Startle response
• Problems with concentration
• Sleep disturbance

Question 14

PTDS Onset

Answer 14

One month after the incident

Question 15

PTSD Specification

Answer 15

1. Derealization

2. Depersonalization

Question 16

PTSD Treatment

Answer 16

• SSRI: Paxil, Prozac
• CBT
• Exposure, imaginary, gradual, positive coping, social support

Question 17

Trichlotilmania

Answer 17

pulling out ones own hair

-Early puberty

Question 18

Excoriation

Answer 18

• Skin picking
• Made many attempts to stop
• 3/4 female
• puberty = onset

Question 19

Substance induced OCD

Answer 19

-Drugs/alcohol

Question 20

OCD due to another medical condition

Answer 20

PANDAS

PANS

Question 21

OCD

Answer 21

-Anxiety disorder in which people have unwanted thoughts and repeated thoughts, feelings and behaviours (obsessions)

Question 22

Obsessions

Answer 22

Intrusive thoughts, images or urges that the individual tries to eliminate or resist

Question 23

Compulsions

Answer 23

Thoughts or actions used to surpress the obsessions

Question 24

Categories of OCD

Answer 24

1. Checking
2. Ordering
3. Washing
4. Arranging
   Must be more than one hour per day

Question 25

OCD Gender

Answer 25

1:1 M:F | More prevalent in male children

Question 26

OCD: Drug Treatment

Answer 26

Clomipramine, SSRI

Question 27

OCD: Psychological Treatment

Answer 27

- Exposure and ritual prevention - Reality testing - 85% benefit

Question 28

OCD: Other Treatments

Answer 28

Psychosurgery (cingulotomy) - Extreme cases only - 30% benefit - Lesion to the CINGULATE BUNDLE

Question 29

Tic Disorder

Answer 29

- Likely to cooccur with OCD | - An involuntary movement

Question 30

Body Dysmorphic Disorder (BDD)

Answer 30

-Preoccupation with perceived defects or flaws in physical appearance which is typically unobservable to others

Question 31

BDD Symptoms

Answer 31

- Strong beliefs regarding unattractiveness or physical abnormalities - Time consuming and obtrusive thoughts - Time consuming actions to improve appearance (checking mirrors, comparison to others, make up, exercise, surgery

Question 32

BDD Treatment

Answer 32

SSRI: Prozac | Exposure, response, prevention therapy