Class 11: Internalizing Disorders - Anxiety/NSSI Flashcards
Phobia definition
Being fearful of something to an unrealistic extent
Systematic desensitization
Systematic method of pairing incompatible responses to anxiety through graded exposure to anxiety provoking stimuli
Systematic desensitization steps
- Make Anxiety hierarchy
- Introduce relaxation training
- Graded exposure to items in anxiety hierarchy
What is graded exposure
The gradual pairing of relaxation with items on the anxiety hierarchy
Imaginal vs. In Vivo
Imaginal - client imagines anxiety-provoking scenario (in mind)
In vivo - client engages in anxiety-provoking scenario (in life)
Types of cognitive distortions in anxiety
Catastrophizing
Magnification/minimization
Arbitrary inference
Overgeneralization
Example of catastrophizing (test anxiety)
“I’m going to fail this test…which will cause me not to become a psychologist”
Example of magnification (test anxiety)
“I don’t know the first question so I won’t know any of them”
Example of minimization (test anxiety)
“I know most of them but I don’t know 1, this is horrible, I can’t remember”
Example of arbitrary inference (test anxiety)
“If I score low on this test I won’t be able to pass the class”
Example of overgeneralization (test anxiety)
“I was anxious during the last exam which made me not do well, so now I’m going to be anxious for every test I take!”
CBT treatment involves _______, ________ & ________ cognitive distortions
identifying, challenging and changing
With anxiety, clinicians should focus on the _______ of the behavior, NOT the topography
function
NSSI definition
Intentional and self-inflicted damage to the surface of the body in the absence of suicidal intent
What NSSI is not:
Socially sanctioned bodily modification
SIB
Hair/skin picking
Suicidal behavior
Estimated prevalence (range) of NSSI in adolescence
12-22%
Is NSSI increasing?
Some believe so, but it is not clear, may just be there is more attention given to the behavior
MH Conditions associated with NSSI
Depression, suicidal behavior, anxiety and school adjustment problems
Most significant MH condition associated with NSSI
Suicidal behavior (continuum - thoughts, planning, attempts & suicide)
Most adolescents who engage in NSSI will not die by suicide or make an attempt but are 2-4x more likely to make an attempt/experience suicidal ideation (True/False)
True
Best source of assessment for NSSI
The student
Method of assessment for NSSI
Clinical interview
Most important aspect of assessment for NSSI
Initial response - avoid under/overreacting, be calm, respectful, nonjudgemental
How to manage/prevent contagion with NSSI
Reduce communications
Manage students who exhibit wounds
Make use of individual (vs. group) counseling
