Disorder: Comorbidity, Treatment and Assessment Flashcards
(40 cards)
Adjustment Disorder
Treatment: Crisis intervention and brief psychodynamic therapy
Instrument: None
Major Depressive Disorder
Comorbidity: Substance abuse, panic, OCD, Eating, borderline
Treatment: CBT, interpersonal psychotherapy, behavioral activation, mindfulness, exercise.
Instrument: Beck Depression Inventory, Hamilton, SCID
Persistent Depressive Disorder
Comorbidity: Substance abuse and Anxiety
Treatment: CBT, interpersonal psychotherapy, social skills, assertiveness, decision making.
Instrument: Beck depression inventory, steen happiness index
Bipolar Disorders
Comorbidity: Panic and social anxiety, ADHD, conduct disorder, disruptive behavior disorder, substance abuse
Treatment: Medication, family psychoeducation, social rhythm, CBT, group during recovery
Instrument: SCID, treatment of attitudes questionnaire, hypomania checklist.
Cyclothymic Disorder
Comorbidity: Substance and Sleep related disorders
Treatment: Functional family Therapy, sleep and social rhythm, Interpersonal therapy, career and group
Instrument: Hypomanic checklist (HCL32) can help differentiate.
Panic Disorder
Comorbidity: Anxiety, agoraphobia, major depression, bipolar disorder, mild alcohol use disorder.
Treatment: CBT, Panic control therapy (PCT), ACT, support for family
Instrument: ADVIS, Burns anxiety inventory
Phobias
Treatment: exposure, relaxation, breathing and paradoxial intention.
Instrument: Beck anxiety inventory and burns anxiety inventory
Agoraphobia
Comorbidity: anxiety, panic, social anxiety, depressive, PTSD and alcohol use.
Treatment: Panic control therapy (PCT)
Instrument: Beck anxiety inventory, mobility inventory for agoraphobia, agoraphobic cognition questionnaire.
Social Anxiety Disorder
Comorbidity: anxiety, depression, alcohol use
Treatment: Cognitive therapy with exposure, homework, role playing, relaxation, social skills.
Instrument: Fear of negative evaluation and social interaction (SIAS), Achenbach, Revised childrens manifest anxiety scale.
Obsessive and Compulsive Disorder
Comorbidity: Panic disorder, social anxiety, Generalized anxiety disorder, phobias, tic, borderline personality disorder, body dysmorphia, tichotillomania
Treatment: exposure and response prevention, cognitive approaches
Instrument: Yale-Brown obsessive compulsive scale (Y-BOCS), ocd inventory
PTSD
Comorbidity: Depressive, Bipolar, anxiety, and substance use.
Treatment: Prolonged exposure therapy, cognitive processing therapy (cpt), anxiety management training, stress inoculation.
Instrument: Clinical administered PTSD scale (CAPS), PTSD checklist.
Generalized Anxiety Disorder
Comorbidity: Anxiety, unipolar disorder
Treatment: CBT, cognitive restructuring, behavior therapy, affective therapy (AWARE) and ACT.
Instrument: Beck anxiety, the penn state worry questionnaire.
Alcohol Use Related Disorders
Comorbidity: Bipolar disorder, schizophrenia, personality disorders.
Treatment: Comined behavioral interventions - motivational enhancement, cognitive therapy, social skills training, relax training, cognitive restructuring, 12 step, family therapy.
Instrument: CAGE, rapid alcohol problem screen, MAST, AUDIT
Feeding and Eating Disorders
Comorbidity: Social phobia, OCD, GAD, PTSD, schizophrenia.
Treatment: Multidisciplinary approach, CBT, DBT
Instrument: Questionnaire on eating and weight patterns, eating disorder examination questionnaire.
Anorexia Nervosa
Comorbidity: Bipolar, depressive and anxiety disorders
Treatment: Multidisciplinary, CBT, DBT, group therapy, transdiagnotisc, interpersonal psychotherapy, family
Instrument: Questionnaire on eating and weight patterns
Bulimia Nervosa
Comorbidity: Depressive
Treatment: Manualized CBT
Instrument: DBT, CBT, therapeutic alliance, modifying eating behaviors, eating disorder inventory.
Female Sexual Interest/Arousal Disorder
Comorbidity: Depression, thyroid, anxiety, IBS
Treatment: Medication, Couples therapy
Instrument: Sexual interest and desire inventory.
Dissociative Identity Disorder
Comorbidity: PTSD, depressive, borderline, conversion, somatic, eating, and substance
Treatment: no recommendations
Instrument: no recommendations, social roles, gender identification, sexuality.
Sleep-Wake Disorders
Comorbidity: Depressive and Anxiety are most common
Treatment: Medication, CBT, bright light therapy, sleep education, paradoxical intention, relaxation
Instrument: sleep anything
Somatization Symptom Disorder
Comorbidity: Medical issues, anxiety, depressive disorder
Treatment: affective CBT, group and family therapy.
Instrument: Anxiety disorder interview schedule (ADIS-IV-I)
Factitious Disorders
Comorbidity: None provided
Treatment: Stress management.
Instrument: Clinical Interview
Delirium
Comorbidity: None
Treatment: medical/neurological, psychotherapy and medication, eliminate causal factors.
Instrument: none, mental status exam
Personality Disorders
Treatment: Psychodynamic, CBT, DBT, mindfulness, mentalization-focused, schema therapy.
Instrument: Millon Clinical multiaxial inventory, MMPI, structured clinical interview.
Paranoid
Treatment: Little effectiveness studies, individual treatment, cognitive therapy. Group is not recommended.
Instrumentation: Millon Clinical multiaxial inventory, MMPI, structured clinical interview.
