| Question |
Answer |
| What intervention is useful in helping a patient with an anxiety disorder in their social life? |
|
Time management skills should be taught to ensure the patient has time for rest, relaxation and family time.
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| What effect does pregnancy and postpartum periods have on anxiety disorders? |
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Pregnancy may protect against some anxiety disorders, but the postpartum period is a common period for onset of panic disorders.
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| ________ therapy techniques strive to give a patient with anxiety a sense of control over the recurring threats of panic and obsessions. |
|
Cognitive therapy
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| How can success be evaluated in a patient with anxiety disorders? |
|
Ask them to keep a daily log recording the frequency, durationg and severity of panic episodes and track success over time.
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| What is the role of the family when treating anxiety disorders? |
|
Involving the family in therapy is imperative to reduce misunderstandings, stigma and misconceptions.
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| _________ is characterized by severe obsessions or compulsions that interfere with normal daily routines that a patient has no control over. |
|
OCD
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| __________ are characterized by excessive, unwanted thoughts or impulses that occur repetitively, causing severe anxiety and distress. |
|
Obsessions
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| What are common obsessions experienced by people with OCD? |
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Fear of contamination, pathologic doubt, need for symmetry and completion, thoughts of hurting someone or thoughts of sexual images.
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| _________ are repetitive actions or behaviors employed in an attempt to neutralize the anxiety felt from obsessions. |
|
Compulsions
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| Obsessions are considered __________ because they are not under the patient's control and are incongruent with the patient's usual thought patterns. |
|
Ego dystonic
|
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| When is the typical age of onset for OCD? |
|
Early20-30's.
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| What gender is more likely to have obsessions with OCD? Which gender is more likely to have checking and cleaning rituals? |
|
Men usually have obsessions (onset as children) and women have the cleaning/checking rituals (onset in the 20's).
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| What comorbidity is often seen with OCD? |
|
Tourette's Syndrome
|
| What are the diagnostic criterion for OCD? |
|
Presence of obsessions or compulsions, the patient recognizes the thoughts and actions are unreasonable or excessive (this one doesn't apply to children), it causes a disturbance in daily routines, functions, and/or relationships, the routines take a considerable amount of time (an hour or more), and the behaviors aren't the result of another psych or physical illness.
|
| When is With Poor Insight used during a diagnosis of OCD? |
|
If a patient doesn't see the bahaviors they engage in as unreasonable or excessive
|
| Patients with ___________ obsessions are often resistant to treatment. |
|
Religious
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| What are factors that should be taken into consideration before diagnosis a patient with religious obsessions (OCD)? |
|
The thoughts/rituals must clearly exceed cultural or religious norms, occur at inappropriate times as described by members of the same religion/culture, or interfere with social obligations.
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| What neuropathic differences have been detected in patients with OCD? |
|
They have enlarged basal ganglia, and differences in their cerebral glucose metabolism (increased metabolism in the caudate nuclei, orbitofrontal gyri and cingulate gyri).
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| What neurotransmitter has been implicated in OCD? |
|
Serotonin
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| _________ theorists hypothesize that OCD symptoms and character traits arise from isolation, undoing and reaction formation resulting in a regression of stages. |
|
Psychoanalytical
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| __________ theorists believe obsessions in OCD are a contioned stimuli and compulsions develop as the individual discovers behaviors that reduce obsessional anxiety. |
|
Behavioral
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