Question |
Answer |
What intervention is useful in helping a patient with an anxiety disorder in their social life? |
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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. |
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Cognitive therapy
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How can success be evaluated in a patient with anxiety disorders? |
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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? |
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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. |
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OCD
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__________ are characterized by excessive, unwanted thoughts or impulses that occur repetitively, causing severe anxiety and distress. |
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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. |
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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. |
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Ego dystonic
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When is the typical age of onset for OCD? |
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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? |
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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? |
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Tourette's Syndrome
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What are the diagnostic criterion for OCD? |
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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.
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When is With Poor Insight used during a diagnosis of OCD? |
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If a patient doesn't see the bahaviors they engage in as unreasonable or excessive
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Patients with ___________ obsessions are often resistant to treatment. |
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Religious
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What are factors that should be taken into consideration before diagnosis a patient with religious obsessions (OCD)? |
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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? |
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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? |
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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. |
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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. |
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Behavioral
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