Transcript ABNORMAL BEHAVIOR AND THERAPY

ABNORMAL BEHAVIOR
AND THERAPY
ANXIETY DISORDERS
SOMATOFORM DISORDERS
DISSOCIATIVE DISORDERS
DEFINITIONS
STATISTICAL
CULTURAL
BEHAVIORAL
PSYCHOANALYTIC
LEGAL
– INSANITY
– INCOMPETENT
– COMMITMENT
ANXIETY DISORDERS
PANIC DISORDER
GENERALIZED ANXIETY DISORDER
PHOBIA
OBSESSIVE-COMPULSIVE DISORDER
POST-TRAUMANTIC STRESS
DISORDER
PANIC DISORDER
RECURRENT/UNEXPECTED PANIC
ATTACKS
SYMPTOMS ARE SEVERE AND
ACUTE
LEAD TO CONCERN ABOUT FUTURE
ATTACKS & LOSING CONTROL
PANIC DISORDER
 Anxiety attack: 5 needed may last a couple of minutes to hours
 heart palpitations
 tense muscles, especially chest muscles often misinterpreted for heart
 attack,
 choking sensation from tight neck muscles,
 faint or dizzy feeling,
 increase sweat,
 hot or cold flashes.
GENERALIZED ANXIETY
DISORDER
PERSISTENT HIGH LEVELS OF
ANXIETY
ANXIETY ATTACKS ARE MILD BUT
CHRONIC FOR PERIOD OF MONTH
OR MORE
G. A. D.
 SYMPTOMS
1.
2.
3.
4.
Light headed, dizzy, feeling faint
Racing pulse, sweaty palms, hot/cold flashes
Hypervigilant, scan environment, worry
Easily distracted, can’t concentrate,
impatient and irritable much of time
PHOBIA
PERSISTENT, IRRATIONAL,
UNREALISTIC FEAR OF SPECIFIC
OBJECT OR SITUATION WHICH
BRINGS ON ANXIETY ATTACK
ANXIETY LEAVES WHEN STIMULUS
REMOVED
PHOBIA
SIMPLE/SPECIFIC
– MOST COMMON DOGS, SNAKES,
HEIGHTS AND ELEVATORS
AGORAPHOBIA—OPEN PLACES
SOCIAL PHOBIAS-DEALING W/OTHERS
FEAR EMBARASSMENT IN SOCIAL
SITUATIONS/LOSE CONTROL
OBSESSIVE-COMPULSIVE
DISORDER
 OBSESSIONS: RECURRENT THOUGHTS,
IMAGES, IMPULSES
 COMPULSIONS: RITUALISTIC,
REPETITIVE AND UNDESIRED BEHAVIORS
 KNOWLEDGE OF SENSELESSNESS OF
BEHAVIOR
 RITUALISTIC BEHAVIOR LESSENS ANXITY
FOR SHORT PERIODS
POST TRAUMATIC STRESS
DISORDER
TRAUMATIC EVENT SUCH AS WAR,
RAPE, HOSTAGE, EARTHQUAKE
NIGHTMARES AND FLASHBACKS
BEGIN TO FEAR SLEEP SO INSOMNIA
SOMATOFORM DISORDERS
HYPOCHONDRIASIS
–
–
–
–
PREOCCUPATION WITH BODY/HEALTH
NO RELIEF WHEN DIAGNOSED OK
FREQUENT VISITS TO DOCTORS
SECONDARY GAIN UP TO A POINT
CONVERSION/HYSTERIA
 DRAMATIC PHYSICAL SYMPTOMS WITH
NO ORGANIC CAUSE
 PARALYSIS
 ANESTHESIA
 ANALGESIA
 BACK PAIN, BLINDNESS, DEAF
 CRAFT PARALYSIS
 SECONDARY GAIN AND INDIFFERENCE
DISSOCIATIVE DISORDERS
DISSOCIATIVE AMNESIA
DISSOCIATIVE FUGUE
DISSOCIATIVE IDENTITY DISORDER
– MULTIPLE PERSONALITY DISORDER
DISSOCIATIVE AMNESIA
AMNESIA FOR EVENTS FROM
SEVERAL HOURS TO PERHAPS
MONTH
PATIENT IS NOT DISTRESSED
REPRESSION OF TRAUMATIC EVENT
DISSOCIATIVE FUGUE
PRECIPITATED BY EXTREME STRESS
FLEE FROM SITUATION
TRAVELLING AMNESIAC
NO IDENTITY/ASSUMES NEW
IDENTITY
INDIFFERENCE
RARE—CAN LAST MONTH TO YEARS
DISSOCIATIVE IDENTITY
DISORDER
TWO OR MORE DISTINCT
PERSONALITIES
GENERALLY MISSING TIME
EXPERIENCED FOR ALTERNATES
BIOLOGICAL AND BEHAVIORALLY
DIFFERENT SYMPTOMS
USUALLY PRECIPITATED BY
CHILDHOOD ABUSE/TRAUMA
TREATMENT
PSYCHOANALYSIS
BEHAVIOR
HUMANISTIC/EXISTENTIAL
COGNITIVE
BIOMEDICAL
TREATMENT FOR ANXIETY
DISORDERS
STRESS MANAGEMENT
LIMITED PSYCHOTHERAPY
RELAXATION, YOGA, MEDITATION
XANAX FOR 2-4 WEEKS
ANAFRANIL, PROZAC FOR OCD
PSYCHOANALYSIS
RESISTANCE
CATHARSIS
TRANSFERENCE
INTERPRETATION
INSIGHT