Dissociation correct answers defense mechanism that protects a person from overwhelming
anxiety by emotionally separating
Depersonalization correct answers unreality or detachment from one's body, thoughts, feeling
and actions
Derealization: correct answers unreality or detachment from one's surroundings
Body dysmorphic disorder correct answers Preoccupation with one or more perceived defects or
flaws in physical appearance
Spends significant time trying to correct perceived flaw with makeup, dermatological procedures
or plastic surgery
Txt: SSRI and or CBT
Hoarding disorder correct answers Persistent difficulty discarding possessions regardless of
actual value
Results in accumulation of possessions that compromise living space or inability to function
Patients who remain resistant to psychosocial interventions, or who lack access to them, can be
provided a trial of a serotonin-reuptake inhibitor, particularly if they have a comorbid affective or
anxiety disorder;
Trichotillomania correct answers Recurrent pulling out one's hair despite repeated attempts to
stop.
Txt: SSRI, Clomipramine; atypical antipsychotics, lithium
, Excoriation Disorder correct answers Recurrent skin picking that results in lesions despite
attempts to stop.
Cognitive-behavioral therapies may be beneficial for patients accepting psychiatric referral
Txt: SSRIS, antipsychotics, anxiolytics
Posttraumatic Stress Disorder (PTSD) correct answers Re-experiencing of an extremely
traumatic event accompanied by symptoms of increased arousal and avoidance of stimuli
associate with the trauma.
PTSD treatment correct answers 1st line: SSRIS (Zoloft, Celexa) or SNRIS (Venlafaxine)
FDA approved meds: Sertraline (Zoloft) and Paroxetine (Paxil)
Alpha-1 agonist (Prazosin)= targets flashbacks; nightmares and hypervigilance
Psychotherapy (CBC- exposure therapy etc.)
• PTSD correct answers is a potentially debilitating disorder that can occurs after a traumatic
event.
Commonly described in war veterans •
Can also present in those experiencing non- war events
PTSD correct answers • Clinical syndrome is characterized by 4 clusters of symptoms: