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1. Panic disorder Panic attack mus have 4 or more symptoms (increase SNS arousal); atleast one
attack has been followed by 1 month of...
1. concern or worry of an attack
2. maladaptive change in behavior due to attacks (avoiding situations)
-highly comorbid with anxiety
2. how we attain 1. neuroboiologically overreacitve to stress
panic disorder 2. panic attack
3. realize false alarm
4. conditioned through bodily reaction
5. anxious apprehension
6. more false alarms/panic attacks
7. avoidance
3. Separation anxi- distress over being separated, worrying something bad will happen (high recov-
ety ery rates)
-involves nightmares
-4 wk in children
-6 months in adults
4. epidemiology of Avg. age: 23, more females, chronic, highly comorbid with anxiety
panic disorder
5. Anxiety sensitivi- trait like belief that certain bodily symptoms may have harmful consequences
ty
6. Perceived control having sense of perceived control over enviro reduces anxiety and blocks panic
7. Agoraphobia 2 of the following..
fear/anxiety of using public trans, being in open spaces, enclosed spaces, in a
crowd, leaving home alone
-panic like symptoms over fear of something going wrong and can't get help--
, psychopathology exam 2
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avoidance occurs
-last for 6 months to be diagnoses
8. selective mutism failure to speak in social situations (able to but don't)
-lasts for one month
-does not include autism, schizo and other psycho disorder
9. OCD Obession: thoughts, urges that are disturbing AND person attempts to ignore
thought/urges with another thought/action
Compulsion: repetitive behavior performed in response to obsession AND behav-
ior helps reduce anxiety about obessesion
-negative reinforcement
10. Treating OCD exposure and response (CBT)
-reframe to think it doesn't control you- resist compulsion
11. Hoarding disor- Difficulty getting rid of possessions, distress over discarding things, no
der need/space for items
-some OC thoughts
12. PTSD -Stressed based disorder- its own category
exposure to life threatening event/injury-- having memories and dreams about
event that are distressing psychologically and try to avoid thoughts of it
-tend to have a smaller hippocampus (memory loss) but can be reversible
13. Treatment for CBT: tracking and labeling emotions, breathing and relaxation exercises, exposure
PTSD thearpy (in-vivo, imaginal, virtual, talking about event)
14. Meds for PTSD -Benzodiazapines: enhances NT and GABA- GAD and Panic: relaxes muscles etc.,
(should be com- works fast
bined with CBT is -SSRIs: antidepressants- GAD, anxiety, panic, OCD, PTSD: can increase sucidial
best for kids) thoughts, can take weeks
-Antipsychotics: reduces dopamine- OCD, PTSD: last resorts