ABNORMAL BEHAVIOR AND THERAPY

ANXIETY DISORDERS

SOMATOFORM DISORDERS

DISSOCIATIVE DISORDERS

DEFINITIONS

STATISTICALCULTURALBEHAVIORALPSYCHOANALYTICLEGAL

– INSANITY– INCOMPETENT– COMMITMENT

ANXIETY DISORDERS

PANIC DISORDERGENERALIZED ANXIETY DISORDERPHOBIAOBSESSIVE-COMPULSIVE DISORDERPOST-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.

SYMPTOMS1. Light headed, dizzy, feeling faint

2. Racing pulse, sweaty palms, hot/cold flashes

3. Hypervigilant, scan environment, worry

4. 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

PARALYSISANESTHESIAANALGESIABACK PAIN, BLINDNESS, DEAFCRAFT PARALYSISSECONDARY GAIN AND INDIFFERENCE

DISSOCIATIVE DISORDERS

DISSOCIATIVE AMNESIADISSOCIATIVE FUGUEDISSOCIATIVE IDENTITY DISORDER

– MULTIPLE PERSONALITY DISORDER

DISSOCIATIVE AMNESIA

AMNESIA FOR EVENTS FROM SEVERAL HOURS TO PERHAPS MONTH

PATIENT IS NOT DISTRESSEDREPRESSION OF TRAUMATIC EVENT

DISSOCIATIVE FUGUE

PRECIPITATED BY EXTREME STRESSFLEE FROM SITUATIONTRAVELLING AMNESIACNO IDENTITY/ASSUMES NEW

IDENTITYINDIFFERENCERARE—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

PSYCHOANALYSISBEHAVIORHUMANISTIC/EXISTENTIALCOGNITIVEBIOMEDICAL

TREATMENT FOR ANXIETY DISORDERS

STRESS MANAGEMENTLIMITED PSYCHOTHERAPY RELAXATION, YOGA, MEDITATIONXANAX FOR 2-4 WEEKSANAFRANIL, PROZAC FOR OCD

PSYCHOANALYSIS

RESISTANCECATHARSISTRANSFERENCEINTERPRETATIONINSIGHT