This vignette sounds most like which of the following disorders?
Why is the described disorder coded on Axis I of the DSM?
Axis I d/o are clinical syndromes
Dx usually first occur in childhood and adolescence
Includes: cognitive d/o (i.e. dementia, also culture-bound syndromes), mental d/o due to
general med condition, substance-related d/o, Schizophrenia and other Psychotic d/o, mood
d/o, anxiety d/o, sexual and GID d/o, eating d/o, sleeping d/o, impulse control d/o
In the above vignette, not being able to perform normal activities (like go to class or to a
anything debilitating: Agoraphobia, depression, schizophrenia,
This vignette most closely depicts which of the following problems?
If you have this problem and you do NOT seek treatment, what is the MOST LIKELY
– most likely schizophrenia.
Tx also often not seeked in mania/bi-polar, personality d/o
(but pers d/o are high functioning)
Anyone can develop this problem, but who is most at risk?
ppl are at most risk for schizophrenia when around college age, if have blood relatives that
have it (bc relatives share similar genes, but also environmental factors and stressors).
African Americans highest risk demographic. Also people in lower SES, more stressors
How many people will have an attack of this type at some point in their lives?
for schizo, 1% of Americans get it at some point
for panic attacks, 83% women and 76% men.
panic attack = intense fear accompanied by somatic sx like pounding heart, trembling,
shortness of breath, fear of losing control and of dying. Recurrent, unexpected attacks,
If you have repeated attacks of this type, to the point where you avoid situations that might
provoke one, what is it called?
– panic attack with *agoraphobia
What is the most effective treatment for this problem?
for panic disorder (& GAD) Cog-Behavior Therapy is most effective
- educate about d/o and sx, identify sources of panic, muscle-relaxation training, change
unrealistic thoughts, use coping strategies
Which of the following would be the best initial differential diagnosis to consider given this