Generalized psychological vulnerability or Generalized biological and the

Generalized psychological vulnerability or

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Generalized psychological vulnerability or Generalized biological and the Experience of trauma happens, you develop True alarm: alternative intense basic emotions such as anger, distress which leads to Learned alarm (or strong, mixed emotions), which leads to Anxious apprehension: focused on re-experienced emotions, which leads to Avoidance or numbing of emotional response, which leads to moderated by social support and ability to cope, which leads to Causes of OCD Generalized psychological vulnerability or Generalized biological vulnerability leads to Stress due to life event with Intrusive thoughts, images, or impulses, which can lead to Specific psychological vulnerability: thoughts are dangerous and unacceptable, and if Anxious apprehension (focused on recurring thoughts) happen, then it can lead to cognitive or behavioral rituals to neutralize or suppress thoughts, OR lead to OCD False alarms (associated with unacceptable thoughts) happens, which leads to learned alarms which trigger anxious apprehension which can lead to cognitive or behavioral rituals to neutralize or suppress thoughts, OR lead to OCD Treatment for disorder Treatments for GAD: Pharmacological Benzodiazepine (minor tranquilizers): risk-drowsiness v. benefits Antidepressant Psychological Similar benefits to drugs and better long term results Cognitive behavioral treatments (CBT) (best one) Exposure to worry process Confronting anxiety-provoking images Coping strategies Acceptance
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Meditation Treatments for Panic disorder and Agoraphobia Medications Multiple systems affected by meds: Serotonergic, Noradrenergic, GABA Benzodiazepines (e.g. Ativan), SSRIs (e.g., Prozac and Paxil) High relapse rates after discontinuation of medication Psychological intervention (e.g., CBT) Exposure- based, Reality testing, Relaxation and breathing skills Combined psychological and drug treatments No better than CBT or drugs alone CBT = better long term Treatments for SAD: Medications Beta blockers Benzodiazepines SSRI (Paxil, Zoloft, and Effexor) D-cycloserine (DCS) The med prevents the physiological symptoms so that your amygdala doesn't fire off and you feel the physical symptoms as much so you can calm yourself better Psychological Cognitive-behavioral treatment Challenging anxious thoughts about consequences of social Judgment Exposure to anxiety-provoking situations Rehearsal Role-play Ex: social anxiety camps where kids with SAD can improve Treatments for PTSD Cognitive-behavioral treatment Imaginal exposure to memories of traumatic event (i.e. trauma narrative) Increase positive coping skills
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Increase social support Highly effective Psychodynamic therapy: catharsis = reliving trauma to relieve suffering Medications SSRIs can be helpful Relieve heightened anxiety and panic attacks common to PT Treatments for OCD Medications SSRIs 60% benefit
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  • Fall '09
  • zalava
  • Professor Navarro

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