High relapse when discontinued Psychosurgery cingulotomy Radical treatment for

High relapse when discontinued psychosurgery

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High relapse when discontinued Psychosurgery (cingulotomy) Radical treatment for OCD 30% of the time it works Cognitive-behavioral therapy Exposure and ritual prevention (ERP) Ex: richard example, tried to prevent him from washing his hands which was a ritual prevention of contamination fear, so he was able to work thru this kind of help Highly effective One study found that 86% of patients benefit No added benefit from combined treatment with drugs Cultural considerations Cultural Factors in Panic Disorder and Agoraphobia Similar prevalence rates across cultures Variables symptoms expression Somatic symptoms (physical) more emphasized than emotional symptoms in developing countries Bc in some cultures its not socially accepted to express emotions so the say instead that they have a headache, or don't feel good Culture-bound syndromes that can look like panic disorders Susto: increased heart rate, sweating, insomnia, but they are not feeling anxiety Ataque de nervios: attack of the nerves, shaking, breathing problems, sweating
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SAD Across Cultures Japan - taijin kyofusho*** Fear of offending others or making them uncomfortable Concern about aspects of personal appearance (ex: stuttering, blushing, body odor) More common in male Ch. 7 Mood Disorders & Suicide (17 questions) Core clinical features of various Mood Episodes (MDE vs. Manic vs. Hypomanic) Major Depressive Episode (MDE) Extremely depressed mood and/or loss of pleasure (anhedonia) Lasts most of the day, nearly every day for at least two weeks At least 4 additional physical or cognitive symptoms E.g., indecisiveness, feelings of worthlessness, fatigue, appetite change, restlessness or feeling slowed down, sleep disturbance Manic episode Elevated, expansive mood for at least one week Example of symptoms: Elevated self-esteem, decreased need for sleep, excessive talkativeness, flight of ideas or sense that thoughts are racing, easy distractibility, increase in goal-directed activity or psychomotor allegations, excessive involvement in pleasurable but risky behaviors Impairment in normal functioning Hypomanic Shorter, less severe version of manic episodes Last at least four days Have fewer and milder symptoms Associated with less impairment than a manic episode May not be problematic in and of itself, but usually occurs in the context or a more problematic mood disorder YOU CAN HAVE DOUBLE DEPRESSION* Structure of Mood Disorders (Unipolar vs. Bipolar) Unipolar mood disorders: only extreme of mood is experienced E.g., only depression or only mania Depression alone is much more common than mania alone Bipolar mood disorder: both depressed and elevated moods are experienced E.g., some depressive episodes and some manic hypomanic episodes Difference between Episodes vs. Disorders Episodes are symptoms of the disorder Episodes can subside once the stressor is no longer there Core clinical features of Major Depressive Disorder vs. Bipolar I vs. Bipolar II Disorders
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  • Fall '09
  • zalava
  • Professor Navarro

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