Strange thought stuck on thought anxiety behavior feel better strange thought

Strange thought stuck on thought anxiety behavior

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- Strange thought -> stuck on thought -> anxiety -> behavior -> feel better -> strange thought - Treatment (medication (fastest), therapy, behavioral treatment (longest)) Exposure therapy: expose the stimulus repeatedly with hierarchy Mood disorders o Major depressive disorder Person experiences, in the absence of drugs or another medical condition, two or more weeks with five or more symptoms, at least one of which must be either (1) depressed mood or (2) loss of interest or pleasure. MDD: 16.6% lifetime 1. Depressed mood 2. Diminished interest/pleasure in activities 3. Significant weight loss/gain or increase/decrease in appetite 4. Insomnia/hypersomnia 5. Psychomotor agitation/retardation 6. Fatigue/loss of energy 7. Feeling worthless/excessive or inappropriate guilt 8. Diminished ability to concentrate/ indecisiveness 9. Recurrent thoughts of death, suicidal ideation, or suicide attempt - Requirements: 2 weeks < || patients must have either depressed mood or decreased interest - Average age of onset: mid 20s Risk factors, recovery (2 months), relapse (50%), comorbidities Persistent Depressive Disorder Major Depressive Disorder 28
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- Poor appetite or overeating - Insomnia or hypersomnia - Low energy or fatigue - Low self-esteem - Poor concentration or difficulty making decisions - Feelings of hopelessness - 1 major depressive episode o Bipolar disorders - Symptoms: Mania or hypomania Increase self-esteem or grandiosity Increase goal-directed activity or psychomotor agitations Increase talkativeness Increase risky behavior Decrease need for sleep Racing thoughts or fight of ideas Distractibility - Bipolar I: single manic episode, no depressive episode required - Bipolar II : depression, hypomania - Cyclothymic disorder : no major depressive episode, symptoms 50% of time, no more than 2 months without symptoms - Risk factors of depressive disorders Genetic/biological factors, environmental (stressful life events, early adversity), attributional styles - Cognitive aspects of depression: internalizing; stabilizing; globalizing - Risk factors for bipolar Genetic/biological factors, environmental (relationship, positive life events, social zeitgeber theory) - Sleep & depression 6 hours > sleep = depression risk; depression increases risk for decreased sleep; lack of sleep = precursor for major depression - Social relationships & depression Isolation = risk factor for depression; depression increases isolation; 25% surveyed felt no social support; 50% surveyed reported no friends outside of family - Mood disorders & suicide 11 th most frequent cause of death in the U.S.; 4x more likely among men; 2-3x more likely among Native American & European American than other ethnicities (Asian, African, Latino); Suicide is highest among the elderly (nearly 60% higher than teens); however, suicide is the 3 rd leading cause of death for adolescents - Suicide helplines Originally interventions were primarily religious-based (empathy and active listening); LA Suicide Prevention Center (problem solving approach); best crisis responders use both (empathy and problem solving) 29
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THERAPEUTIC ORIENTATIONS
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  • Spring '14
  • AlexisJ.Kramer

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