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Abnormal Edition Trauma & DID Schizophrenia Personality Disorders Eating Disorders Substance Use Disorders Name that Disorder! $100 $100 $100 $100 $100 $100 $200 $200 $200 200 $200 $200 $200 $300 $300 $300 $300 $300 $300 $400 $400 $400 $400 $400 $400 $500 $500 $500 $500 $500 $500 This type of symptom is a criteria for ASD but not for PTSD. Psychologist Edna Foa has highlighted the importance of this in the treatment of PTSD, which involves facing fears, diminishing their intensity, and coming to a new understanding about the trauma and its consequences. When treating an individual with DID, the psychologist will most likely focus on doing this. According to the Two-Factor Model for the etiology of PTSD, this occurs during step one to create an initial association between some type of stimulus and an unpleasant emotional reaction. Janet recently experienced a traumatic event, but she is not highly distressed by it. However, her friend convinces her to see a counselor, just to be safe. The counselor thoroughly and repeatedly discusses the event with Janet, and over time, Janet becomes distressed. This term describes the phenomenon Janet experienced in therapy. These are two of the negative symptoms of schizophrenia. Some clients are “incorrectly” diagnosed with schizotypal personality disorder, instead of schizophrenia, because its presentation is similar to that of this phase of schizophrenia. This is a family risk factor for relapse in symptoms of schizophrenia. Jackson had a psychotic break during his third year of college and was diagnosed with schizophrenia. He has become more impaired over time and is having trouble finding a job. Jackson’s experience is consistent with this hypothesis for the relationship between schizophrenia and lower SES. This type of treatment involves bringing together a team of professionals to meet the needs of the client and is associated with a variety of good outcomes. Antisocial PD has many features which overlap with this, which is not a disorder in the DSM-IV. This treatment for borderline PD involves skills training, exposure, and acceptance of the client’s feelings and behavior on the part of both the client and clinician. Hadley comes in for therapy feeling very angry at her co-workers for their laziness and incompetence. She is unlikely to recognize that her perceptions of others’ motivation and work are inaccurate because of this feature of PDs. Although it has been argued that PDs are untreatable, research suggests, for example, that CBGT is actually quite effective in treating this disorder. These are two advantages of the current categorical classification system for PDs found in the DSM-IV. These are the two sub-types of anorexia nervosa. These two types of families are more associated with anorexia nervosa than with bulimia nervosa. The presence of this behavior in either anorexia nervosa or bulimia nervosa is often found to relate to increased incidence of other forms of psychopathology. The research cited in your book suggested that approximately this percent of individuals with anorexia nervosa will die for reasons related to the disorder. Although depression is commonly seen in both those with anorexia and those with bulimia, the other disorders comorbid with this eating disorder seem to include an underlying need for control. This is an example of substance use treatment that believes abstinence is necessary. Paul started using cocaine several months ago. Since then, he has stopped regularly attending classes and his grades have dropped. He is showing this symptom of abuse. This is confused state in which the person withdrawing from alcohol becomes less aware of their surroundings and has difficulties sustaining attention. Men are this much more likely to abuse alcohol than women. This ethnic group is generally found to have lower rates of heavy alcohol use than White Americans, whereas this ethnic group is generally found to have higher rates than White Americans. - hypervigilance, exaggerated startle response - depersonalization - flashbacks - avoids reminders, emotional numbing - duration = 3 weeks - persecutory delusions - disorganized speech - both consistently for 3 years, unmedicated - depressive symptoms - for 6 years with only short remissions (3 mos or less) - prone to depression - feels underappreciated - envies others with status - exploits others - binges twice a day - exercises 2 hours a day - vomits after binges - height = 5’4”; weight = 115 lbs - used cocaine 2002-2006 - used marijuana 2000-2008 - used heroin 2004 - developed tolerance to cocaine and heroin - bad withdrawal from cocaine - still has cravings for all FINAL CATEGORY Who’s being treated with what now? Match each disorder below with the treatments (discussed in lecture or the book) that have shown some effectiveness (in the short or long term). Anorexia BPD Schizophrenia Alcohol Dependence ADHD Bulimia PTSD Anorexia Schizophrenia BPD Alcohol Dependence ADHD Bulimia PTSD Possible Treatments: EMDR IPT DBT CBT AA Assertive Community Tx Motivational Interviewing Family Interventions Psychostimulants Antipsychotics