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V. 기분장애(Mood Disorders)
V. 기분장애(Mood Disorders)

Mood Disorders
Mood Disorders

... present in dysthymia but not major depression? A. anhedonia and irritable mood B. feelings of hopelessness and low selfesteem C. increase in goal oriented activities and flight of ideas D. depressed mood and suicidal ideation ...
1 - U-System
1 - U-System

... responds, “All my life I have always felt very alone and empty inside; I smoke to fill myself up.” The patient shows no evidence of a thought disorder but reveals that she often cuts her skin with a razor in order to “feel something” and has made three suicide attempts. This clinical picture is most ...
10. Assessment of Eating Disorders
10. Assessment of Eating Disorders

... The EDI (or EDI-I) is a self-report instrument designed to assess different cognitive and behavioural dimensions of AN and BN. It consists of 64 items grouped in 8 subscales that are positively correlated. The first three subscales measure behaviour and attitudes toward food, weight and body image ( ...
Psychodiagnosis I - i
Psychodiagnosis I - i

Treating Depression with Integrative Medicine and Acupuncture
Treating Depression with Integrative Medicine and Acupuncture

... depression. The NIH funded study concludes, “Acupuncture may alter brain chemistry by changing the release of neurotransmitters and neurohormones in a good way.” Stanford researchers, using a small sample of 61 pregnant women, found that those who were given acupuncture treatments had significantly ...
Massachusetts General Hospital SAFER Criteria for Clinical
Massachusetts General Hospital SAFER Criteria for Clinical

Lectures
Lectures

... List several psychiatric conditions that are commonly comorbid with schizophrenia. Understand the distinctions between first-generation or typical neuroleptics and second-generation or atypical ...
Oppositional defiant disorder (ODD) in DSM-5
Oppositional defiant disorder (ODD) in DSM-5

... confrontational, and problematic behavior. There is a resulting unwillingness, for the sake of dignity, to “bend” to normal consequences. 3. The associated trauma with this unfair treatment is so severe that it regularly evokes a fight-or-flight neuroendocrine response during difficult conversations ...
Severity Measure for Panic Disorder, Adult
Severity Measure for Panic Disorder, Adult

... The Severity Measure for Panic Disorder—Adult is a 10-item measure that assesses the severity of symptoms of panic disorder in individuals age 18 and older. The measure was designed to be completed by an individual upon receiving a diagnosis of panic disorder (or clinically significant panic disorde ...
Bipolar Disorder Practice Guidelines for Adults
Bipolar Disorder Practice Guidelines for Adults

... For patients who, despite receiving maintenance medication treatment, experience a manic or mixed episode (i.e., a “breakthrough” episode), the first-line intervention should be to optimize the medication dose. Optimization of dosage entails ensuring that the blood level is in the therapeutic range ...
Psychotherapy Dr Deanna Mercer 2012
Psychotherapy Dr Deanna Mercer 2012

... • Therapists capitalize on brain plasticity to produce change at the neural level. • Therapists train the brain to develop new neural associative networks that help the individual respond in ways that are more adaptive and healthy. ...
PTSD, TBI, STS, and You
PTSD, TBI, STS, and You

... What is PTSD? • PTSD is clinically defined by five clinical factors: o The person has been exposed to a traumatic event (such as combat). o The traumatic event is repeatedly re-experienced in distress, nightmares, or other disturbances. o The person attempts to avoid or numb their responsiveness to ...
Relations between Post-traumatic Stress Disorder, Dissociation and
Relations between Post-traumatic Stress Disorder, Dissociation and

... Anahtar kelimeler: TSSB, DEHB, disosiyasyon, depresyon, doğal felaket ...
A long shadow is lifted on Asperger`s in adults
A long shadow is lifted on Asperger`s in adults

... starting to discover generations who escaped diagnosis? The condition officially wasn't recognized until 1994, which leads people such as Marshack to believe doctors are playing catchup with adult diagnoses. Because some Asperger's adults are spouses and parents and have enduring careers, others sug ...
Guidelines for Documentation of Attention
Guidelines for Documentation of Attention

Culture-Specific Diagnoses and Their Relationship to Mood Disorders
Culture-Specific Diagnoses and Their Relationship to Mood Disorders

... somehow been socially isolated and, therefore, saw patterns of distress as unique and locality bound. Considering the massive cultural diffusions that have occurred throughout human history, the concept of boundedness has rarely been tenable. It would be more accurate to say that many of these syndr ...
Irritability in children and adolescents: past concepts, UPDATE ARTICLE Fernanda Valle Krieger,
Irritability in children and adolescents: past concepts, UPDATE ARTICLE Fernanda Valle Krieger,

... goal-directed activities, flight of ideas, distractibility, and psychomotor agitation. The concurrent presence of A and B symptoms configures an episode of mania or hypomania; the difference between the two depends on the intensity and duration of symptoms.8 Specifically, the controversy in pediatri ...
Panic Disorder
Panic Disorder

... • 1. Recurrent unexpected panic attacks • 2. Following the attacks, pt has been concerned for more than a month about additional attacks, implications of the attacks or had a change in behavior as a result to the attacks. • 3. Panic attacks are not part of another disorder. ...
how is it prevented and treated? Tardive dyskinesia −−
how is it prevented and treated? Tardive dyskinesia −−

... long-term antipsychotic therapy: Kane et al effective treatments for TD, the most important (1984) reported that the incidence was in step is to prevent its development (Table 1). creased with each subsequent year of exposure Once signs of TD are evident, management will to antipsychotics, starting ...
Mood (affective) disorders (F30-F39)
Mood (affective) disorders (F30-F39)

... significant mood disturbance, and has not done so for several months. Periods of remission during prophylactic treatment should be coded here. F32 Depressive episode In typical mild, moderate, or severe depressive episodes, the patient suffers from lowering of mood, reduction of energy, and decrease ...
DSM-5 Changes
DSM-5 Changes

... Dissociative Disorders Depersonalization: Experiences of unreality, detachment, or being an outside observer with respect to one’s thoughts, feelings, body Derealization: Experiences of unreality or detachment with respect to one’s surroundings Dissociative fugue is now a specifier of Dissociative ...
Page 1 - rguhs
Page 1 - rguhs

... that is manifested in uncontrollable panic attacks (hyperventilation). Post-traumatic stress disorder (PTSD) occurs in children who have been traumatized by violence, physical or sexual abuse, or have lived through a war or natural disaster. It is characterized by flashbacks to the distressing event ...
Birthplace
Birthplace

... bothered by an identified “worst” stressful event in the past month. The PTSD Checklist (PCL-5) for The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) is based on the PCL-4 for The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), a brief, ...
Major Depressive Disorder
Major Depressive Disorder

... its frequent co-occurrence with other psychiatric disorders. Population-based surveys of individuals who have been diagnosed with PTSD show that these persons have rates of 62% to 92% of other types of psychological disorders. In a major study of veterans who had served in Viet Nam (Kulka et al.1990 ...
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Dissociative identity disorder



Dissociative identity disorder (DID), previously known as multiple personality disorder (MPD), is a mental disorder on the dissociative spectrum characterized by the appearance of at least two distinct and relatively enduring identities or dissociated personality states that alternately control a person's behavior, accompanied by memory impairment for important information not explained by ordinary forgetfulness. These symptoms are not accounted for by substance abuse, seizures, other medical conditions, nor by imaginative play in children. Diagnosis is often difficult as there is considerable comorbidity with other mental disorders. Malingering should be considered if there is possible financial or forensic gain, as well as factitious disorder if help-seeking behavior is prominent.DID is one of the most controversial psychiatric disorders, with no clear consensus on diagnostic criteria or treatment. Research on treatment efficacy has been concerned primarily with clinical approaches and case studies. Dissociative symptoms range from common lapses in attention, becoming distracted by something else, and daydreaming, to pathological dissociative disorders. No systematic, empirically-supported definition of ""dissociation"" exists. It is not the same as schizophrenia.Although neither epidemiological surveys nor longitudinal studies have been conducted, it is generally believed that DID rarely resolves spontaneously. Symptoms are said to vary over time. In general, the prognosis is poor, especially for those with comorbid disorders. There are few systematic data on the prevalence of DID. The International Society for the Study of Trauma and Dissociation states that the prevalence is between 1 and 3% in the general population, and between 1 and 5% in inpatient groups in Europe and North America. DID is diagnosed more frequently in North America than in the rest of the world, and is diagnosed three to nine times more often in females than in males. The prevalence of DID diagnoses increased greatly in the latter half of the 20th century, along with the number of identities (often referred to as ""alters"") claimed by patients (increasing from an average of two or three to approximately 16). DID is also controversial within the legal system, where it has been used as a rarely successful form of the insanity defense. The 1990s showed a parallel increase in the number of court cases involving the diagnosis.Dissociative disorders including DID have been attributed to disruptions in memory caused by trauma and other forms of stress, but research on this hypothesis has been characterized by poor methodology. So far, scientific studies, usually focusing on memory, have been few and the results have been inconclusive. An alternative hypothesis for the etiology of DID is as a by-product of techniques employed by some therapists, especially those using hypnosis, and disagreement between the two positions is characterized by intense debate. DID became a popular diagnosis in the 1970s, 80s and 90s, but it is unclear if the actual rate of the disorder increased, if it was more recognized by health care providers, or if sociocultural factors caused an increase in therapy-induced (iatrogenic) presentations. The unusual number of diagnoses after 1980, clustered around a small number of clinicians and the suggestibility characteristic of those with DID, support the hypothesis that DID is therapist-induced. The unusual clustering of diagnoses has also been explained as due to a lack of awareness and training among clinicians to recognize cases of DID.
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