{"id":69840,"date":"2020-01-16T22:00:07","date_gmt":"2020-01-17T03:00:07","guid":{"rendered":"https:\/\/effectsofanxiety.net\/archives\/69840"},"modified":"2020-01-16T22:00:07","modified_gmt":"2020-01-17T03:00:07","slug":"anxiety-ocd-ptsd-and-related-psychiatric-disorders","status":"publish","type":"post","link":"https:\/\/effectsofanxiety.net\/archives\/69840","title":{"rendered":"Anxiety, OCD, PTSD, and related psychiatric disorders"},"content":{"rendered":"<p><div class=\"jetpack-video-wrapper\"><iframe loading=\"lazy\" title=\"Anxiety, OCD, PTSD, and related psychiatric disorders\" width=\"660\" height=\"371\" src=\"https:\/\/www.youtube.com\/embed\/-BwzQF9DTlY?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe><\/div><\/p>This is a brief video on psych disorders related to nervousness, rumination, and related somatic complaints.  \n\nI created this presentation with Google Slides.\nImages were created or taken from Wikimedia Commons\nI created this video with the YouTube Video Editor.\n\nADDITIONAL TAGS:\nGeneralized anxiety disorder\n5-10 percent lifetime prevalence; 2:1 W:M\nDefinition: Excessive worrying and anxiety for 6 months \nWorry about school\/grades, job, money, relationships, events, life\nPathophys: \u201cdisrupted functional connectivity of the amygdala and its processing of fear and anxiety\u201d\nAt least 3 of symptoms:  Restlessness, Tires easily, Problems concentrating, Irritability, Muscle tension, Problems with sleep\nSpecific phobias \n10 percent lifetime prevalence; W M, approx 2:1\nDefinition: Irrational fear of a specific object, place, situation, or concept for 6+ months  \nFear out or proportion to imminent threat\nFear interferes with functioning in society\nExposure induces immediate fear; removal reduces anxiety\nFear might have developed from related trauma\nSocial phobia: fear of embarrassment in public situation\nAgoraphobia: fear of public places due to lack of ability to escape; fear of unsafe environment\nTreatment: \nSeparation anxiety disorder\nDefinition: \u201cexcessive anxiety regarding separation from home or from people to whom the individual has a strong emotional attachment\u201d for 4w in children or 6mo in adults\nMay include anxiety\/fear\/distress when separated; reluctance to be alone\/leave home\/school\/work; worry about harm to attachment figures\nSymptoms cause dysfunction in society\nTreat with CBT, family therapy, and possibly adjunct SSRIs\nSimilar anxiety during normal child development: \nStranger anxiety at 6 months \nSeparation anxiety at 1 year \nPanic attacks\n4% lifetime prevalence; W:M 2:1\nDefinition: \u201csudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something bad is going to happen\u201d\nOccurrence of at least one attack\nConstant worry about recurrence\nOther symptoms \u2026 trembling, unsteadiness, depersonalization, palpitations, abdominal pain, chest pain\nMust rule out medical etiologies: hyperthyroidism, afib, pheochromocytoma, drugs (amphetamines, sympathomimetics)\nObsessive compulsive disorder\n2 to 3 percent lifetime prevalence; M=F\nObsessions: recurrent thoughts that persist despite trying to ignore them\nCompulsions: explicit rituals that either reduce anxiety or that patients feel they have to perform\nOCD is associated\/comorbid with other psychiatric disorders: other anxieties, depression\/bipolar, OCPD\nTreatment: \nPsychotherapy: CBT\nPharmacotherapy: SSRI clomipramine (TCA) ECT\nGeneralized anxiety d\/o\nSpecific phobias \nSeparation anxiety d\/o\nPanic attacks \nOCD\nOCD-related d\/o\nPTSD\nAcute stress d\/o\nAdjustment d\/o\nOCD-related disorders\nBody dysmorphic disorder\nWM, higher in derm and cosmetic sx pts\nPerceived flaws in physical appearance\nExcoriation disorder – compulsive skin picking\nHoarding disorder\nCannot discard possessions, regardless of value \nTypically accumulate trash \nTreat with specialized CBT\nTrichotillomania – hair pulling disorder\nTreat with specialized CBT: habit reversal training; SSRIs, atypical antipsychotics\nPost traumatic stress disorder\nMental disorder occurring after exposure to trauma, such as sexual assault, warfare, violence, traffic collisions\nSymptoms of increased reactivity, irritability, difficulty concentrating, hypervigilance, exaggerated startle, sleep difficulties\nAvoidance of triggers of symptoms\nSymptoms lasting 1 month  \nAcute stress disorder: PTSD-like condition with trauma occurring 1 mo ago symptoms lasting 1 mo\nTreatment:\nPsychotherapy: CBT (exposure therapy, cognitive processing therapy)\nAdjustment disorder\nVery common; up to 20 percent in outpatient clinics\nPatient unable to cope with stress or major life event\nSymptoms include loss of interest, crying, feeling of hopelessness\nSymptoms occur within 3 mo of stressor and should resolve by 6 mo\nSymptoms resolve when pt adapts to new situation \n\u201cSituational depression\u201d \nTreat with supportive therapy\nCan consider temporary medications for some symptoms (insomnia, anxiety, or depression)","protected":false},"excerpt":{"rendered":"<p>This is a brief video on psych disorders related to nervousness, rumination, and related somatic complaints. I created this presentation with Google Slides. Images were created or taken from Wikimedia Commons I created this video with the YouTube Video Editor. ADDITIONAL TAGS: Generalized anxiety disorder 5-10 percent lifetime prevalence; 2:1 W:M Definition: Excessive worrying and &hellip; <a href=\"https:\/\/effectsofanxiety.net\/archives\/69840\" class=\"more-link\">Continue reading <span class=\"screen-reader-text\">Anxiety, OCD, PTSD, and related psychiatric disorders<\/span><\/a><\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":false,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[409],"tags":[696,38143,19,16121,38145,38146,35251,34389,36104,38148,38149,38150,38151,38152,38156,38153,38154,38157,38158,38159,38147,37010,38155,38161,34828,38144,37518,38160,41051],"class_list":["post-69840","post","type-post","status-publish","format-standard","hentry","category-health","tag-anxiety","tag-anxiety-and-stress","tag-anxiety-attack","tag-anxiety-disorder","tag-anxiety-panic-attack","tag-anxiety-panic-disorder","tag-anxiety-treatment","tag-chronic-stress","tag-coping-with-stress","tag-cure-for-anxiety","tag-cures-for-anxiety","tag-drugs-for-anxiety","tag-help-for-anxiety","tag-herbs-for-anxiety","tag-natural-cure-for-anxiety","tag-natural-cures-for-anxiety","tag-natural-remedies-for-anxiety","tag-natural-remedy-for-anxiety","tag-natural-treatment-for-anxiety","tag-natural-treatments-for-anxiety","tag-panic-attack-treatment","tag-panic-disorder","tag-remedies-for-anxiety","tag-social-anxiety-disorder","tag-stress-anxiety","tag-symptoms-of-a-panic-attack","tag-treatment-for-anxiety-disorder","tag-treatments-for-anxiety","tag-youtube-editor"],"jetpack_publicize_connections":[],"jetpack_sharing_enabled":true,"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/69840","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/comments?post=69840"}],"version-history":[{"count":0,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/posts\/69840\/revisions"}],"wp:attachment":[{"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/media?parent=69840"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/categories?post=69840"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/effectsofanxiety.net\/wp-json\/wp\/v2\/tags?post=69840"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}