ANXIETY •
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≥6mont ≥6mo nths hs,, ≥3 of of (irr (irrit itab ab,, musc muscl l tnsion, rstlss, asil! fati"u, #i$cult! sl%in" or concntratin"& T' T' )s! )s!ch chot oth hr* r*** ** + % %il ills ls cont contrrol sta stat t it ith h --.I --.I (if (if u ar ar to us %ills
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)/01IA ◦ -)E2II2 4 21T 4 4 ◦
loo# loo#iin" (% (%ill ills to to control an'it!& Ds Dsns nsit itat atio ion n (%i (%ill lls s to control an'it!&
-02IA5 4 21T 4 B-Blockers! ◦
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)ANI2 AT ATTA2◦ )al%itations ◦ ab# %ain7 ain7 #istr istr ss ◦ nausa ◦ ints ts far far of #a #ath th ◦ chs chstt %ain %ain7t 7ti" i"ht htn nss ss ◦ %rofou ofoun n# #!s%n s%na 4 89 r7o r7o m# m#ic ical al con# con#it itio ions ns:: (if h' of )attac;s un;non& 4 E2G < tro%onin 4 Asthma 4 T-/ (h!%rth!& 4 Dru"s (s%c cocain& 4 if h' of )att attac ac;s ;s ;no ;non: n: ( =>!r (no m# con#itions&& 4 89 A1 A10.T? Benzos 4 8= 20NT.05? SSRI** SSRI** + %s!choth(ma! im%ro@ --.I& 4 f7u A" A"ora%hobia 02D ◦ 01-E 01-E---I0 I0N N tho thou" u"ht ht (%r (%ro@ o@o; o; an'it!& ◦ 20B) 20B)C5 C5-I -I0N 0N- - acti action on (r# (r#uc uc an'it!& ◦ TX TX --.I --.I** or 2lom 2lomi% i%ra rami min n (tca (tca&& + Dsnsitation )T-D ◦ lif lif thr thrat atni nin" n" @n @ntt (s (sn, n, or or '%rinc#& ◦ 9?Anh#onia ◦ =?h!%r@ilanc ◦ 3?a@oi#anc ◦ ? las lashb hbac ac;s ;s (#a! (#a!#r #ra ams ms,, ni"htmars& ◦ + 9 month ◦ < 1 month = Acute stress disorder ◦ )s!c )s!cho hoth thr ra% a%!* !*** **** +--. +--.II (to hl hl% % ith an'it!& IB)C5-E 20NT.05
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INTE INTE.B .BIT ITTE TENT NT ? EX) EX)5 50-IF 0-IFE E 4 Ina% Ina%%r %ro% o%ri riat at oft oftn n @iol @ioln ntt (ina%%ro%riat to strssor& 4 Th! Th! fl fl btt bttr r aft aftrr #oi #oin" n" act 4 T' ---.I + + Bo Boo# stabiliHrs an# Grou% Thra%! )Y.0BANIA 4 Acts to @ An'it! or )lasur (s'ual arousal @n& 4 r/o Arson 4 if if !o !ou st st r fo for r@n", its Intrmittnt '%losi@* not %!romania* (its not %lasur or strss r#ucin"& 4 no ral al tr tratm atmn ntt + + Jail 5E) 5E)T0 T0BA BANI NIA A (mos (mostl tl! ! om omn& n& 4 Act to r#uc #uc an' an'i it! t! (similar to 02D& lin;# to 1ulimia* 4 -s -s obJ obJct ct an'i an'it t! ! 4 -t -tls ls obJ obJct ct @ an' an'i it! t! 4 D' r7 r7o th thft** 4 l% l%to tos s u usu sual all! l! st stll th th sam obJct 4 T': ---.I, .I, th thn 21T 21T Trichot richotilo iloman mania ia (mostl (mostl! ! omn omn&& 4 %ull %ulls s out out hair hair (@ an'i an'it t!& !& 4 r7o fun"us (0 (0/& 4 r7o Al Allo%cia 4 T' --.I f7u: f7u: 1H 1Hoa oarr (ab# (ab# %ai %ain& n& #o #o C1 C1 (a (ats ts hair, clo"s bol&
B00D DI-0.DE.◦ BAY BAY0. DE). DE).EE--I -I0N 0N caus causs s loss loss of functionin" 4 D': 4 D%rss# mo moo# or loss of intrst + -uici# or 4 of 4 s!m%toms blo 4 -l%,Guilt, Enr"!, 2oncnt, A%%tit7 i"ht, %s!chomot or 4 TY)I2A5: 4 5E-- of all, 'c%t Guilt 4 typical is a shorter word, so is less. 4 ATY)I2A5 4 -am but KKsl%, KKa%%tit 4 D' #o all bllo* lo* 4 TY)I2A5 --.I
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ATY)I2A5 -N.I 4 Thra%! @r! hl%ful* 4 1st E2T** (amnsia7st i"ma& f7u h!%oth, rhuma, anmia, chronic %ain
DY-T/YBIA 4 no loss of function 4 D' r7o suici# an# ma!or #%rssi@ 4 T' --.I
ADLC-TBENT DI-0.DE.: ◦ ithin 3mo of strssor, lastin" no mor than 6mo aftr strssor n#s ◦ Man'it! or M#%rssion or M#isturb# bha@ior ◦ If th full critria of BDD is mt, it is N0T a#Justmnt #is BANI2 DI-0.DE.◦ 1I)05A. 4 T!%9: Bania 4 T!%=: /!%omania
-2/IO0)/.ENIA ◦
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"rodromal bcom sociall! ith#ran an# irritabl Ba! ha@ %h!sical com%laints an#7or nfoun# intrst in rli"ion or th occult "schotic%rc%tual #isturbancs, #lusions, an# #isor#r# thou"ht %rocss7contnt ≥9month ResidualIt is mar;# b! at aPct, social ith#raal, an# o## thin;in" or bha@ior (n"ati@ s!m%toms& )atints can continu
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to ha@ hallucinations @n ith tratmnt Th 3 %hass must total to ≥ 6m Two or more of th folloin" must b %rsnt ≥1month: 1# Dlusions$# /allucinations %# Disor"aniH# s%ch 4# Grossl! #isor"aniH# or catatonic bha@ior &# N"ati@ s!m%toms (such as attn# aPct& 2T scan of th ha#? shos nlar"mnt of @ntricls an# #iPus cortical atro%h! -chiHo%hrnics usuall! ha@ "oo# mmor! an# orintation** concrt un#rstan#in" of %ro@rbs 1ttr %ro"nosis: ◦ %rsnc of mor %ositi@ s!m%toms ◦ Acut onst Qors %ro"nosis ◦ mor n"ati@ s!m%toms ◦ "ra#ual onst ◦ famil! h' anti'schotic meds = neurole'tics!! R
Schizot'al (%rsonalit! #isor#r&%aranoi#, o## or ma"ical blifs, ccntric, lac; of frin#s, social an'it! 2ritria for tru %s!chosis ar not mt Schizoid(%rsonalit!#isor#r& ?ith#ran, lac; of nJo!mnt from social intractions, motionall! rstrict#
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DI5C-I0N ◦ A rm blif that is fals but %lausibl (non?biHarr& #os not aPct functionin" ◦ -n mor in ≥>!rs, immi"rants an# harin" im%air#
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EATING DI-0.DE.◦ AN0.EXIA: 4 2an ha@ bin" an# @omitin", but QI55 ala!s ha@ lo( bo#! i"ht (9S blo normal& 4 2an b trat# as out%atints unless )$* blo i#al i"ht 4 T' 1ha@ioral an# famil! thra%! an# su%r@is# i"ht %ro"rams Anti#%rssants that Khun"r (%aro'tin, mirtaHa%in& can hl% ◦ 1C5IBIA NE.F0-A 4 ha@ normal bo#! i"ht 4 Thir s!m%toms ar "o? #!stonic(#istrssin"& 4 bin"7com%nsat c!cl must occur = tims a ;, for 3 months
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T' %s!chothra%! an# --.I
DEAT/ ◦ Grif @s #%rssion: 4 Grif #os N0T ha@ -uici# i#as 4 Grif s!m%toms com an# "o, ar not %rsistnt 4 no im%air# f'n (so no n# for --.I& 4 Grif lasts U9!r althou"h usuall! U=mo 4 both ha@ %s!chotic faturs (harin", sin" th #%art#& 4 Grif usuall! has insi"ht, ;no its im%ossibl 4 D%rssion? can ha@ con@rsations ith #%art# no insi"ht 4 D%rssion: 4 %rsistnt,
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)) DE).E--I0N: 4 #os not car about bab!, ill n"lct, but not acti@l! inJur 79mo 4 T' n#s tratmnt* )) )-!chosis 4 ar of bab!, bab! ill hurt m so I must ;ill it** 79mo 4 T' moo# stabiliHrs(if ma!or #%rssi@ is %r#ominant&, anti%s!chotics (for %s!chotic faturs&
ADDI2TI0N: • •
Abus: usin" #ru" ina%%ro%riatl! D%n#nc
A520/05: • Into'ication: ◦ "i@ ,aloone, Thiamin, DS> ("lucos& (must "i@ thiamin for th Glucos to b us#**& • Qith#raal: ◦ /TN < Tach!car#ia (9st si"n& ◦ An'ious ◦ DX 1nHo#iaH%ins ta%r, thn %rn 1nHos • Qirnic;s: r@rsibl • orsa;oPWs irr@rsibl D' Grou% thra%!* 1nHo into' "i@ .umazenil E'cit#
