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OTA 220 Chapter 6
Occupational Therapy
25
Other
Undergraduate 1
04/24/2012

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Term
DSM IV TR
6
Definition
degree of individual functioning
Axis 1 Clinical disorders and other conditions
Axis 2 Personality disorders and mental retardation
Axis 3 General medical disorders
Axis 4 Psychosocial and environmental problems
Axis 5 Global Assessment of functioning
Term
Impulse control disorder
6
Definition
inability for an individual to refrain from acting on an impulse, may be harmful to themselves
behavior often criminal
treatment drugs
kleptomania, Pyromania, pathological gambling
Term
Oppositional Defiant disorder
6
Definition
Disruptive disorder
one of the most common behavior is children
disobedient, uncooperative, negative,
behavior for 6 months
not treated with medication
Term
Schizoaffective disorder
6
Definition
psychotic symptoms( hallucinations, delusions, strange body movements)and mood disorder (depression, mania)
Very difficult to diagnosis and treat
Term
Reactive Attachment Disorder RAD
6
Definition
Begins before the age of 5
Child interacts in inappropriate ways, withdrawn or to socail
Only diagnosis when a history of pathological care present neglect foster care situations
Development delays and PPD must be ruled out
treated by educating the care givers
Term
Histronic personality Disorder
6
Definition
over dramatic behaviors and attention seeking actions
will do anything to get attention
lacks self esteem
draws attention to feel important
Medication only treats side effect such as anxiety and depression
Term
Parasomnias
6
Definition
abnormal behavior that occurs during sleep
4 types sleepwalk, terrors NOS
must cause significant distress impairment
cannot be attributed to Substance abuse
Treatment-medication, avoid triggers home modification, relaxation therapy, parent education
Term
Schizoid Personality Disorder
6
Definition
Distant detached and indifferent to social relationship criticism and praise
Generally loners who prefer solitaire activities and jobs
OT increase coping skills, social interactions, communication, self-esteem
No medication
Term
Paranoid Schizophrenia
6
Definition
presence of psychotic symptoms and decline in functioning
distinguished from other types by delusions of persecution.
Aggressive and early treatment with anti psychotic drugs key
Highest potential for recovery
OT cognitive behavior coaching and social skills
Term
Catatonic Schizophrenia
6
Definition
Motoric immobility
excessive motor activity
extreme negativism
peculiarities of voluntary movement
stereotyped movement, prominent mannerism
Term
Bipolar Disorder
6
Definition
Brain disorders that causes dramatic mood swings
manic and depression episodes
episodes are separated by normal mood
severe manic episodes can lead to psychotic symptoms like hallucinations and delusions
Term
Antisocial personality disorder
6
Definition
Older person typical child dx with Conduct disorder
typically have drug, alcohol problem,
violent to self or others. Manipulative and lie
Don't know what is right from wrong
One of the hardest personality disorders to treat
Term
Conduct Disorder
6
Definition
persistent pattern of antisocial behavior that violates the rights of others
Poor prognosis
lead to antisocial disorders and criminal behavior
Usually have ODD beforehand
OT working on problem solving skills, learning positive social skills parent management training
Term
Gender Identity disorder
6
Definition
Desire to be the opposite sex
discomfort with own sex
persistent fantasies o being other sex
feelings of stress, shame fear guilt
hormone therapy sex assignment
Term
Narcissistic Personality Disorder
6
Definition
over exaggerated ego
lack of empathy
doesn't see rights of others
has a sense of entitlement
selfishly takes advantage of others
Term
Borderline personality disorder
6
Definition
Fear of abandonment
unstable relationship characterized by altering extremes (love-hate)
unstable self image or sense of self (suicide risk & self mutilation)
Intense emotional moods and or responses (can be paranoid)
impulsive and sometimes dangerous behavior (w/o thinking or caring)
Term
Agoraphobia
6
Definition
person's excessive avoidance and anxiety of a fearful scenario such as crowds open spaces, being alone, or social embarrassment, can lead to extreme avoidance/recluse
considered a learned behavior
currently associated with panic disorder
Term
Eating disorder
6
Definition
causes disturbance in day, diet or weight shape
anorexia, bulimia, NOS
weakness, poor dental, physical health decreased self-esteem
psychotherapy, nutritional, medication
OT art therapy, cooking, planning craft
Term
Dissociative Identity disorder
6
Definition
2+ separate personalities that control the individual behavior at various times
used as coping mechanism to escape from traumatic event
Goal is to unite personalities into a single one
Term
Dysthymic Disorder
6
Definition
Mood disorder consisting of chronic depression
less severe than major depression
hard to diagnose, last for 2 years
inadequate amount of neurological in brain
Psychotherapy sensory integration
Term
Major Depression
6
Definition
mood disorder
impairment of social and occupational function
feelings of sadness, despair, and hopelessness, low energy,
Biochemical-brain disorder
Term
CBT
6
Definition
Cognitive behavior theory
Term
Panic disorder
6
Definition
debilitating anxiety and fear arise frequently and without cause
constant worry about having other attacks
constant worry about side effects
significant behavior change related to the attacks
uses exposure techniques and relaxation techniques along with antidepressants/anti anxiety medication
Term
Body Dysmorphic disorder
6
Definition
Obsessive thoughts and compulsive behaviors related to a perceived defect
perfectionism
inability to focus on anything other than perceived defect
repetitive behavior checking mirrors, reapply makeup....nose to big
Term
obsessive compulsive disorder
6
Definition
disorder of brain and behaviors
consistent obsessions and compulsions
antidepressants
goal is to treat symptoms not the disease
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