Anxiety, stress-related and somatoform disorders
Chapter 7
Anxiety, stress-related and somatoform disorders
4 topics
- 16Anxiety disorders: agoraphobia, social phobia (social anxiety disorder), specific phobias, panic disorder, and generalized anxiety disorder. Epidemiology, etiology, clinical features, course, and treatmentFear and worry out of all proportion to any real danger, held in place by avoidance. Panic disorder, agoraphobia, social anxiety disorder, specific phobias and generalised anxiety disorder, what sets each apart, the physical illnesses that mimic them, and the stepped care of psychological therapy and SSRIs that treats them.
- 17Obsessive-compulsive disorder: epidemiology, etiology, clinical features, course, and treatmentUnwanted, intrusive thoughts that the person recognises as their own, and the rituals done to neutralise them. How obsessive-compulsive disorder and its related disorders are recognised, the brain circuits and learning that sustain them, and how exposure and response prevention, SSRIs at higher doses and, rarely, deep brain stimulation treat them.
- 18Acute stress reaction, adjustment disorders, and post-traumatic stress disorder: epidemiology, etiology, clinical features, course, and treatmentDisorders that would not exist without a stressor, from the passing daze after a disaster to post-traumatic stress disorder years later. How acute stress reactions, adjustment disorders, PTSD, complex PTSD and prolonged grief are told apart, why some people stay stuck after trauma, and why trauma-focused therapy, not debriefing or pills, is the first treatment.
- 19Somatoform and conversion/dissociative disorders: epidemiology, etiology, clinical features, course, and treatment. Consultation-Liaison PsychiatryReal symptoms that disease does not explain, and breaks in the normal joining of memory, identity and movement. How bodily distress, functional neurological disorder and the dissociative disorders are recognised by positive signs, told apart from feigned illness, and treated by explanation, rehabilitation and avoiding harm, and how consultation-liaison psychiatry works in the general hospital.