Posts

Showing posts from October, 2020

NEUROLOGICAL DISORDERS (conversion, Dissociative, somatoform disorders)

Image
  Conversion disorder • Presence of deficits affecting motor or sensory function suggesting a medical or neurological disorder. • Development of symptoms usually in the presence of significant psychological stressor. • Temporal relationship between stressor and development of symptoms. • Patient does not intentionally produce the symptoms. • Detailed physical examination do not reveal any abnormality that can explain the symptoms. • The symptoms may have a symbolic relationship with the stressor. • Sudden onset. Types of disturbance 1) Dissociative motor disorders - motor disturbance involves paralysis or abnormal movements. 2) Dissociative sensory disorders - sensory disturbance involves sensation blindness, deafness, touch, pain. 3) Dissociative convulsions - it is characterised by presence Convulsive movement and partial loss of consciousness. Treatment plans for conversion disorder : Behaviour therapy - aversion therapy, free association. Psychotherapy with abreaction - supportive

ANXIETY DISORDERS (phobia, GAD, OCD)

Image
  Anxiety- increased arousal accompanied by generalized feelings of fear or apprehension. Anxiety disorders- psychological disorders that take several different forms, but which are all related to a generalized feeling of anxiety. Anxiety - an uneasy, fearful feeling - is the hallmark of many psychological disorders. It is often concealed and reduced by defensive behaviours such as avoidance or ritualistic action. Anxiety disorders are those in which intense, observable anxiety or fear is central to the problem. Among the major anxiety disorders are phobias, generalized anxiety disorder, panic disorder, obsessive- compulsive disorder etc. Phobic disorders  Phobic disorder is defined as an irrational fear of a specific object, situation or activity, often leading to persistent avoidance of the feared object, situation or activity.  Features  : 1) presence of the fear of an object, situation, or activity. 2) The fear is out of proportion to the dangerous perceived. 3) Insight is present