Anxiety, OCD, PTSD, and related psychiatric disorders

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 TH-cam Video Editor.
ADDITIONAL TAGS:
Generalized anxiety disorder
5-10 percent lifetime prevalence; 2:1 W:M
Definition: Excessive worrying and anxiety for 6 months
Worry about school/grades, job, money, relationships, events, life
Pathophys: “disrupted functional connectivity of the amygdala and its processing of fear and anxiety”
At least 3 of symptoms: Restlessness, Tires easily, Problems concentrating, Irritability, Muscle tension, Problems with sleep
Specific phobias
10 percent lifetime prevalence; W M, approx 2:1
Definition: Irrational fear of a specific object, place, situation, or concept for 6+ months
Fear out or proportion to imminent threat
Fear interferes with functioning in society
Exposure induces immediate fear; removal reduces anxiety
Fear might have developed from related trauma
Social phobia: fear of embarrassment in public situation
Agoraphobia: fear of public places due to lack of ability to escape; fear of unsafe environment
Treatment:
Separation anxiety disorder
Definition: “excessive anxiety regarding separation from home or from people to whom the individual has a strong emotional attachment” for 4w in children or 6mo in adults
May include anxiety/fear/distress when separated; reluctance to be alone/leave home/school/work; worry about harm to attachment figures
Symptoms cause dysfunction in society
Treat with CBT, family therapy, and possibly adjunct SSRIs
Similar anxiety during normal child development:
Stranger anxiety at 6 months
Separation anxiety at 1 year
Panic attacks
4% lifetime prevalence; W:M 2:1
Definition: “sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something bad is going to happen”
Occurrence of at least one attack
Constant worry about recurrence
Other symptoms … trembling, unsteadiness, depersonalization, palpitations, abdominal pain, chest pain
Must rule out medical etiologies: hyperthyroidism, afib, pheochromocytoma, drugs (amphetamines, sympathomimetics)
Obsessive compulsive disorder
2 to 3 percent lifetime prevalence; M=F
Obsessions: recurrent thoughts that persist despite trying to ignore them
Compulsions: explicit rituals that either reduce anxiety or that patients feel they have to perform
OCD is associated/comorbid with other psychiatric disorders: other anxieties, depression/bipolar, OCPD
Treatment:
Psychotherapy: CBT
Pharmacotherapy: SSRI clomipramine (TCA) ECT
Generalized anxiety d/o
Specific phobias
Separation anxiety d/o
Panic attacks
OCD
OCD-related d/o
PTSD
Acute stress d/o
Adjustment d/o
OCD-related disorders
Body dysmorphic disorder
WM, higher in derm and cosmetic sx pts
Perceived flaws in physical appearance
Excoriation disorder - compulsive skin picking
Hoarding disorder
Cannot discard possessions, regardless of value
Typically accumulate trash
Treat with specialized CBT
Trichotillomania - hair pulling disorder
Treat with specialized CBT: habit reversal training; SSRIs, atypical antipsychotics
Post traumatic stress disorder
Mental disorder occurring after exposure to trauma, such as sexual assault, warfare, violence, traffic collisions
Symptoms of increased reactivity, irritability, difficulty concentrating, hypervigilance, exaggerated startle, sleep difficulties
Avoidance of triggers of symptoms
Symptoms lasting 1 month
Acute stress disorder: PTSD-like condition with trauma occurring 1 mo ago symptoms lasting 1 mo
Treatment:
Psychotherapy: CBT (exposure therapy, cognitive processing therapy)
Adjustment disorder
Very common; up to 20 percent in outpatient clinics
Patient unable to cope with stress or major life event
Symptoms include loss of interest, crying, feeling of hopelessness
Symptoms occur within 3 mo of stressor and should resolve by 6 mo
Symptoms resolve when pt adapts to new situation
“Situational depression”
Treat with supportive therapy
Can consider temporary medications for some symptoms (insomnia, anxiety, or depression)

[@lauriedmills7581]

Great lectures :). For panic attacks I suggest the addition of menopause and hormonal issues in women as areas to explore as many women never have a panic attack until peri-menopause begins.

[@melissaconsidine2041]

Hate panic attacks

[@miromiko0]

These brief videos are very helpful and enjoyable to watch. Thank u

[@thequizaesteves]

Thank you for this content!!

[@geettiwari8607]

U r amazing sir
Thanku soo much for such an advanced and specific content.

[@joyokeke]

Thank You!!!

[@aishikkarmakar7599]

All your videos have really been very helpful for me and for my masters exams in Psychology.....thanks a lot ... Appreciate your dedication and hard work... 🤗🤗..

[@paweevb]

Your lectures are all very clear and informative! Great content. Looking forward to more videos like this. :)

[@maicolrodriguez6345]

There are many components to ways to treat social anxiety. One place I discovered that successfully combines these is Kevs Control Plan (google it if you're interested) without a doubt the no.1 blueprint that I have ever heard of. Check out all the amazing info .

[@Doctor-vf6ui]

Brilliant!

[@linameku3674]

So helpful....thank you👏

[@ireneourng519]

Great job. Looking for new videos. Thanks

[@motiurrahman7289]

Many many thanks . I wish I could accessed it few year earlier.

[@r.michaelboyer7837]

Please also look at this short 15 minute video which highlights OCD and ERP misconceptions.
th-cam.com/video/zEHVeofVqFg/w-d-xo.html

[@sadiainam3144]

out class lecture

[@publiozinj4882]

People say that these are a choice. Or that he person can choose to not feel that way...

[@amatureexplorer]

One of my friends was suffering from acute headache. So he gone through treatment of headache for 2 year. After that his headache is out but he is suffering from mental problems, that is, he always can hear sounds of crickets (jhi jhi daak) all the time he awake for 3 year. He was under treatment of several doctors but no fruit full results came out. He loose his temper often. Mind swing often. He feels tired inspite of having whole night sleep. He can't concentrate any job or study. According to him, he is happy when he is only sleeping. Because when sleeping no sounds of crickets are heard. His blood pressure, blood sugar level, thyroid level, hemoglobin level are normal. Please suggest me to help him to cure his problem. I will be grateful to you for ever. Please help him. May God bless you all.

[@Skitdora2010]

That doesn't sound like a psych issue, that is tinnitus, a medical one. They say that is from ear wax build up, neurological damage, or hearing loss. He can try listening to white noise or light music to focus his attention on instead of the ringing/crickets/buzzing, he can also try meditation and mindfulness to try to train his mind not to hear that sound. He can also try drinking holy basil tea or taking ginko. At the pharmacy there are ear drops one can try to use for tinnitus.

[@christopherferenczi5634]

I'm suffering very badly.

[@allachaikovska9837]

Are you ok?

[@AngxlKillEm]

Same here :(

[@AngxlKillEm]

I feel like my life is getting ruined

[@AngxlKillEm]

I have so much unwanted thoughts

[@kellypatterson9456]

How to get help?

[@twangel46]

What sickens me is them going on about diazipines and them only being short term treatment. What exactly is supposed to happen once you have had your allotment? Suddenly you have to be left to suffer again. The reality is that valium has a very short lived effect, antidepressants often or totally dont work as with me or give horrendous side effects. Therapy well I has ten years five days a week that worked but after years of once every three weeks therapy i got better, but then two traumas brought it back. I have lorazipam to sleep low dose twenty years never
Increased dose, its not necessarily addictive and sometimes is absolutely necessary or are you thinking people should just be abandoned?

[@sbl9768]

hey although i totally agree with you and i am in a similar situation, i have ptsd, anxiety, panic attacks, i have been on various meds and had suffered serious side effects that landed me in hospital. i was traumatised by these ssris because of this and finally was prescribed alprazolam (xanax) by a doctor in the US. i was even afraid to take them in the beginning because of the fear surrounding addiction of this drug. however now i live in Germany and they are really strict here about prescribing benzodiazepines because of the addiction tendency of this drug. after trying 4 types of ssris and snris i finally found one that does not give me side effects, i think everybody's body is different and you have to be patient and find one that works for you. my doctor prescribes me an snri called Venlafaxine, quetiapine (Seroquel) for my anxiety this helps me to fall asleep at night and stay asleep because i would usually wake up at 3am and have heart palpitations. my doctor also prescribes me valium only to be used for emergency and he would only give me 10 pills. for a long time i was frustrated about this and feel guilty for even asking for benzos like i'm some kind of junkie that leaves me to feel alone and isolated. but now im coming to understand why, Seroquel is a better option because it does not give withdrawals/ addictions like benzos does. i wish you the best and hope you can find the help you need.

[@twangel46]

I have lorazipam about 4. 1/2 mg a night, i have never got addicted to anything, but asi have lyme disease which makes me get really bad symptoms mentally as well as physically i am forced to take low dose opiate all day. I have recently had antbiotic for the lyme and it has made me herx badly, that is worsening of the symptoms, can lead to epilepsy,, psychosis and heart trouble. I went buzurk panics svreaming, crying feeling very ill. I once took venlafaxine called effexor here and hated it. It was lke being gagged and yet suffering terribly inside.i wanted to cry bt couldnt, dreadful stuff. Wellbutrin is the only one I can take with no side effects

[@francishenry4742]

Excellent Video clip! Sorry for chiming in, I would love your thoughts. Have you thought about - t.co/SShXwevAHG ? It is a great one of a kind guide for getting rid of panic attacks without the headache. Ive heard some amazing things about it and my cousin finally got cool results with it.?

[@damsbb2440]

Im really annoyed by how little nurses or meds talk or lecturing these disorders
Im late bc of this
Pisses me ofoofofofofoofofofof

[@JessicaOfViableVintage]

Lol I barely function with my anxiety.

[@carolejimenez5999]

I've been researching reducing anxiety naturally and found a great website at t.co/SShXwevAHG

[@BeReady726]

I don't get what's so wrong with worrying. The real disorder is the world that allows evil to happen.

[@averagemedicos7898]

Worrying is not a problem ..it's good ..anxiety is also good infact it's a normal defense and reflex action ....but worrying out of proportion is a Problem ..and it's a Anxiety disorder