"One way to understand OCD is that the normal cortical inhibition of the amygdala is malfunctioning and that the anxiety responses induced by the amygdala therefore become more intrusive and chronic in patients with OCD. ?," write Denys, Zohar, and Westenberg in?"The Role of Dopamine in Obsessive-Compulsive Disorder: Preclinical and Clinical Evidence." Dopamine comes into play in response to amygdalae-generated anxiety in that dopamine drives seeking activity. Seeking activity includes not only the search for food, drink and sex but?in times of anxiety and fear?access to safety. Denys, Zohar, and Westenberg write: "When dopamine is increased, the ability of the prefrontal cortex to suppress the affective responses generated in the amygdala is attenuated." We will discuss neurocircuitry related to obsessions, compulsions, and other symptoms more fully in Parts 2 and 3 of MyBrainNotes.com.
Especially regarding PTSD, past experience is a key. Neuroscientists have found that experience shapes
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The atrophy emerges as a result of the depression (rather than precedes it), and the longer the depressive history, the more atrophy and the more memory problems."
Sapolsky points to the work of psychologists Martin Seligman and Steven Maier who exposed animals to "pathological amounts" of stress. "The result is a condition strikingly similar to a human depression." Sapolsky explains that it is "repeated" stress that generates depressive symptoms combined with "a complete absence of control on the part of the animal." In other words, the animal has no outlets that can be used to vent frustration. "When it comes to what makes for psychological stress, a lack of predictability and control are at the top of the list of things you want to avoid," Sapolsky
Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
Ms. Vega fits both of these criteria as she was raped multiple times and her mother refused to believe her when Ms. Vega voiced her pain. Despite the fact that Ms. Vega has dissociated states, they are fueled by stressors related to her childhood trauma. Stressors and stress responses are the two main characteristics of stress disorders and Ms. Vega’s behaviors appear to be dominated by them. Because of this, it is suggested that the main diagnosis be PTSD for Ms. Vega. It can be difficult to distinguish between PTSD and DID when both seem to be at play.
CMN 553 Unit 3 Journal The consequences of post-traumatic stress disorder (PTSD) cuts across the age barrier of several mental illness, as it affects both the young and the old. Likewise, the understanding of the triggers, risk factors, symptoms, diagnostic features, and pharmacotherapeutic and psychotherapy options are some of the learning objectives for this unit’s clinical experience. Also, the ability to carefully weigh on some of the differential diagnosis prior to the inference of this disorder is paramount as the psychiatric nurse practitioner (PNP) student critically considers in other not to misdiagnosis the patient (Sadock, Sadock, & Ruiz, 2014).
PTSD is formed through memory schema based on a cognitive behavioral view (Hyde & Quest, 2012, page 285). She couldn’t remember the attack Jane Doe started questioning her
“An estimated 8% of Americans − 24.4 million people − have PTSD at any given time. That is equal to the total population of Texas” (PTSD United 1). Post Traumatic Stress Disorder (PTSD) has existed since the dawn of time, but only in the past 50 years has it been recognized as an actual problem. However, even now, it is still not always acknowledged as a legitimate condition. As a result, it is not always properly treated.
At first there was not a great understanding about PTSD, such disorder was considered as unusual because it was so new to scientists
(National Institute of Mental Health) Yes these obsessions and compulsions can get over whelming for the individuals facing OCD, but it will not control you unless you let it. It is a disorder that deals with stressful environments and researchers are trying to figure out why people are diagnosed with
PTSD is usually associated with at least one other major psychiatric disorder such as depression, alcohol or substance abuse, panic disorder, and other anxiety disorders. The best results are achieved when both PTSD and the other disorder(s) are treated together rather than one after the other. This is especially true for PTSD and alcohol or substance abuse. The same treatments used for uncomplicated PTSD should be used for these patients, with the addition of carefully managed treatment for the other psychiatric or addiction problems. (Types of
PTSD or post-traumatic stress disorder occurs when a person has been through either emotional or physical trauma. Veterans often times develop PTSD due to the physical and emotional trauma that comes along with being in a war. Symptoms of this disorder can include; “depression, worry, intense guilt and feeling emotionally numb. People with PTSD also display impulsive or self-destructive behavior and changed beliefs or changed personality traits” (WebMD). Lastly, AboutHealth.com states that people with PTSD are also very likely to partake in substance abuse in order to numb out their internal turmoil.
I enjoyed watching the film “As Good As It Gets” and seeing Jack Nicholson portray the character Melvin, who is diagnosed with Obsessive Compulsive Disorder (OCD). Melvin’s anxiety level is heightened, as a result of his OCD. Things that tend to increase his anxiety include having a dog or people in his apartment, sitting at another table with another waitress at his favorite restaurant, using the utensils provided by a restaurant, and stepping on cracks in sidewalks. Throughout the film, Melvin goes to great extremes to avoid his fears. A scene that stood out to me in the movie, as showing the true intensity of Melvin’s disorder, was when he went to the restaurant, where he dined regularly, and saw that another couple was sitting at the table where he usually sits.
Research completed by Am J Psychiatry shows that PTSD had the most pronounced negative effects across all factors of life among other anxiety
Not exercising the obsessive habits can cause great anxiety. Mild to severe is what a person’s level of OCD is,but if the level is severe and left untreated, it can destroy a person's capacity to function at work, at school or even at
After carefully reading the case study for Lady Macbeth and thoroughly processing the DSM-5 and eliminating all other possible diagnosis, I determined that she properly fits the DSM-5 criteria for Obsessive-Compulsive Disorder (OCD) (F42). Some key evidence that directed me to diagnosed Lady Macbeth with this disorder will be, in the morning while getting dressed, she gets afraid that there are germs all over her clothes and things, which causes her to stand and shake the germs off her for half an hour. She also washes her hands before doing anything. If she was going to wash her face, she will wash her hands first and if she was going to get dressed, she washes her hands first before getting dressed. She also stated that washing her hands wasn’t enough, she sometimes used rubbing alcohol.
People with OCD suffer intensely from non stop unwanted thoughts (Obsessions) or rituals (Compulsions). For example, the kids in the OCD Group felt that they couldn’t control these thoughts. This book made me think about how OCD affects many Americans every year. Thousands of people know that these thoughts are irrational, but are afraid that somehow they might be true, so they continue performing the rituals. Rituals, such as handwashing, counting, checking or cleaning, are often done in hope of preventing obsessive thoughts or making them go away.
The main mechanism is, as hippocampus is intensity sensitive to stress and the stress hormone glucocorticoids (GCs) (Bruce et al