dereal/depersonal
avoid stressful obligations or be excused from unwanted duties
what is primary gain?
symptoms of anxiety depression, fear of going insane, obsessive thoughts, somatic complaint, disturbance in subjective sense of time
what is derealization/depresonalization?
problems falling asleep and staying asleep
what is insomnia?
sleepwalking, blank stare, difficult to wake, treat with benzos -lam -pam
what is somnambuism?
antidepressants, mood stabilizers, anticonvulsants, antipsychs
what are the treatments for derealization/depresonalisation?
become the prominent focus of attention because of the illness
what is secondary gain?
what is illness anxiety disorder?
super sleepy at least 3 times a week for at least 3 months, hard time getting up in AM
what is hypersomnolence disorder?
repeated occurrences of frightening dreams during REM sleep often
what is nightmare disorders?
individual/group therapy, cbt
what is the treatment for somatic symptoms?
may relieve conflict within the family as concern is shifted to ill person
what is tertiary gain?
mama brings daughter to the doctors office because she believes her child is sick but tests do not support that claim
what is factitious disorder by proxy?
urge to fall asleep at anytime
what is narcolepsy?
what is restless leg syndrome?
remove from stressful situation psychotherapy is primary
what is the treatment for dissociative amnesia?
paralysis phonia(no speak) anosmia(cant smell) difficulty swallowing
what is conversion disorder?
going to a new city and assuming a new identity resulting in confusing and not remembering who you are and where you are from, severe psychosocial stress
what is dissociative fugue?
snoring episodes choking feeling, nocturia, brady/tachycardia
what is obstructive sleep apnea?
polysomnography
what diagnosis hypersomnolence or nightmare disorder(treat with prazosin)?
women cant organsim we give them _______.
what is flibanserin and CBT?
genital pain during sexual intercourse
what is dyspareunia?
detroamphetamine, self med with caffeine but can cause irritability or anxiety
what treats hypersomnolence?
night terrors pavor noturnes episodes of screaming fear and panice causing clinical distress, rapid heart rate, breathing rate, dilated pupils flushed skin
what is sleep terrors?
limit screen time and excercise 3 hours before bedtime, avoid heavy meals, melatonin or low does ramelteon, orexins trigger wakefulness
what treats insomnia?
CNS stimulant methylphenidate, for cataplexy use TCA super sleepy use sodium oxybate
what are the treatments for narcolepsy?