Tx
Treatment for Body Dysmorphic Disorder
TCAs-Clomipramine/Anafranil
SSRIs
Aripiprazole
CBT
Trichotillomania DSM 5 TR criteria
pg 281
A. Recurrent pulling out of one’s hair, resulting in hair loss.
B. Repeated attempts to decrease or stop hair pulling.
C. The hair pulling causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D. The hair pulling or hair loss is not attributable to another medical condition (e.g., a dermatological condition).
E. The hair pulling is not better explained by the symptoms of another mental disorder (e.g., attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder).
Excoriation disorder is assoc. with ________ _______
Pt do not seek tx because it is ___________
emotional stress
embarrassing
Hoarding DSM 5 TR criteria
pg 277
A.Persistent difficulty discarding or parting with possessions, regardless of their actual value.
B.This difficulty is due to a perceived need to save the items and to distress associated with discarding them.
C.The difficulty discarding possessions results in the accumulation of possessions that congest and clutter active living areas and substantially compromises their intended use. If living areas are uncluttered, it is only because of the interventions of third parties (e.g., family members, cleaners, authorities).
D.The hoarding causes clinically significant distress or impairment in social, occupational, or other important areas of functioning (including maintaining a safe environment for self and others).
E.The hoarding is not attributable to another medical condition (e.g., brain injury, cerebrovascular disease, Prader-Willi syndrome).
F.The hoarding is not better explained by the symptoms of another mental disorder (e.g., obsessions in obsessive-compulsive disorder, decreased energy in major depressive disorder, delusions in schizophrenia or another psychotic disorder, cognitive deficits in major neurocognitive disorder, restricted interests in autism spectrum disorder).
Trichotillomania is assoc. with problem with the ________ ________ and genetic s
It is also assoc with _________ & __________
reward circuitry
stress & boredom
TX for Excoriation is
SSRIs
NAC
Therapy -HRT or ACT
Body Dysmorphic disorder is ________ and ________
often mistaken for an eating disorder
rare & chronic
**** leads to a poor quality of life
Tx for Trich
Educating pt provides awareness and helping them to overcome
NAC - nonregulated supplement
Clomipramine/Anafranil or Olanzapine helpful
Therapy
HRT-Habit reversal Therapy)
ACT- Acceptance & Commitment therapy
DBT -Dialectical Behavior therapy
Take homes regarding OCD
1, poor prognosis
2. difficult to treat don't want to admit they have sxms
3. SSRIs with atypicals (
meds with therapy
The NT __________ plays a role in Hoarding
Onset for hoarding is?
dopamine
later 30s and worsens with age
Excoriation Disorder DSM 5 TR criteria
pg 284
A.Recurrent skin picking resulting in skin lesions.
B.Repeated attempts to decrease or stop skin picking.
C.The skin picking causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.
D.The skin picking is not attributable to the physiological effects of a substance (e.g., cocaine) or another medical condition (e.g., scabies).
E.The skin picking is not better explained by symptoms of another mental disorder (e.g., delusions or tactile hallucinations in a psychotic disorder, attempts to improve a perceived defect or flaw in appearance in body dysmorphic disorder, stereotypies in stereotypic movement disorder, or intention to harm oneself in nonsuicidal self-injury).
True or false
Having anxiety equates to having anxiety disorder
tx for anxiety
false
Rational only when it starts to impairment of school work or etc.
SSRIs, Benzos, off label gaba, propanol for public specking
Treatment for Hoarding is
SSRIs
Venlafaxine
CBT
________ is the NT assoc with this disorder
Skin picking occurs mostly on __________
Ex
DA
face