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Psychological Disorders

Anxiety, obsessive, trauma, somatic and dissociative disorders

Distinguish somatic symptom disorder from illness anxiety disorder.

Anxiety disorders are the most common group:

  • Generalised anxiety disorder: long-lasting, vague fears not tied to anything specific, with hypervigilance (constantly scanning for danger), restlessness and muscle tension.
  • Panic disorder: recurrent, sudden attacks of intense terror, with a pounding heart, breathlessness and fear of dying.
  • Phobias: irrational fears of specific things. Specific phobias (snakes, heights), social phobia (fear of being judged by others), and agoraphobia (fear of unfamiliar or crowded places).
  • Separation anxiety disorder: in children, intense fear of being separated from parents.

Obsessive-compulsive and related disorders:

  • Obsessions: thoughts the person cannot stop, like fears of germs.
  • Compulsions: acts repeated again and again to reduce anxiety, like washing hands or checking locks.
  • Related: hoarding, hair-pulling and skin-picking disorders.

Trauma- and stressor-related disorders:

  • Post-traumatic stress disorder (PTSD): after a traumatic event, the person has flashbacks and nightmares, emotional numbing, and avoids reminders.
  • Adjustment disorders and acute stress disorder.

Somatic symptom and related disorders: psychological problems shown as bodily symptoms.

  • Somatic symptom disorder: the person is preoccupied with real physical symptoms (like pain) and worries about them excessively.
  • Illness anxiety disorder: the person worries about having a serious illness, with few or no symptoms.
  • Conversion disorder: loss of a body function (paralysis, blindness) with no physical cause, often after stress.

Dissociative disorders: a split in consciousness, memory or identity.

  • Dissociative amnesia (sometimes with fugue: wandering away and forgetting one's identity).
  • Dissociative identity disorder, earlier called multiple personality: two or more distinct personalities in one person. (This is not the same as schizophrenia.)
  • Depersonalisation/derealisation: feeling detached from oneself or the world.
Anxiety shows up in body and mind.

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