agoraphobia
fear of being outside; from the Greek fear of the marketplace
anxiety
a vague feeling of dread or apprehension; it is a response to external or internal stimuli that can have behavioral, emotional, cognitive, and physical symptoms
anxiety disorders
a group of conditions that share a key feature of excessive anxiety, with ensuing behavioral, emotional, cognitive, and physiological responses
assertiveness training
techniques using statements to identify feelings and communicate needs and concerns to others; helps the person negotiate interpersonal situations, fosters self-assurance, and ultimately assists the person to take more control over life situations
avoidance behavior
behavior designed to avoid unpleasant consequences or potentially threatening situations
decatastrophizing
a technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen
defense mechanisms
cognitive distortions that a person uses unconsciously to maintain a sense of being in control of a situation, to lessen discomfort, and to deal with stress; also called ego defense mechanisms
fear
feeling afraid or threatened by a clearly identifiable, external stimulus that represents danger to the person
flooding
a form of rapid desensitization in which a behavioral therapist confronts the client with the phobic object (either a picture or the actual object) until it no longer produces anxiety
mild anxiety
a sensation that something is different and warrants special attention
moderate anxiety
the disturbing feeling that something is definitely wrong; the person becomes nervous or agitated
panic anxiety
intense anxiety, may be a response to a life-threatening situation
panic attacks
between 15 and 30 minutes of rapid, intense, escalating anxiety in which the person experiences great emotional fear as well as physiological discomfort
panic disorder
composed of discrete episodes of panic attacks, that is, 15 to 30 minutes of rapid, intense, escalating anxiety in which the person experiences great emotional fear as well as physiological discomfort
phobia
an illogical, intense, and persistent fear of a specific object or social situation that causes extreme distress and interferes with normal functioning
positive reframing
a cognitive–behavioral technique involving turning negative messages into positive ones
primary gain
the relief of anxiety achieved by performing the specific anxiety-driven behavior; the direct internal benefits that being sick provides, such as relief of anxiety, conflict, or distress
secondary gain
the external benefits received from others because one is sick, such as attention from family members, comfort measures, and being excused from usual responsibilities or tasks
severe anxiety
an increased level of anxiety when more primitive survival skills take over, defensive responses ensue, and cognitive skills decrease significantly; person with severe anxiety has trouble thinking and reasoning
stress
the wear and tear that life causes on the body
Abnormal Involuntary Movement Scale (AIMS)
tool used to screen for symptoms of movement disorders (side effects of neuroleptic medications)
Alogia
a lack of any real meaning or substance in what the client says
Anhedonia
having no pleasure or joy in life; losing any sense of pleasure from activities formerly enjoyed
Avolition
absence of will, ambition, or drive to take action or accomplish tasks
Catatonia
psychomotor disturbance, either motionless or excessive motor
Command hallucinations
disturbed auditory sensory perceptions demanding that the client take action, often to harm self or others, and are considered dangerous; often referred to as “voices”
Cultural concepts of distress
ways in which people experience distress in the context of their lives and surroundings
Delusions
a fixed, false belief not based in reality
Dystonic reactions
(definition not provided — you may want to supply this)
Echolalia
repetition or imitation of what someone else says; echoing what is heard
Echopraxia
imitation of the movements and gestures of someone an individual is observing
Idioms of distress
how people communicate distress to one another
Latency of response
refers to hesitation before the client responds to questions
Neuroleptics
also known as neuroleptics; used to treat the symptoms of psychosis such as the delusions and hallucinations seen in schizophrenia, schizoaffective disorder, and the manic phase of bipolar disorder
Polydipsia
excessive water intake
Psychosis
cluster of symptoms including delusions, hallucinations, and grossly disordered thinking and behavior
Anergia
lack of energy
Electroconvulsive therapy (ECT)
used to treat depression in select groups such as clients who do not respond to antidepressants or those who experience intolerable medication side effects at therapeutic doses
Euthymic
normal or level mood
Hypertensive crisis
a life-threatening condition that can result when a client taking monoamine oxidase inhibitors (MAOIs) ingests tyramine-containing foods and fluids or other medications
Hypomania
a period of abnormally and persistently elevated, expansive, or irritable mood lasting 4 days; does not impair the ability to function and does not involve psychotic features
Kindling
the snowball-like effect seen when a minor seizure activity seems to build up into more frequent and severe seizures
Labile emotions
rapid and extreme mood changes
Mania
a distinct period during which mood is abnormally and persistently elevated, expansive, or irritable
Mood disorders
pervasive alterations in emotions that are manifested by depression or mania or both
Pressured speech
unrelenting, rapid, often loud talking without pauses
Psychomotor agitation
increased body movements and thoughts
Ruminate
to think repeatedly or dwell on negative thoughts or problems
Seasonal affective disorder (SAD)
mood disorder with two subtypes; in one, most commonly called winter depression or fall-onset SAD, people experience increased sleep, appetite, and carbohydrate cravings; weight gain; interpersonal conflict; irritability; and heaviness in the extremities beginning in late autumn and abating in spring and summer; the other subtype, called spring-onset SAD, is less common and includes symptoms of insomnia, weight loss, and poor appetite lasting from late spring or early summer until early fall
Suicidal ideation
thinking about killing oneself
Suicide
the intentional act of killing oneself
Suicide precautions
removal of harmful items; increased supervision to prevent acts of self-harm
Antisocial personality disorder
characterized by a pervasive pattern of disregard for and violation of the rights of others and with the central characteristics of deceit and manipulation
Avoidant personality disorder
characterized by a pervasive pattern of social discomfort and reticence, low self-esteem, and hypersensitivity to negative evaluation
Borderline personality disorder (BPD)
pervasive and enduring pattern of unstable interpersonal relationships, self-image, and affect; marked impulsivity; frequent self-mutilation behavior
Character
consists of concepts about the self and the external world
Cognitive restructuring
therapy that focuses on changing the way one thinks about or interprets one’s self, relationships, and/or environment
Confrontation
technique designed to highlight the incongruence between a person’s verbalizations and actual behavior; used to manage manipulative or deceptive behavior
Decatastrophizing
a technique that involves learning to assess situations realistically rather than always assuming a catastrophe will happen
Dependent personality disorder
characterized by a pervasive and excessive need to be taken care of, which leads to submissive and clinging behavior and fears of separation
Depressive behavior
characterized by a pervasive pattern of depressive cognitions and behaviors in various contexts
Dysphoric
mood that involves unhappiness, restlessness, and malaise
Histrionic personality disorder
characterized by a pervasive pattern of excessive emotionality and attention seeking
Limit setting
an effective technique that involves three steps: stating the behavioral limit (describing the unacceptable behavior), identifying the consequences if the limit is exceeded, and identifying the expected or desired behavior
Narcissistic personality disorder
characterized by a pervasive pattern of grandiosity (in fantasy or behavior), need for admiration, and lack of empathy
Nonsuicidal self injury
intentional physical damage to the body, such as cutting or burning; results from self-harm urges or thoughts; injury is not an attempt at suicide
Obsessive–compulsive personality disorder
characterized by a pervasive pattern of preoccupation with perfectionism, mental and interpersonal control, and orderliness at the expense of flexibility, openness, and efficiency
Paranoid personality disorder
characterized by pervasive mistrust and suspiciousness of others
Passive
aggressive behavior - characterized by a negative attitude and a pervasive pattern of passive resistance to demands for adequate social and occupational performance
Personality
an ingrained, enduring pattern of behaving and relating to self, others, and the environment; includes perceptions, attitudes, and emotions
Personality disorders
diagnosed when personality traits become inflexible and maladaptive and significantly interfere with how a person functions in society or cause the person emotional distress
Positive self talk
a cognitive–behavioral technique in which the client changes thinking about the self from negative to positive
Schema therapy
designed to help one deal with unmet emotional needs and identify the thought and behavior patterns that perpetuate their emotional distress and dysfunction
Schizoid personality disorder
characterized by a pervasive pattern of detachment from social relationships and a restricted range of emotional expression in interpersonal settings
Schizotypal personality disorder
characterized by a pervasive pattern of social and interpersonal deficits marked by acute discomfort with and reduced capacity for close relationships as well as by cognitive or perceptual distortions and behavioral eccentricities
Temperament
refers to the biologic processes of sensation, association, and motivation that underlie the integration of skills and habits based on emotion
Thought stopping
a cognitive–behavioral technique to alter the process of negative or self-critical thought patterns
Time
out - retreat to a neutral place to give the opportunity to regain self-control
Alexithymia
difficulty identifying and expressing feelings
Anorexia nervosa
an eating disorder characterized by the client’s refusal or inability to maintain a minimally normal body weight, intense fear of gaining weight or becoming fat, significantly disturbed perception of the shape or size of the body, and steadfast inability or refusal to acknowledge the existence or seriousness of a problem
Binge eating
consuming a large amount of food (far greater than most people eat at one time) in a discrete period of usually 2 hours or less
Body image
how a person perceives their body, that is, a mental self-image
Body image disturbance
occurs when there is an extreme discrepancy between one’s body image and the perceptions of others and extreme dissatisfaction with one’s body image
Bulimia nervosa
an eating disorder characterized by recurrent episodes (at least twice a week for 3 months) of binge eating followed by inappropriate compensatory behaviors to avoid weight gain such as purging (self-induced vomiting or use of laxatives, diuretics, enemas, or emetics), fasting, or excessively exercising
Enmeshment
lack of clear role boundaries between persons
Orthorexia nervosa
pathological obsession with healthy eating or a “pure” diet; dedication to extreme diets, often to the detriment of health
Pica
persistent ingestion of nonnutritive substances such as paint, hair, cloth, leaves, sand, clay, or soil
Purging
compensatory behaviors designed to eliminate food by means of self-induced vomiting
Rumination
repeatedly going over the same thoughts
Satiety
satisfaction of appetite
Self monitoring
a cognitive–behavioral technique designed to help clients manage their own behavior
Cyberchondria
excessive or repeated online searches for health-related information that is distressing or anxiety-provoking for the person
Disease conviction
preoccupation with the fear that one has a serious disease
Disease phobia
preoccupation with the fear that one will get a serious disease
Emotion
focused coping strategies - techniques to assist clients to relax and reduce feelings of stress
Fabricated or induced illness
factitious disorders characterized by physical symptoms that are feigned or inflicted on one’s self or another person for the sole purpose of gaining attention or other emotional benefits; also called factitious disorder, imposed on self or others
Factitious disorder, imposed on self or others
see fabricated or induced illness
Functional neurological symptom disorder
previously called conversion disorder or reaction; involves unexplained, usually sudden deficits in sensory or motor function related to an emotional conflict the client experiences but does not handle directly
Functional somatic syndrome
physical symptoms and limitations of function that have no medical diagnosis to explain their existence. See medically unexplained illness (MUS)
Hypochondriasis
see illness anxiety disorder
Hysteria
refers to multiple, recurrent physical complaints with no organic basis
Illness anxiety disorder
preoccupation with the fear that one has a serious disease or will get a serious disease; also called hypochondriasis
Internalization
keeping stress, anxiety, or frustration inside rather than expressing them outwardly
La belle indifférence
a seeming lack of concern or distress; a key feature of functional neurological symptom disorder
Malingering
the intentional production of false or grossly exaggerated physical or psychological symptoms
Medically unexplained symptoms
physical symptoms and limitations of function that have no medical diagnosis to explain their existence. See functional somatic syndrome
Munchausen syndrome
a factitious disorder where the person intentionally causes injury or physical symptoms to self to gain attention and sympathy from health care providers, family, and others
Munchausen syndrome by proxy
when a person inflicts illness or injury on someone else to gain the attention of emergency medical personnel or to be a hero for “saving” the victim
Pain disorder
has the primary physical symptom of pain, which generally is unrelieved by analgesics and greatly affected by psychological factors in terms of onset, severity, exacerbation, and maintenance
Problem focused coping strategies
techniques used to resolve or change a person’s behavior or situation or to manage life stressors
Psychosomatic
used to convey the connection between the mind (psyche) and the body (soma) in states of health and illness
Somatic symptom disorder
characterized by multiple, recurrent physical symptoms in a variety of bodily systems that have no organic or medical basis; also called somatization disorder
Somatization
the transference of mental experiences and states into bodily symptoms