Examkin

Soru

Zorluk: ZorAnxiety, OCD, and Trauma-Related Disorders

Match each patient's clinical presentation with the most appropriate, highly specific first-line behavioral or psychotherapeutic intervention.

  • A 22-year-old who experiences severe bradycardia and syncope when witnessing venipuncture, seeking intervention before starting medical school.Applied muscle tension therapy
  • A 30-year-old with recurrent, unexpected episodes of intense autonomic arousal and a persistent fear of future episodes, who prefers non-pharmacological treatment.Cognitive-behavioral therapy with interoceptive exposure
  • A 27-year-old with highly distressing, intrusive thoughts of accidentally causing a house fire, leading to hours of daily checking behavior, who declines medication.Exposure and response prevention (ERP)
  • A 35-year-old experiencing intense hyperarousal, intrusive memories, and avoidance behaviors that began 2 weeks after surviving a severe natural disaster.Trauma-focused cognitive-behavioral therapy (TF-CBT)

Cevap

Blood-injection-injury phobia is matched with applied muscle tension therapy; Panic disorder is matched with CBT with interoceptive exposure; Obsessive-compulsive disorder is matched with exposure and response prevention; and Acute stress disorder is matched with trauma-focused CBT.
Each specific psychiatric diagnosis presented requires a highly targeted non-pharmacological intervention. BII phobia requires applied muscle tension to prevent syncope; panic disorder utilizes interoceptive exposure to break the fear response to somatic sensations; OCD relies on ERP to sever the link between obsession and compulsion; and ASD uses TF-CBT to process the acute trauma and prevent PTSD.

Adım Adım Çözüm

1
Diagnose the 22-year-old patient experiencing syncope during venipuncture.
The diagnosis is specific phobia, blood-injection-injury type.
This specific phobia uniquely causes a vasovagal response, requiring applied muscle tension to elevate blood pressure and prevent fainting rather than traditional relaxation techniques.
2
Diagnose the 30-year-old patient with unexpected autonomic episodes and fear of future episodes.
The diagnosis is panic disorder.
The key non-pharmacological treatment for panic disorder is CBT utilizing interoceptive exposure to desensitize the patient to harmless physical sensations.
3
Diagnose the 27-year-old patient with intrusive thoughts and checking behaviors.
The diagnosis is obsessive-compulsive disorder.
The gold-standard psychotherapy for OCD is exposure and response prevention (ERP).
4
Diagnose the 35-year-old patient with trauma symptoms starting 2 weeks ago.
The diagnosis is acute stress disorder (ASD).
Because the trauma occurred less than 1 month ago, it is classified as ASD, not PTSD. The indicated treatment is trauma-focused CBT.

Anahtar Kavram

Selection of specific, evidence-based behavioral and psychotherapeutic interventions for anxiety, OCD, and trauma-related disorders.
Tahmini Süre:1m 30s
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Konular

Anxiety, OCD, and Trauma-Related Disorders

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