Abnormal Psychology Review 1 – Flashcards
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What are elements used to determine abnormality?
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No universal agreement exists in defining abnormality.
1. Suffering-
2. Maladaptiveness - Behavior that interferes with an individual's well-being
-Decreases one's ability to enjoy work and relationships
-Influence on others and society
3. Deviancy - Deviation from what is socially acceptable or deemed normal
-Involves value judgments
-Can involve statistically rare and undesirable behavior such as mental retardation
4. Violation of the Standards of Society - All cultures have rules
-Violation of the standards of society
-Include both social and moral rules
-Laws
5. Social Discomfort - Those around him or her may experience a sense of discomfort or unease
6. Irrationality and Unpredictability- Behavior that is unpredictable and makes no sense
-Evaluation of whether or not a person can control his or her behavior
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Classification
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__________Is a necessary first step toward introducing order to any discussion of the cause or treatment of abnormal behavior.
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What is wrong with describing someone as being "schizophrenic"?
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Labels should be applied to disorders and not people.
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According to the DSM-IV's definition of mental disorder, impairment in one or more areas of functioning (disability) is or is not necessary?
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May be present but is not a necessary condition for making a diagnosis
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Brett persistently injects himself with pain killers. This has greatly increased his chance of overdosing and dying. His behavior harms no one else. According to the DSM, is Brett's behavior consistent with the definition of a mental disorder?
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Yes, because he is persistently acting in a way that harms himself. Within the DSM, a mental disorder is conceptualized as a clinically significant behavioral or psychological syndrome that is associated with distress or disability.
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What do the textbook authors identify as the most problematic element of Wakefield's definition of mental disorder?
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We have yet to discover the dysfunction that underlies most mental disorders.
Evolution theory does not provide use with a convenient list of functional versus dysfunctional behavior.
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What is mental Health Epidemiology?
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Is the study of the distribution mental disorders.
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According to the DSM, When is deviant behavior viewed as indicative of a mental disorder?
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When it is a symptom of a dysfunction in the individual.
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What does it mean if a disorder is said to be highly prevalent?
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Prevalent- number of active cases in population during any given period of time (%)
-highly prevalent means that the disorder in question is very popular
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What is the most prevalent psychological disorder?
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Anxiety Disorder
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What can be said about individuals who have a history of at least one psychological disorder?
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Comorbidity describes the presence of two or more disorders in the same person. For example, a person diagnosed with both Generalized Anxiety Disorder and Anorexia Nervosa.
Comorbidity is high in people who have sevr forms of mental disorders.
In NCS-R study, half of the individuals with a disorder rated serious on a scale of severity (mild, moderate, serious) had two or more additional disorders.
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The approaches to treatment of the mentally ill during the middle ages in Europe are best characterized as?
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Often by ritual or superstition than by attempts to understand and individual's condition.
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The fact that episodes of mass madness peaked at the time of Black Death illustrates that
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Impact to society and its structure may also affect mental health.
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Which of the following is recognized as a major biomedical breakthrough in psychopathology because it established the link between mental and physical illnesses?
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The discovery of organicc factors underlying general paresis--Syphilis of the brain. One of the most serious.
1897: When french physician A.L. Bayle differiated general paresis as specific type of mental disorder. A cure for paresis began.
1897: Viennese psychiatrist Richard von Krafft-Ebbing inoculated paretic patients with matter from syphilitic sores
1906: August von Wassermann created a blood test for syphilis
1917: Julius von Wagner-Jauregg introduced malarial fever treatment of syphilis and paresis
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Kraepelin is credited with?
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Dominant role in developing the biological point of view
• Early synthesis and classification system of mental disorders (forerunner of the DSM)
• Grouped together based on common patterns of symptoms
Published in 1883 Compendium der Psychiatrie. (it contributed to the idea that mental disorders resulted from brain pathology).
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The central principle of classical conditioning is that?
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After repeated pairings with a stimulus that naturally causes a response, a neutral stimulus will cause a similar response.
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One strength of case studies is?
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Excellent way to illustrate clinical material
• Provide some negative evidence that can challenge a prevailing idea/ assumption
• Source of new ideas and serve as a stimulus for research
• Provide insight into unusual clinical conditions that are too rare to study in a more systematic way
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Why is a representative sample desirable?
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The more representative a sample is, the more generalizable the data.
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Why are correlational (observational) research designs often used in abnormal psychology?
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Does not involve any manipulations of variables
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Etiology is
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Causal pattern of abnormal behavior
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While having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, this is not the only factor that can lead to Parkinson's disease. In other words, the presence of the gene is a ____________, but not a_________________.
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Sufficient cause, Necessary cause.
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Suppose that the presence of a particular gene is sufficient cause for the occurrence of schizophrenia. What can be said about the cause of schizophrenia?
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If you have the gene, you will develop schizophrenia, and that gene is the only thing that will develop into the disease (no other contributing factors)
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A predisposition towards developing a disorder
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Is called a diathesis, a contributory cause. Predisposition or vulnerability to developing a given disorder.
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In terms of the diathesis-stress model, the loss of a parent may be...
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Pg. 36
A proximal cause of a child's subsequent grief reaction, which might last a few months or a year; however, the parent's death may also serve as a distal contributory factor that increases the probability that when the child grows up, he or she will become depressed in response to stressors.
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In the field of abnormal psychology, biological discoveries.....
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Recognize the importance of biochemical factors & innate characteristics (which are genetically determined) in abnormal and normal behavior, biological factors used to diagnose abnormal.
Neurotransmitter and hormonal abnormalities in the brain and central nervous system (i.e., CNS)
Genetic vulnerabilities
Temperament
Brain dysfunction and neural plasticity
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Mental Disorders are almost always influenced by multiple genes. This means they are
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Polygenic
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What do the three psychosocial viewpoints addressed in this chapter all have in common?
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All emphasize the impact of early experiences
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After being bitten by a dog, Jose finds that he feels afraid whenever he sees a dog. In a classical conditioning terms, the dog can be described as a?
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Condition Stimulus
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If a response has been learned through conditioning, it would be appropriate to treat it using the process of
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Necessary Cause
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Behaviorists suggest maladaptive behavior can be a result of
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1. Failure to learn adaptive behavior, such as how to establish satisfying personal relationships.
2. The learning of ineffective or maladaptive responses.
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Cognitive-behavioral psychologists believe that abnormal behavior results
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from distorted thinking and information processing.
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A(n)________ serves to guide our processing of information and may serve to distort memories.
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Schema
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According to cognitive theorists, a lot of information that contributes to a person's psychopathology
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Processed at a unconscious level
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Which parental style is characterized by warmth, control, and communication?
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Authoritative
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Psychological Assessment refers to the
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Procedure by which clinicians, using psychological tests, observation, and interviews, develop a summary of the client's symptoms and problems.
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What roles does the social context play in assessment?
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An evaluation of the environment in which the client lives is necessary in order to understand the demands she faces, as well as the supports that are present.
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There are two general categories of psychological tests used in clinical practice. They are:
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Intelligence and personality tests
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Why is classification a necessary first step in developing an understanding about abnormal behavior?
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Classification makes it possible to communicate about particular clusters of abnormal behavior in agreed-upon and relatively precise ways.
Communication about abnormal behavior cannot be effective unless what is being discussed is clear
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What is a potential disadvantage of psychotherapy?
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It takes times, you cannot undo a person's past history within a short time or help him or her to adequately adapt with difficult life situations.
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What recent changes have altered the types of therapy that are available?
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There is an increased need to prove that therapy is effective, has to be empirically stated
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Drugs that block dopamine receptors are most likely to be used to
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Antipsychotic drugs
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Why are the SSRIs the most commonly used antidepressants today
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They are thought to be relatively safe, easier to use, have fewer side effects, and are generally not found to be fatal in overdose, as tricyclics can be.
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The time course of the effects of antidepressants medications suggest that
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Patients tend to improve after about 3-5 weeks of treatment. Patients who show atleast a 50 percent improvement in their symptoms are considered to have had a positive response to treatment.
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Valium exerts its anxiolytic effects by increasing activity of
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GABA
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Psychological and physiological dependence is a well-documented danger of using what class of pharmocological agent to treat a highly prevalent mental disorder?
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Benzodiazepine
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What do lithium carbonate, carbamazepine (Tegretol), and valproate (Depakote) have in common
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They're used to treat bi polar disorder-mood stabilizer.
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Behavior therapy is based on the belief that
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Abnormal behavior is learned the same ways as normal behavior and can be unlearned
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What type of psychotherapy is commonly used in the treatment of anxiety disorders?
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Cognitive therapy, Cognitive-behavioral therapy
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A token economy is
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Systematic use of reinforcement is a type of treatment used in the mental health or substance abuse fields. Patients' behaviors are rewarded (or, less often, punished); generally, adherence to or failure to adhere to program rules and regulations or their treatment plan.
Resembles the outside world, where an individual is paid for his or her work in tokens (money) can be exchanged for objects and activities.
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In Beck's cognitive therapy, an early "homework" assignment would be
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Recording one's automatic thoughts and any associated emotional reactions.
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What is an advantage of using Beck's cognitive treatment for depression, as compared to drugs?
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The likelihood of relapse is decreased
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Behavioral medicine emphasizes how it
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Is concerned with psychological factors that may predispose an individual to medical problems.
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According to the text, the term "stress" will be used to refer to:
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The effects of external stressors between the organism and the environment.
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What do eustress and distress have in common?
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Both tax one's resources and coping skills.
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What can lessen the impact of a stressful situation?
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-stress tolerance
-preparing for the stressor
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The "fight or flight" response
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Physiological reaction that occurs in response to a perceived harmful event, attack, or threat to survival, where and what origintaes it--fear, increase heart rate
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The stress response begins in the
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Hypothalamus
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The allostatic load is
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Biological cost of adapting stress
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What aspect of the Type A personality is thought to increase the risk of coronary artery disease?
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It has become clear that it is the hostility component of the type A construct (including anger, contempt, scorn, cynicism, and mistrust) that is most closely correlated with coronary artery deterioration.
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A main symptom of PSTD is
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Stress.
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Fear of panic is a basic emotion that involves
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The fight or flight response
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What is the primary characteristic of anxiety disorders?
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General feeling of apprehension about possible future danger and fear is an alarm reaction that occurs in response to immediate danger.
"significant fear"
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What is one of the major ways the anxiety disorders differ from each other?
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Whether there are more fear/panic symptoms or anxiety symptoms involved
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Martin is afraid to fly. He knows his boss wants him to take a trip for the business. Martin feels miserable, because he wants to keep his job but cannot even imagine getting on a plane. The most likely diagnosis for Martin is?
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Specific Phobia, situation type.
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Why do people with anxiety disorders often avoid the thing they fear?
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Phobic stimulus, show an immediate fear response
Phobic response is so unpleasant and because of the phobic person's irrational appraisal of the likelihood that something terrible will happen.
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In terms of phobias, evolutionary preparedness explains
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Why some types of phobias are much more common than others.
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Kayla has just started college and wants to make friends. She refuses to go to large parties because she is afriad that she will blush and sweat and that other people will laugh at her. She is fine talking to people in one-on-one settings. Kayla's most likely diagnosis is?
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Social phobia
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Cognitive Approaches to social phobia focus on
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Challenging automatic thoughts.
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Compared to anxiety, panic is
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more intense
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Panic disorders are often misdiagnosed because
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10 out of 13 symptoms are physical.
85% of people having a panic attack may show up repeatedly at emergency rooms or physician's offices for what they are convinced is a medical problem
Usually correct diagnosis is not made for years due to normal results on numerous costly medical tests.
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Which structure is recognized as playing a central role in panic attacks?
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Amygala
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While in treatment for panic disorder, Leroy is asked to engage in behaviors that activate the sympathetic nervous system. In other, Leroy is engaging in behaviors that produce the physical sensation of fear. What type of treatment does this appear to be?
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Interoceptive exposure
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One of the main functions that worry seems to serve in generalized anxiety disorder is?
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Avoidance strategy to avoid problem
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One of the main problems with worry in generalized anxiety disorder is?
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Maintains disorder