PSY 3100 Lecture Notes - Lecture 10: Clomipramine, Bilateral Cingulotomy, Psychosurgery
Document Summary
Example interoceptive exposure exercises: exposure to feared body sensations. Let people they can feel the experiences and know nothing bad happens. Example in vivo exposure exercises: exposure to feared places and situations associated with panic. Multicenter comparative trial (n = 312) of panic disorder treatments. No consistent circumstances under which any psychotropic medication enhances exposure. Drug augmentation is more likely when exposure is delivered in a less effective manner. Medication rarely attenuates the effects of exposure. Adding medication to exposure increases cost side effects, and attrition with no gain in efficacy. Likelihood of having ocd is higher for full siblings and less likely for cousins: on a dimensional scale, ranges from compulsive to impulsive, very sensitive to making errors, obsessions. Unwanted, distressing, intrusive, thoughts, images or urges. Any thought that is not distressing or inconsistent with your beliefs/values. Being obsessed with grades, high performance, perfection, etc: compulsions. Thoughts or actions used to neutralize obsessions and reduce anxiety.