Final Flashcards
Cluster A personality disorders (odd, eccentric)
Schizotypal
Paranoid
Schizoid
Cluster B personality disorders (dramatic, erratic)
Antisocial
Boderline
Narcissistic
Histrionic
Cluster C personality disorders (high levels of anxiety)
Avoidant
OCD
Dependent
Characteristics of schizotypal personality disorder
Avoid interpersonal relationships Have unusual beliefs Indifferent to the reactions of others Magical thinking and rituals Believe they can control the actions of others Eccentric and unkempt appearance Unhappy about lack of relationships
Characteristics of schizoid personality disorder
Eccentric, isolated, lonely Flat affect Indifferent to praise or criticism Invest energy into nonhuman interests Often attached to animals
Characteristics of histrionic personality disorder
Manipulate others thru dramatic, charming, flamboyant and sexually seductive behavior
Seek constant attention, love and admiration
Shallow and superficial relationships
Interventions for manipulation
Assess own reaction toward patient Set limits Provide clear boundaries and consequences Enforce consequences Avoid discussing yourself Avoid promising to keep secrets
Treatment for depression in patients with personality disorders
SSRI’s: trazadone and venlafaxine
Which anticonvulsant is used to target impulsitivity, uncontrolled behaviors and self harm
Carbamazepine
S/S of anorexia nervosa
Terror of ganiing weight
Preoccupation with thoughts of food
View self as fat even when emaciated
Cut food into small pieces
Development of rigorous exercise program
Use of laxatives and diuretics
Controls what they eat to feel powerful to overcome feelings of helplessness
S/S of bulimia
Binge eating behaviors Self-induced vomiting depressive s/s Problems with self-concept Increased levels of anxiety and compulsiveness Possible chemical dependence
Medical complication of anorexia
Bradycardia Orthostatic hypotension Cardiac murmur Prolonged QT Acrocyanosis Leukopenia Hypokalemic alkalosis Elevated serum bicarbonate levels Electrolyte imbalances Amenorrhea Abnormal thyroid function Hematuria Proteinuria
Medical complications of bulimia
Bradycardia Electrolyte imbalance Hypochloremia Hypokalemia Dehydration Erosion of teeth Loss of dental arch Diminished chewing ability Parotid gland enlargement Esophageal tears Severe abdominal pain
Criteria for hospital admission of individuals with eating disorders
Weight loss more than 30% over 6 months Rapid decline in weight Inability to gain weight Severe hypothermia Heart rate less than 40bpm Systolic bp less than 70
What are the two neurotransmitters involved in depression?
Serotonin and norepinephrine