Intro to Psych and History Lecture Powerpoint

Question 1

Always tell a patient times when you cannot honor confidentiality, what 3 times are those?

Answer 1

• Child abuse
• Threat to self
• Threat to others

Question 2

___ fraction of patients have experienced a traumatic life event

Answer 2

1/4

Question 3

Counter transference

Answer 3

A tendency for providers to bring emotional bias to a patient interaction that might influence the situation from objectivity, should be mitigated with good self awareness in patient interactions

Question 4

Family history of suicide can increase patient risk of…

Answer 4

…suicide themselves

Question 5

Patients with psychiatric complaint always require a full…

Answer 5

…medical ROS

Question 6

The 4 groups of major psychiatric disorders

Answer 6

• Mood disorders
• Anxiety disorders
• Psychotic disorders
• Substance abuse disorders

Question 7

SIGECAPS pneumonic to determine presence of neurovegetative symptoms of depression

Answer 7

Sleep disorder
Interest deficit (anhedonia)
Guilt 
Energy deficit
Concentration deficit
Appetite disorder
Psychomotor retardation or agitation
Suicidality

Question 8

3 questions to always ask about suicide ideation

Answer 8

• Are you suicidal?
• Do you have a plan?
• Do you have a means to carry it out?

Question 9

Persistent depressive disorder (dysthymia)

Answer 9

Chronic depression lasting at least 2 years that does not meet the criteria for major depression

Question 10

DIG-FAST pneumonic for cardinal symptoms of mania

Answer 10

Distractibility
Indiscretion (excessive involvement in pleasure activities)
Grandiosity
Flight of ideas
Activity increase
Sleep deficit (decreased need for sleep)
Talkativeness (pressured speech)

Question 11

Borderline personality disorder

Answer 11

High comorbidity with other psych disorders and high rates of suicide ideation due to morbid fear of abandonment with pathologic responses to perceived rejection resulting in sudden shift

Question 12

I DESPAIRR acronym for Borderline personality disorder

Answer 12

Identify the problem (trouble knowing who they are)
Disordered affect (moody)
Empty feeling inside
Suicidal behavior (think about hurting self in response t trouble)
Paranoia or dissociative symptoms (lose touch with environment or self)
Abandoment terror (rage in rejection)
Impulsivity
Rage (explode)
Relationship instability (lots of ups and downs, broken and stormy relationships)

Question 13

Red flags for borderline personality disorder

Answer 13

• History of doctor shopping or legal action against providers
• Several marriages
• Idealization and excessive violation of boundaries

Question 14

CAGE questionairre

Answer 14

Screening for alcoholism, with a positive response to 2 or more items implies a 95% chance of alcohol abuse or dependence (sensitive to how it is asked, do not assume)
Cut down on it?
Annoyed by people criticizing your drinking?
Guilty about drinking?
Eye opener drinking first thing in the morning?