Abnormal Psych Exam Revision Flashcards

(131 cards)

1
Q

How do we define what is normal and what is abnormal?

A

Normal and abnormal are defined through subjective decisions, with no clear line between them.

This includes various criteria such as cultural relativism, unusualness of behavior, and distress.

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2
Q

What is the Continuum Model of Abnormality?

A

It suggests there is no clear line between normal and abnormal behavior, requiring subjective decisions.

This model emphasizes the grey areas in defining psychological disorders.

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3
Q

What does cultural relativism imply in the context of abnormality?

A

It suggests that there are no universal standards for labeling behavior as abnormal; behaviors are abnormal only relative to cultural norms.

Example: Family sleeping arrangements vary across cultures.

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4
Q

What are the criteria for abnormal behavior?

A
  • Cultural relativism
  • Unusualness of behavior
  • Distress

Distress refers to the discomfort experienced by the individual exhibiting the behavior.

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5
Q

What is the definition of mental illness?

A

A condition characterized by thoughts, feelings, and behaviors that create dysfunction and can impair daily life.

There is no medical test to identify mental illness; diagnosis is based on symptoms.

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6
Q

What are the Four ‘D’s of Abnormality?

A
  • Dysfunction
  • Distress
  • Deviance
  • Danger

These criteria help in evaluating whether a behavior is considered abnormal.

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7
Q

What does the term psychopathology refer to?

A

The study of psychological disorders and their symptoms.

It encompasses the understanding of various mental illnesses and their manifestations.

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8
Q

What is the etiology of psychological disorders?

A

The causes of disorders.

Etiology can include biological, psychological, and environmental factors.

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9
Q

What are the historical views on mental illness?

A
  • Supernatural theories
  • Somatogenic theories
  • Psychogenic theories

These theories reflect different perspectives on the origins of mental illness throughout history.

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10
Q

What is trephination?

A

A surgical practice dating back to as early as 6500 BC involving drilling holes in skulls to treat head injuries and mental disorders.

It was believed to release evil spirits causing mental illness.

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11
Q

What role did Philippe Pinel play in mental health reform?

A

He advocated for more humane treatment of the mentally ill in the late 1700s.

His efforts marked a significant shift in the treatment of individuals with psychological disorders.

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12
Q

What is the biopsychosocial model in mental health?

A

A model that emphasizes the interaction of biological, psychological, and social factors in understanding disorders.

It recognizes that multiple influences contribute to mental health.

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13
Q

What is the difference between involuntary and voluntary treatment?

A

Involuntary treatment is not chosen by the individual, while voluntary treatment is sought by the individual to relieve symptoms.

This distinction is important in understanding patient autonomy in mental health care.

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14
Q

What is the significance of the DSM-5?

A

It is used for diagnosing psychological disorders and provides standardized criteria for classification.

The DSM-5 is a critical tool for mental health professionals.

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15
Q

What characterizes Generalized Anxiety Disorder (GAD)?

A

Excessive anxiety or worry for at least 6 months about various aspects of life. Symptoms include restlessness, fatigue, and difficulty concentrating.

At least three symptoms must be present that are not related to another anxiety disorder.

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16
Q

What is the difference between fear and anxiety?

A

Fear is an immediate reaction to a threat, while anxiety involves apprehension regarding potential threats.

Anxiety serves a motivational purpose, prompting preparatory actions.

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17
Q

What is a panic attack?

A

A period of extreme fear or discomfort that develops abruptly and peaks within 10 minutes.

Symptoms may include heart palpitations, sweating, and feelings of losing control.

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18
Q

What is a specific phobia?

A

An excessive, persistent fear of a specific object or situation, leading to significant distress.

Common examples include fear of heights or spiders.

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19
Q

What is social anxiety disorder?

A

Characterized by extreme fear and avoidance of social situations where one might be negatively evaluated.

It often develops from early negative social experiences.

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20
Q

What are the criteria for diagnosing separation anxiety disorder?

A
  • Excessive distress related to separation
  • Persistent worry about losing attachment figures
  • Reluctance to be alone or away from home

Symptoms must persist for at least four weeks in children and six months in adults.

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21
Q

What is selective mutism?

A

An anxiety disorder where a person cannot speak in specific situations despite being capable of speech.

It often coexists with social anxiety disorder.

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22
Q

What is Obsessive-Compulsive Disorder (OCD)?

A

Experiencing thoughts and urges that are intrusive and unwanted (obsessions) and/or the need to engage in repetitive behaviors or mental acts (compulsions).

Obsessions are persistent and distressing thoughts, while compulsions are repetitive behaviors aimed at reducing anxiety.

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23
Q

Define Body Dysmorphic Disorder (BDD).

A

Being preoccupied with a perceived flaw in one’s physical appearance that is either nonexistent or barely noticeable to others.

This disorder often leads to behaviors such as excessive mirror checking and comparisons with others.

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24
Q

What percentage of the general population is estimated to have Body Dysmorphic Disorder?

A

Approximately 2%.

BDD is associated with higher rates of suicidal ideation and attempts.

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25
List characteristics of Hoarding Disorder (HD).
* Inability to part with personal possessions * Embarrassment about clutter * Arguments with family over clutter * Risk of fire or eviction * Feelings of depression or anxiety due to clutter * Fear of needing items in the future * Checking garbage for discarded items
26
What is Trichotillomania?
A psychological disorder characterized by a long-term urge that results in pulling out one's hair. ## Footnote The most common pulling site is the scalp.
27
Define Excoriation Disorder.
An obsessive-compulsive spectrum disorder characterized by the repeated urge to pick at one's own skin. ## Footnote This behavior can lead to psychological or physical damage.
28
What are common stressors related to Trauma and Stressor-Related Disorders?
* Exposure to military combat * Threatened or actual physical assaults * Terrorist attacks * Natural disasters * Automobile accidents
29
What are the symptoms of Post-Traumatic Stress Disorder (PTSD)?
* Intrusive memories * Flashbacks * Avoidance of stimuli connected to the event * Negative emotional states * Feelings of detachment * Irritability * Exaggerated startle response
30
What is the duration for diagnosing Acute Stress Disorder?
Lasts between 3 days and 1 month following a traumatic event. ## Footnote If symptoms persist beyond one month, PTSD may be diagnosed.
31
What defines Adjustment Disorder?
An abnormal stress response occurring within three months of a stressor. ## Footnote Symptoms must be clinically significant and not meet criteria for another disorder.
32
What is Reactive Attachment Disorder (RAD)?
A stressor-related disorder caused by social neglect during childhood, characterized by disturbed social behaviors. ## Footnote This disorder results from inadequate caregiving.
33
Define Dissociative Identity Disorder (DID).
Experiencing two or more distinct identities that recurrently take control over one’s behavior. ## Footnote Symptoms include gaps in memory and significant distress.
34
What is Somatic Symptom Disorder?
A mental disorder that manifests as physical symptoms suggesting illness, which cannot be fully explained by a medical condition. ## Footnote Symptoms must persist for at least six months.
35
What is the difference between Illness Anxiety Disorder and Somatic Symptom Disorder?
Illness Anxiety Disorder involves preoccupation with concern about developing a severe medical condition without specific somatic symptoms. ## Footnote In contrast, Somatic Symptom Disorder involves actual physical complaints.
36
What are common symptoms of Functional Neurological Symptom Disorder?
* Numbness * Blindness * Paralysis * Inability to speak * Seizures
37
What is Factitious Disorder?
A condition where a person deliberately produces or feigns symptoms to attain the patient role. ## Footnote This behavior is not motivated by external rewards.
38
What is Major Depressive Disorder (MDD)?
Characterized by a depressed mood most of the day and loss of interest in usual activities. ## Footnote MDD is influenced by genetic, environmental, and psychological factors.
39
What are the symptoms required for a diagnosis of Major Depressive Disorder?
* Significant weight loss or gain * Difficulty sleeping or sleeping too much * Fatigue or loss of energy * Feelings of worthlessness * Diminished ability to think or concentrate
40
What percentage of the risk for major depressive disorder (MDD) is related to genetics?
About 40% ## Footnote This indicates a significant genetic component in the susceptibility to MDD.
41
What are the symptoms required for a diagnosis of major depressive disorder?
Five symptoms for at least a two-week period, including: * Significant weight loss or gain * Difficulty sleeping or sleeping too much * Fatigue or loss of energy * Feelings of worthlessness or guilt * Difficulty concentrating * Thoughts of death ## Footnote Symptoms must cause significant distress and not be due to substances or medical conditions.
42
What subtype of depression involves anxiety symptoms such as tenseness and restlessness?
Depression with Anxious Distress ## Footnote This subtype indicates a co-occurrence of anxiety and depressive symptoms.
43
Which subtype of depression is characterized by lack of interest or pleasure in activities?
Melancholic Features ## Footnote This subtype emphasizes a profound loss of interest in usual activities.
44
What is Persistent Depressive Disorder?
A person experiences mild to moderate depressed moods for most of the day nearly every day for at least two years, with at least two symptoms of MDD ## Footnote Symptoms include decreased or increased appetite, sleep issues, fatigue, and feelings of hopelessness.
45
What is Disruptive Mood Dysregulation Disorder (DMDD)?
A childhood condition of extreme irritability, anger, and intense temper outbursts ## Footnote Symptoms typically begin before age 10 and require clinical attention.
46
What are the symptoms of Premenstrual Dysphoric Disorder (PMDD)?
* Lasting irritability or anger * Feelings of sadness or despair * Tension or anxiety * Panic attacks * Mood swings * Trouble thinking * Physical symptoms ## Footnote PMDD affects 1.8–5.8% of menstruating women.
47
What characterizes Bipolar I Disorder?
Single or recurrent manic episode ## Footnote Depressive episodes are not necessary for diagnosis but are commonly present.
48
What is the duration requirement for hypomanic episodes in Bipolar II Disorder?
Four days or longer ## Footnote Hypomanic episodes must occur alongside depressive episodes.
49
What defines Cyclothymic Disorder?
Numerous periods of depressive and hypomanic symptoms lasting more than one year in children and two years in adults ## Footnote Symptoms must not meet the criteria for major depressive episodes or bipolar disorder.
50
What are the diagnostic criteria for schizophrenia?
Two or more symptoms present for a significant portion of time during a 1-month period, including: * Delusions * Hallucinations * Disorganized speech * Grossly disorganized or catatonic behavior * Negative symptoms ## Footnote Symptoms must persist for at least 6 months.
51
What are positive symptoms of schizophrenia?
Symptoms of commission, examples include: * Hallucinations * Delusions * Bizarre behavior ## Footnote Positive symptoms reflect excesses or distortions in normal functions.
52
What is Delusional Disorder?
Presence of one or more non-bizarre delusions for one month or more ## Footnote Delusions must not be explained by other mental health conditions.
53
What characterizes Brief Psychotic Disorder?
Sudden onset of psychotic behavior lasting less than 1 month followed by complete remission ## Footnote Symptoms may include delusions, hallucinations, and disorganized speech.
54
What is Schizoaffective Disorder?
A mental disorder characterized by abnormal thought processes and unstable moods ## Footnote Symptoms may include delusions, hallucinations, and negative symptoms.
55
What is Anorexia Nervosa?
An eating disorder characterized by extreme thinness due to starvation or excessive exercise ## Footnote Symptoms include intense fear of gaining weight and distorted body image.
56
What are the symptoms of Bulimia Nervosa?
* Chronically inflamed throat * Swollen salivary glands * Worn tooth enamel * Gastrointestinal problems * Electrolyte imbalance ## Footnote Bulimia involves compensatory behaviors following binge eating.
57
What defines Binge Eating Disorder (BED)?
Recurrent episodes of binge eating without compensatory behaviors ## Footnote Symptoms include eating rapidly and feeling a loss of control.
58
What is Avoidant/Restrictive Food Intake Disorder (ARFID)?
Eating disturbance associated with a lack of interest in food ## Footnote It can lead to substantial weight loss and nutritional deficiencies.
59
What is Rumination Disorder?
Regurgitation of food that is re-chewed, re-swallowed, or spit out ## Footnote Symptoms occur shortly after eating.
60
What is Pica?
Appetite for non-nutritive substances such as soil or paper ## Footnote Must persist for more than one month and require clinical attention.
61
What is Insomnia?
Consistent difficulty in falling or staying asleep ## Footnote It is one of the most common sleep disorders.
62
What are the three categories of sleep disorders?
• Sleep disorders • Breathing related disorders • Parasomnias ## Footnote These categories help classify various sleep-related issues.
63
Define insomnia.
A consistent difficulty in falling or staying asleep, often leading to increased anxiety about sleep. ## Footnote Insomnia can create a self-perpetuating cycle due to heightened anxiety.
64
What is narcolepsy?
A disorder characterized by extreme drowsiness and uncontrollable sleep episodes, often associated with cataplexy. ## Footnote Narcolepsy with cataplexy is type 1, while without cataplexy is type 2.
65
What is hypersomnolence disorder?
A condition where the patient experiences excessive daytime sleepiness without symptoms of narcolepsy or breathing-related sleep disorders. ## Footnote Sleep drunkenness is a symptom, leading to confusion and disorientation upon waking.
66
What behaviors are associated with sleepwalking?
Engaging in complex behaviors such as wandering or driving, with eyes open but unresponsive to communication. ## Footnote Sleepwalking occurs during NREM sleep.
67
What is REM sleep behavior disorder (RBD)?
A disorder where muscle paralysis associated with REM sleep does not occur, leading to physical behaviors during dreams. ## Footnote Prevalence is around 0.5 to 1% in the general population.
68
Define sleep apnea.
Episodes during which a sleeper’s breathing stops for 10–20 seconds or longer, often leading to arousal. ## Footnote Types include obstructive sleep apnea (OSA) and central sleep apnea (CSA).
69
What is substance use disorder?
When an individual uses more of a substance than intended and continues use despite adverse consequences. ## Footnote Includes physical and psychological dependence.
70
What are the symptoms of alcohol use disorder (AUD)?
• Mental and/or physical health problems • Slurred speech • Incoordination • Impairment in attention or memory • Withdrawal symptoms ## Footnote AUD can range from mild to severe.
71
What characterizes stimulant use disorder?
Abuse of stimulants leading to clinically significant behavioral or psychological changes. ## Footnote Withdrawal symptoms can include dysphoric mood and physiological changes.
72
What is opioid use disorder (OUD)?
A substance use disorder involving opioids, causing significant impairment or distress. ## Footnote Symptoms include strong desire to use opioids and withdrawal symptoms.
73
What are the primary functions of sedative, hypnotic, and anxiolytic drugs?
• Inducing sleep • Treating insomnia • Calming or relieving anxiety ## Footnote Over 95% of insomnia patients are prescribed hypnotics in some countries.
74
What defines a hallucinogen?
A drug that alters sensory and perceptual experiences, with minimal intellectual impairment. ## Footnote Examples include mescaline and LSD.
75
What is gender dysphoria?
Distress stemming from an incongruence between a person's felt gender and assigned sex/gender. ## Footnote Can manifest in childhood or later in life.
76
What disorders are classified under sexual dysfunctions?
• Delayed ejaculation • Erectile disorder • Female orgasmic disorder • Genito-pelvic pain/penetration disorder • Male hypoactive sexual desire disorder • Premature ejaculation ## Footnote These disorders affect sexual functioning and desire.
77
What is a paraphilia?
Persistent and recurrent sexual interests or behaviors involving atypical objects or situations. ## Footnote Examples include fetishism and exhibitionism.
78
Fill in the blank: _______ is characterized by a lack or absence of sexual desire.
Hypoactive sexual desire disorder.
79
True or False: Cannabis use disorder combines cannabis abuse and dependence into a single entity.
True.
80
What are sexual dysfunctions?
Conditions that impair sexual functioning ## Footnote Includes dyspareunia and vaginismus
81
Define dyspareunia.
Painful intercourse experienced by individuals ## Footnote Commonly reported issue in sexual dysfunction
82
Define vaginismus.
Involuntary contraction of vaginal muscles, making intercourse painful or impossible ## Footnote Related to sexual dysfunctions
83
What are paraphilias?
Persistent and recurrent sexual interests, urges, fantasies, or behaviors involving atypical objects or situations ## Footnote Examples include fetishism and exhibitionism
84
What is fetishism?
Use of nonliving objects for sexual pleasure ## Footnote Commonly includes items like shoes and undergarments
85
What is transvestic fetishism?
Sexual arousal from cross-dressing ## Footnote Involves wearing clothes of another sex
86
Define exhibitionism.
Exposure of genitalia to unsuspecting strangers for sexual satisfaction ## Footnote Considered a paraphilia
87
What is voyeurism?
Viewing an unsuspecting person engaging in disrobing or sexual activity ## Footnote A form of paraphilia
88
Define frotteurism.
Touching or rubbing against a nonconsenting person for sexual arousal ## Footnote Classified under paraphilias
89
What is sexual masochism?
Derivation of sexual arousal from being the recipient of physical or mental abuse ## Footnote A type of paraphilia
90
What is sexual sadism?
Sexual arousal gained from inflicting suffering on a nonconsenting person ## Footnote Related to paraphilias
91
Define pedophilia.
Sexual activity with a prepubescent child by an offender at least sixteen years old ## Footnote Victim must be at least five years younger
92
What are personality disorders?
Conditions that markedly differ from cultural expectations, are pervasive, and cause distress or impairment ## Footnote Begin in adolescence or early adulthood
93
List the three clusters of personality disorders.
* Cluster A: Odd or eccentric types * Cluster B: Dramatic, emotional, or erratic types * Cluster C: Anxious or fearful types
94
What characterizes paranoid personality disorder?
General suspicion and distrust of others ## Footnote Symptoms include holding grudges and preoccupation with loyalty doubts
95
What are symptoms of schizoid personality disorder?
* Lack of interest in social relationships * Chooses solitary activities * Emotional coldness * Indifference to praise or criticism
96
Define schizotypal personality disorder.
Characterized by severe social anxiety, thought disorder, and unusual beliefs ## Footnote Symptoms include ideas of reference and strange behavior
97
What defines antisocial personality disorder?
Disregard for others' rights and feelings ## Footnote Symptoms include deceitfulness and lack of remorse
98
What are the key traits of histrionic personality disorder?
Excessive attention-seeking behaviors and emotionality ## Footnote Symptoms include discomfort when not the center of attention
99
Define narcissistic personality disorder.
Characterized by grandiosity and lack of empathy ## Footnote Symptoms include a need for admiration and sense of entitlement
100
What characterizes borderline personality disorder?
Unstable relationships and strong emotional reactions ## Footnote Symptoms include frantic efforts to avoid abandonment
101
What is avoidant personality disorder?
Fear of ridicule leading to avoidance of social interaction ## Footnote Symptoms include feelings of inadequacy and reluctance to take risks
102
Define dependent personality disorder.
Dependence on others to meet emotional and physical needs ## Footnote Symptoms include difficulty making decisions without advice
103
What is obsessive-compulsive personality disorder?
Excessive need for orderliness and perfectionism ## Footnote Symptoms include rigidity and inability to delegate work
104
What is intellectual development disorder?
Generalized neurodevelopmental disorder characterized by impaired intellectual and adaptive functioning ## Footnote Affects about 2–3% of the population
105
What are the criteria for diagnosing intellectual development disorder?
* Significant limitation in intellectual functioning * Limitations in adaptive behavior * Evidence of limitations in childhood or adolescence
106
Define communication disorder.
Disorder affecting the ability to comprehend or apply language effectively ## Footnote Includes language and speech sound disorders
107
What is autism spectrum disorder?
Neurodevelopmental disorder with deficits in social interaction, communication, and repetitive behavior patterns ## Footnote Affects 1 in 59 children, more common in boys
108
What characterizes attention deficit/hyperactivity disorder (ADHD)?
Pattern of inattention and/or hyperactive and impulsive behavior ## Footnote Occurs in about 5% of children
109
What are specific learning disorders?
Disorders where a person has difficulty learning in a typical manner within specific domains ## Footnote Includes dyslexia, dyscalculia, and dysgraphia
110
Define conduct disorder.
Mental disorder in childhood/adolescence with persistent behavior violating rights of others or norms ## Footnote Symptoms include aggression and deceitfulness
111
What are symptoms of oppositional defiant disorder?
* Frequent loss of temper * Anger and resentfulness * Defying authority figures * Blaming others for mistakes
112
What are motor disorders?
Malfunctions of the nervous system causing involuntary movements ## Footnote Includes developmental coordination disorder
113
What are common symptoms of Oppositional Defiant Disorder in children and adolescents?
* Frequent loss of temper * Touchiness or being easily annoyed * Anger and resentfulness * Arguing with authority figures * Defying or refusing to comply with requests * Deliberately annoying others * Blaming others for their mistakes * Being spiteful or vindictive at least twice in the past 6 months ## Footnote Symptoms indicate behavioral patterns that may require clinical attention.
114
What are motor disorders?
Malfunctions of the nervous system that cause involuntary or uncontrollable movements or actions of the body ## Footnote Includes conditions like developmental coordination disorder and Tourette's syndrome.
115
Define Developmental Coordination Disorder (DCD).
A chronic neurological disorder beginning in childhood ## Footnote DCD affects a child's ability to perform coordinated movements.
116
What characterizes Tourette's syndrome?
Multiple movement (motor) tics and at least one vocal (phonic) tic ## Footnote Tourette's syndrome typically begins in childhood or adolescence.
117
What is Persistent Tic Disorder?
* One or more motor tics or vocal tics * Tics occur many times a day nearly every day or on and off for more than a year * Symptoms start before age 18 * Not due to medication or a medical condition * Not diagnosed with Tourette's syndrome ## Footnote This disorder focuses on the chronicity and frequency of tics.
118
What is Enuresis?
Voiding of urine into bed or clothing in children who are at least five years old ## Footnote Diagnostic criteria include repeated voiding and significant distress or impairment.
119
What defines Encopresis?
Voluntary or involuntary voiding of the bowels in inappropriate places in children at least four years old ## Footnote Diagnostic criteria include repeated events and not due to a physiological effect.
120
What is Delirium?
An organically caused decline from a previous baseline mental functioning that develops over a short period of time ## Footnote Can include psychomotor disturbances and perceptual disturbances.
121
List the most important predisposing factors for Delirium.
* Older age (> 65 years) * Male sex * Cognitive impairment/dementia * Physical comorbidity * Psychiatric comorbidity * Sensory impairment * Functional dependence * Dehydration/malnutrition * Drugs and drug-dependence * Alcohol dependence ## Footnote These factors increase the vulnerability to developing delirium.
122
What is the most common cause of neurocognitive disorder?
Alzheimer's disease (AD) ## Footnote AD accounts for 60-70% of neurocognitive disorder cases.
123
What are the hallmark features of Alzheimer's disease?
* Progressive memory loss * Problems with thinking and behavior * Symptoms worsen over time * Associated with plaques and neurofibrillary tangles in the brain ## Footnote Alzheimer's is a leading cause of death in the U.S.
124
What are Lewy bodies?
Abnormal aggregations of protein that develop inside nerve cells ## Footnote They contribute to Parkinson's disease and Lewy body dementias.
125
Core diagnostic features of Dementia with Lewy Bodies include?
* Fluctuating cognition * Recurrent visual hallucinations * Spontaneous features of parkinsonism ## Footnote These features help differentiate it from other types of dementia.
126
What are the early symptoms of Parkinson's disease?
* Shaking * Rigidity * Slowness of movement * Difficulty with walking and gait ## Footnote Dementia may occur in advanced stages.
127
What is Vascular Neurocognitive Disorder?
Dementia caused by problems in the supply of blood to the brain, typically due to minor strokes ## Footnote Symptoms progress stepwise following cerebrovascular events.
128
What characterizes Prion Disease Neurocognitive Disorder?
Caused by infectious agents leading to abnormal protein accumulations in the brain ## Footnote Includes diseases like Creutzfeldt–Jakob disease (CJD) and variant CJD.
129
What is Huntington's disease?
An inherited disorder causing brain cell death in areas of the brain controlling voluntary movement ## Footnote Symptoms may include mood instability and compulsive behaviors.
130
What are the essential features of AIDS dementia complex (ADC)?
* Disabling cognitive impairment * Accompanied by motor dysfunction, speech problems, and behavioral change ## Footnote Cognitive impairment includes mental slowness and trouble with memory.
131
What is diagnosed as neurocognitive disorder due to TBI?
Persistent cognitive impairment observed immediately following a head injury ## Footnote Symptoms include loss of consciousness and neurological signs.