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Flashcards in Affect Disorders pg4 to Sexual Disorders pg4 Deck (37)
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Affect Disorders aka

Thymic/mood disorders (euthymic = good/normal)

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Mania (necessary) & melancholia (eventually happens) *mood swings*. Several types depending on length of swings & states. Usually appears at 20-years of age. Elevated rate (obesity, HTN, DM, hyperlipidemia. "potato chip disease". Tx: lithium, drug stabilizers, mood charting

Bipolar disease

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causes hypomaniac and mild depressive episodes (small mood swings)

Cyclothymic

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aka depression, *hopelessness*, suicidal. 50% are misdiagnosed/unrecognized, self inflicted injuries - "cutter". High incidence: alzheimers, DM, parkinsons, heart, stroke, cancer, HIV, fibromyalgia and chronic pain. MEdications contribute: blood pressure, hormones, and antibiotics. More prominent in females, re occurance is common. Major depression is 2 weeks of 4 symptoms from the following list: Loss of appetite, insomnia, agitation, worthlessness, suicidal, poor concentration

Unipolar disease

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Similar to depression, but diagnosis is 2 years of at least 3 symptoms (same list as unipolar). Tx for both depression & dysthymia: personal therapy, drugs, ECT nutrition. B6 (metabolizes tryptophan to serotonin), magnesium, Vit D, calcium, omega 3

Disthymic

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Seasonal Affect Disorder

(SAD) Tx: Light, exercise, comfort foods

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Psychosis aka

altered reality

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Yourng adults are most commonly afflicted, reality is altered, *episodic*, altered perception, hallucinations. Delusions, hear voices, disorgainized speech (incoherent, clang) Rhyming. Algoria (poverty of speech), Avolition (lack of purposeful action or motivation)

Schizophrenia

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Types of schitzophrenia

1 Disorganized - (Old term - *Hebephrenic*) unpredictable mood shifts. 2 Catatonic - rigid posture, expressionless flat affect, "masked faces" Totally checked out. 3 Paranoid - Delusions of *persecution*. 4 Schizophreniform - (short lived and mild) adolescent onset, family induced, contradidtory messages

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Old school term. No regard for self or others, abnormal lack of empathy. Combines with strongly amoral conduct masked by an ability to appear outwardly normal. Verbal therapy not effective

Psychopath

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Believes they are superior, grandiose, lack remorse, shallow emotions, need stimlulation, pathological liar, violent

Sociopath/Antisocial

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(survival mode) Multiple personalities, childhood abuse and neglect, can be short term event.

Dissociative

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Physical complaint with no organic pathology (exaggerate complaints), entirely unconcious process,

Somatoform Disorders

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Convinced of a body flaw (real or imagined) and preoccupied with it (e.g. anorexia nervosa)

Dysmorphic disorder

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*Anorexia nervosa* fear of fat. *Bulimia* Binge and purge (Barretts) *Pica* no nutritional value

Food disorder

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(hysteria) Psychic conflict causing *physical* symptom - single physical impairmnet caused by emptional event

Conversion disorder

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Preoccupation with personal health or contracting illness

Hypochondriac

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(aka Briquets syndrome) Females under 30 (usually starts in adolescence) multiple systems, confusing

Somatization disorder

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(aka psychogenic pain disorder) underlying emotional process, pain often allowes escape from responsibility

Somatoform pain disorder

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Delusional parasitosis, believes they are invaded by insects, parasites, hair etc

Morgellons disease

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Exaggerates personal complaints

Munchausen syndrome

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caregiver inflicts harm on individual they are careing for.

Munchausen by proxy

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General anxiety disorder

(GAD) Constant excessive fear, hypervigilant.

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GAD symptoms

twitching, sweating, dry mouth headache, stomach ache, urinary frequency

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GAD sequelae

heart failure, head injury, hormone imbalance, endocrine disease, pheumonia and COPD

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Drugs that cause GAD

cannabis, analgesics, caffine, amphetamines

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Pannic attacks occur with

GAD, phobias, obsessive compulsive disorder, post traumatic stress disorder

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Phobic people know their fear is _______

unreasonable

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Social phobias

social is provoked by people or performancde issues

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Specific phobias

provoked by object or situation