Chapter 9: Psychiatric (DSM-5) Disorders (continued) Flashcards

1
Q

What disorder is the most genetic of all the psychiatric disorders?

A

bipolar disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the requirements to be diagnosed with bipolar disorder?

A
  • symptoms of mania > 1 week, with loss of functioning
  • symptoms of major depressive disorder are very common but not necessary for diagnosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the 2 types of bipolar disorder? Describe what differentiates them.

A

bipolar I: involves mania and depression
bipolar II: involves hypomania and depression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What are characteristics of cyclothymic disorder?

A

more mild bipolar disorder

  • mood swings
  • periods of hypomania alternating with periods of milder depression (neither meets criteria for mania or MDD)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Treatment for cyclothymic disorder?

A

psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is the time frame to be diagnosed with cyclothymic disorder?

A

Must have 2 years duration

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Duration of time experiencing symptoms in bipolar II?

A

months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Anxiety disorders have which gender predisposition?

A

women > men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Duration of time requirement to be diagnosed as someone with panic disorder.

A

presence of panic attacks for > 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Panic disorder symptoms.

A

involves worry about having more attacks and significant maladaptive behavioral changes related to the attack

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Treatment for panic disorder?

A

benzodiazepines for panic attack or SSRIs for panic disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

GAD characteristics?

A

generalized anxiety disorder is constant sense of worry for > 6 months about things on should not have to worry about

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Treatment for GAD?

A

SSRIs or buspirone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Social anxiety?

A

fear of being embarrassed or humaliated in a social situation, or public speaking (called stage fright or performance anxiety only if related to performance in public)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Treatment for social anxiety?

A

antidepressants and beta-blockers (for stage fright, given b4 an event)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

OCD?

A

Obsessive-Compulsive Disorder a disorder characterized by

obsessions: thought that are intrusive, senseless and time consuming

and

compulsions: acts that are repetitive, and time consuming

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Treatment for OCD?

A

antidepressants and behavioral modification (exposure and response prevention)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Body Dysmorphic Disorder?

A

belief that some part of one’s body is abnormal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Treatment for Body dysmorphic disorder?

A

psychotherapy and SSRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Treatment for hoarding disorder?

A

SSRIs and psychotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is trichotillomania?

A

irresistible urge to pull out one’s own hair followed by a sense of relief. Many eat or chew their hair

22
Q

What are common symptoms of PTSD?

A

re-experiencing even in form of nightmares or flashbacks

23
Q

PTSD has what gender predisposition?

A

women> men

24
Q

Compare onset of PTSD with Acute stress disorder.

A

PTSD: anytime
Acute stress disorder: > 3 days but < 1 month

25
Treatment for PTSD?
exposure therapy and SSRIs
26
Compare duration of PTSD with acute stress disorder.
PTSD ≥ 1 month Actue stress disorder: < 1 month
27
What is adjustment disorder?
maladaptive response to an identifiable stressor causing distress in functioning
28
How long should onset of symptoms and duration of symptoms last in adjustment disorder?
* symptoms must occur within 3 months of stressor * symptoms a cannot last >6 months in duration
29
What is anorexia nervosa?
characterized by restriction of food intake that leads to > 15% - 20% loss of ideal body weight or BMI < 17 kg/m2
30
Treatment for anorexia nervosa?
hospitalization, behavioral modification, SSRIs, and family therapy
31
What are major characteristics of bulimia nervosa?
characterized by binge eating followed by purging.
32
Compare weight in bulimia nervosa to anorexia.
anorexia: BMI < 17 bulimia: weight normal
33
Treatment for bulimia nervosa?
behavioral modification and SSRIs
34
Binge eating disorder typical weight?
weight above normal
35
Treatment for binge eating disorder?
stimulants
36
What is somatic symptom disorder?
excessive thoughts, feelings, and behavior related to the somatic symptoms
37
Duration required to be diagnosed with somatic symptom disorder?
> 6 months
38
Treatment for somatic symptom disorder?
should be by one identified physician along with psychotherapy
39
What is illness anxiety disorder?
Illness anxiety disorder is characterized by the belief that one has an underlying illness, despite constant reassurance
40
What is the duration of illness anxiety disorders?
> 6 months
41
Are somatic symptoms present in illness anxiety disorder?
* somatic symptoms are not present; if present, mild
42
Treatment for illness anxiety disorder?
psychotherapy
43
What is conversion disorder?
development of neurological symptoms following psychological stressor that cannot be medically explained
44
Characteristics of conversion disorder?
* all work-up tests will be negative * patients will be indifferent to symptoms ( la belle indifference
45
Treatment for conversion disorder?
psychotherapy
46
What is factitious disorder
conscious production of signs and symptoms of a mental or physical illness
47
What are the 2 types of factitious disorders?
imposed on self and imposed on others
48
Treatment for factitious disorder?
psychotherapy
49
What is malingering?
not a mental illness. * conscious production of signs and symptoms of mental or physical illness
50
Compare and contrast symptoms production in Somatic Symptom Disorder, factitious disorder, and malingering?
Somatic symptom: unconsious Factitious: intentional Malingering: intentional
51
Compare and contrast motivation in somatic symptom disorder, factitious disorder, and malingering.
somatic symptom: unconscious factitious: unconscious malingering: intentional