Final Exam Flashcards

(66 cards)

1
Q

types in delusion
- erotomanic
- grandiose
- jealous
- persecutory
- somatic

A

erotomanic: believe another person is in love with them
grandiose: have great talent or insight, made important discovery
jealous: belief that their partner is unfaithful
persecutory: believe that they’re being spied on, drugged, followed, conspired against
somatic: bodily functions or sensations

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2
Q

brief psychotic disorder

A

psychotic symptoms occur for at least one day, but for less than a month

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3
Q

schizophreniform disorder

A

psychotic symptoms last at least 1 month but less than 6 months

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4
Q

schizoaffective disorder

A

psychotic + mood episodes but psychotic symptoms were present on its own before mood episodes for at least 2 weeks

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5
Q

attenuated psychosis syndrome

A

way to catch people during early stages of schizophrenia before it occurs
feel like they’re going crazy but don’t have full blown psychotic symptoms

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6
Q

catatonia specifier

A

weird motor activity
- mostly seen in depressive, bipolar, and schizophrenia disorders

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7
Q

schizophrenia

A

psychotic symptoms for at least 6 months
is like being struck by lightning
what they say doesn’t make logical sense, hard to follow (disorganized speech)

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8
Q

positive vs. negative symptoms of schizophrenia

A

positive: delusions, hallucinations
negative: blunted affect, apathy, poor social skills

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9
Q

what does medication for schizophrenia help with?

A

with positive symptoms but not for negative symptoms

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10
Q

etiology of schizophrenia: genetics, biochemical factors, household environment

A

high heritability if parents have it, frequent cannabis use, high dopamine levels, high expressed emotion families

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11
Q

treatment for schizophrenia

A

antipsychotic meds (positive symptoms) + psychotherapy (managing daily life stressors)

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12
Q

rule of thirds for schizophrenia

A

1/3 do pretty well in life after treatment
1/3 relapse
1/3 don’t successfully recover and get worse

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13
Q

anhedonia

A

lowered interest in activities that they usually enjoy, lowered joy/pleasure

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14
Q

single episode vs. recurrent episode for major depressive episode

A

needs to have 2 months between episodes for it to be considered separate episodes

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15
Q

major depressive disorder

A

at least 2 weeks of depressive symptoms

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16
Q

signs of depression in children vs. adolescents

A

children: sad all day, cranky, feeling tired all the time, can’t sleep at night, acting younger than their age
adolescents: change in sleep, more physical complaints, outbursts, tearful, moodiness, issues with school, social withdraw

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17
Q

persistent depressive disorder

A

depressive symptoms for at least 2 years, 1 year for youth

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18
Q

MDD vs. persistent depressive disorder

A

MDD is more severe and shorter symptoms duration

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19
Q

disruptive mood dysregulation disorder (DMDD)

A

chronic severe irritability between outbursts, severe constant temper outbursts for at least 1 year

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20
Q

premenstrual dysphoric disorder

A

extreme version of PMS

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21
Q

etiology of depression: genetics, biochemical factors

A

if there is a lot of MDD int he family tree, then even if your parents have BPD, then you’re more likely to get MDD than BPD
low levels of norepinephrine, serotonin, and dopamine

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22
Q

treatment for depression

A

medications (antidepressants, SSRIs), + psychotherapy (CBT, IPT)

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23
Q

myths of suicide:
people who talk about suicide are unlikely to commit suicide
suicide occurs randomly
improvement after a crisis indicates that the risk factor is over

A

talk about suicide = they’re asking for help
not random, a lot of warning signs
12 months following suicide attempt needs a lot of support

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24
Q

direct indicators of suicide risk assessment

A

suicide plan, availability of means, prior attempts

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25
the anxiety cycle: how anxiety gets triggered and maintained
things that usually activated our fight or flights response doesn't help us now and actually puts us on threat mode when we don't need to be - HPA Axis and negative feedback loop, over active amygdala
26
social anxiety disorder
fear that they will be judged and negatively evaluated by others
27
panic disorder
having panic attacks that come out of nowhere catastrophically misinterpreting false alarms (ex. heart beating fast) that leads to an actual panic attack
28
agoraphobia
the fear of fear, fear that they won't be able to escape the situation - I'm going to freak out and not be able to escape
29
generalized anxiety disorder and a common coping mechanism
excessive worry for at least 6 months coping: keeping busy
30
obsessions vs. compulsions
obsession: recurrent thoughts that are intrusive and unwanted compulsions: behaviors to engage in to lessen anxiety and feel in threat if they don't do it
31
OCD cycle
obsession -> anxiety -> compulsion -> relief -> obsession (and so forth)
32
body dysmorphic disorder
focused on a specific part of the body that isn't noticeable by others
33
is hoarding disorder an obsession?
no, a compulsion if the reason is some obsession related, then it's OCD
34
treatment for obsessive-compulsive disorders
medication (SSRIs) + CBT and ERP (exposure + response prevention)
35
manic vs. hypomanic episode
manic: hospitalized, elevated/irritable mood hypomanic: not hospitalized, not severe enough to cause marked impairment in functioning
36
racing thoughts vs. loose association
racing thoughts: shift from topic to topic, logical connection between thoughts loose association: no connection between topic to topic (schizo)
37
bipolar I vs. bipolar II
bipolar I: mania bipolar II: hypomania + depressive episodes
38
cyclothymic disorder
looks like bipolar, but doesn't meet the criteria - mild symptoms of mania and depression
39
disposition for bipolar disorders
many with bipolar have relatives with depression, strong genetic disposition sleep deprivation
40
bipolar vs. ADHD in children
bipolar: angry acting out, can't sooth rages, mood-dependent symptoms ADHD: consistent behavior across context, can sooth tantrums, feeling overwhelmed triggers tantrums
41
bipolar vs. DMDD in children
bipolar: episodic, psychotic features DMDD: persistent, more frequent tantrums, no mania
42
treatment of bipolar disorders
medication (mood stabilizers) + treatment (relapse prevention, CBT) - medication makes the mania less severe and shorter (treats the mania) - treatment focuses on the depression
43
light and darkness and its relation to melatonin
light -> decrease in melatonin -> brain thinks it's day, not drowsy darkness -> increase in melatonin -> brain thinks it's night
44
delta sleep vs. REM sleep
delta sleep: stage 3, the sleep that actually makes you feel rested REM sleep: dreaming sleep, if you don't get enough REM sleep, then it will take over the deep sleep to make up for the deficient REM sleep
45
etiology of sleep disorders
medical conditions, caffeine, alcohol, stress
46
when is sleep problems in childhood an actual problem?
if it's actually causing a problem if everyone is getting enough sleep and no one thinks it's a problem, then we don't label it as a problem
47
insomnia disorder
difficulty falling asleep and staying asleep, early morning wakening NEEDS to cause distress or impairment for it to be a disorder
48
hypersomnolence disorder vs. hypersomnia
hypersomnia: excessive sleep hypersomnolence: excessive sleepiness - constantly napping throughout the day, still being tired after full night of sleep
49
non-REM sleep arousal disorder
sleepwalking and sleep terrors - don't remember the dream, don't remember doing stuff
50
delirium
impaired attention and orientation usually brief, only takes 1-4 weeks for symptoms to clear
51
diathesis-stress model
the greater the underlying vulnerability (ex. genetic disposition), the less stress it takes to reach the diagnosis
52
etiology of personality disorder
need to trace back to starting in early adolescence or early adulthood, symptoms have been seen for a long duration because it's developmental
53
paranoid personality disorder
always sus of others, people can't be trusted, hold grudges
54
schizoid personality disorder
don't want relationships, flat affect "meh" :|
55
schizotypal personality disorder
very mild schizo, are functional and not disorganized (the negative symptoms), think they have super powers not actually delusional or hallucinating
56
antisocial personality disorder
violating the rights of others, have to be at least 18, need to have symptoms of conduct disorder before age 15
57
conduct disorder vs. antisocial personality disorder
conduct disorder: antisocial for youth - many with conduct disorder later are diagnosed with antisocial personality disorder
58
borderline personality disorder
instability in everything, very impulsive, splitting (black or white thinking), threatening. blame everyone
59
histrionic personality disorder
very dramatic expressions and attention seeking, they like and need constant attention, seductive, manipulative, easily influenced
60
narcissistic personality disorder
need recognition for self importance, believe that rules don't apply to them, believes they're special, ideal love, very low self-esteem
61
avoidant personality disorder
more severe form of social anxiety disorder
62
dependent personality disorder
the need to be taken care of, not taking responsibility, need constant reassurance
63
obsessive-compulsive personality disorder
perfectionist, order, control, workaholic, details
64
best treatment for BPD (borderline)
DBT, learning emotional regulation and seeing the world in shades of grey
65
OCD vs. obsessive-compulsive personality disorder (OCPD)
OCPD: doesn't have to do anything with obsessions or compulsions
66
egosyntonic vs. egodystonic
egosyntonic: thoughts, feelings, and behaviors that align with the person's values and self-concept egodystonic: does not align