Mixed Flashcards

(79 cards)

1
Q

Another name for systemic therapy

A

Milan

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2
Q

What is involved in systemic therapy

A

circular questioning
positive connation
hypothesising
paradox

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3
Q

what is important to note with cosntipation and clozapine

A

it is dose related

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4
Q

CAT is based on what
therapy

A

role reciprocial procedure

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5
Q

wht drugs are used for kids /young people for OCD

A

sertraline
fluxoaxmine

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6
Q

what is important to note with niemann pick disease

A

they often present with physical symptoms before psychosis
impaired excutive functioning

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7
Q

which antipsychotics are used for in bipolar

A

HORQ

Haloperidol
olanzapine
quietapine
risperidone

can switch if ineffective

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8
Q

what can be added on if not affected in bipolar?

A

lithium

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9
Q

what should not be used in mania

A

lamotrigine

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10
Q

if on valoproate what to do if not effective

A

increase to max dose
then consider adding HORQ options

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11
Q

hypericum
piper metyh
lavandu
calfornia poppy

A

hypericum - st john wort -depression
piper metyh -kava -anxiety
lavandu -sleep
calfornia poppy - sedation/pain

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12
Q

what medication can be used for gambling

A

naltrexone

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13
Q

agrangulocytosis vs neutropenia

A

agranulycotsis 1%
asian
older age

neutropenia 3%
young
low WCC baseline
african/carrbean

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14
Q

seizure threshold
low
moderate
high

antidepressants

A

Low -duloxetine , SSRI, mirtazpine

caution -MAOI, aglomelatine , meclombibe, verotxieine

mod- lithium, venlaxfaine, trazone

bupropion, maptiline, tca HIGH

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15
Q

where are defects seen on SPECT
frontotemporal
LBD

A

LBD -posterior
Frontotemporal -anterior

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16
Q

how about seizure threshold in antipsychotic

A

LOW
amisulpride
aripiprazole
zipro

asen
lura
(caution)

MOD
olanzapinr, quietapine

HIGH

clozapine
depo medications
Loxepdine

CDL

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17
Q

dose for first episode first vs relapse

Chloropromazine
haloperidol
sulpride
amisulpride
olanzapine
quietapine
risperidone
aripiprazole
trifluepnzine

A

Chloropromazine 200 300mg
haloperidol 2mg 4mg
sulpride 400mg 800mg
amisulpride 300mg 400mg
olanzapine 5mg 7.5mg
quietapine 150mg 300mg
risperidone 2mg 4mg
aripiprazole 10mg for both
trifluepnzine 10 and 15mg

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18
Q

what is
trap:
snag :
dilemma:

A

trap: negative assumption generalise act -confirms assumption

snag : appropriate goals are abandomened if unaccepted to self

dilemma: polarised actions

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19
Q

spina bifida with epilim
how common

A

1 in100

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20
Q

what can be used in HIV patients for psychosis

A

R QOA
Riperidone first but

alternatives are
qietapine
Olanzapine
rispiderone
aripiprazole?

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21
Q

what marker will be raised in bulimia /vomiting

A

raised amylase

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22
Q

the 5 tiers of drugs which are in what

A

1 LSD, MDMA, opium

2 methylphendiate, methadone, morphine

3 tenazepam, levri, barbs,

4 benzo, steriods , z drugs/hynoptics

5 codeine, dyhydrocodeine, weak mophine

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23
Q

perinatal psychosis is associated with what

A

bipolar
20x increase in relapse risk in 1st month

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24
Q

risk of what with paroxetine

A

VSD
ASD to heart

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25
what can happen to a baby with lamotrigine
a rash
26
SSRI in pregnancy can cause and benzos cause
PPH floppy baby
27
apgar scor can be low with
z drugs
28
who founded cognitive anylatic therapy
RYLE
29
CBT founde r
Beck
30
group psychotherapy child psychotherapy
bion moreno coined the term klein-children
31
ITP
klerman sullivan
32
assessments for personality
SAPAS -interview, yes no, 8 areas, 2 mins FFMPF - 5 FACTOR MODEL, 30 items, self reported PDQ-R self 100 true alse IPDE - interview, questionnaire 11PPD -self 127 IPDS - interview, 11 criteria
33
motivaitonal interviewing
miller
34
behavioural activation
martelll
35
tuke found
moral therapy
36
perls
gesalt
37
psychodrama
moreno
38
rapoprt guy
community therapies therapuetic f-Yalom
39
Whats seen with intoxication of ektamine
stiff muscles hallucination ataxia euphoria SHET
40
hallucinogen intoxidation
sweaty tachy paranoia blurry vision dilated pupils
41
cannibis intoxic and withdrawal
red eye conjuctival injection dry mouth HR withdrawal - weight loss, irritable
42
ranges for LD
50-69 -mild 35-49-mod 20-24-severe <20 profound
43
what med can cause swallowing difficiulties
cloneazepam
44
What assessments are used for autism
ADI and ADOS ADI -s a interview with caregiver ados IS observed assessment with interview
45
what is used for aspergers
AAA -empathy quotient autism ASDi - 20 item interview RAADS - 80 item s
46
what is landuer kelffere syndrome
rare epilspey syndrome ages of three and nine years and is characterised by loss of language skills and silent electrical seizures during sleep.
47
stroke anti depressant used
paro fluxo citalopram nortriptyline an option if DOAC, then used citalo or escitalopra
48
what is smith magenis
17p11.2 deletion self hugging"""" midface hypoplasia,m broad square face Head banging
49
what is seen in schizotypal
social anxiety paranoid delusion difficulty forming relationships affect compoment
50
heller syndrome
disintegretive dx regression after 2 year old
51
ARIF
Fear of consequences, for example a fear of vomiting, choking or gagging A lack of interest in food – there is no pleasure in eating and it feels like a chore Avoiding food based on sensory characteristics, for example how the food looks, it’s temperature, texture, taste and/or smell sensory component not associated with weight
52
ID EGO SUPERIGO
ID - no time, pleasure Ego - reality -con, pre, unconscious Superego- parenital influence, attitudes, conscious behaviour
53
therapeutic technique where a therapist instructs a patient to engage in the symptoms or behaviors they are trying to chang
paradoxical injunction
54
detouring triangulation
detouring - blame on one person triangulation - 3rd persion, child vs parents in iddle
55
klermann bipolar
1 mania 11 mania with depression 111 cyclothymnia IV - hypomania/drugs v depression, FH VI- mania w/ depression akiskal 1. full blown 1.5 -depression and hypo 3. 3.5 stimulant abuse
56
ratio suiicide m:f
3:1
57
med for negative schizo symptoms
amisulpride
58
Rx of psychoticdepression atypical depression
psychotic : TCA and antipsychotic atypical -MAOI
59
b12 deficiency med
phenytoin
60
siarrlohea in clozapien pt
30%
61
Which of the following is a tool involving both a self-reported component and a semi-structured interview used to screen for personality disorders?
IPDE
62
sigma receptor drug acting on
extromethorphan (DXM). DXM acts as an NMDA receptor antagonist, which contributes to its dissociative effects at high doses. Additionally, it acts as an agonist at sigma receptors, which may further modulate its psychoactive properties. This dual mechanism is why DXM, found in over-the-counter cough suppressants, can produce hallucinogenic and dissociative effects when misused.
63
which med associated with gambling causing it
There is evidence in the form of case reports suggesting there may be an association between aripiprazole and pathological gambling.
64
Therapeutic factors of group psychotherapy 85. Community therapy
Yalom Rapoport
65
interdose withdrawal symptom
oxezepam
66
Allodynia
Allodynia is defined as "pain due to a stimulus that does not normally provoke pain.
67
antidepressant in parkinson
sertraline venla duloxetine
68
difference between bipolar 1 and 2
one - manic episode or mixed 2- hypomanic and depression
69
cyclotyhmia vs dysthmyia
cyclothymia-mixed hypomanic and depressive dysthmia - mostly depression most days
70
existential factor
Previous Exam Question The therapist encourages the group member to face existential factors (basic facts of life).
71
Universality Altruism Instillation of hope Imparting information Corrective recapitulation of the primary family experience Development of socialising techniques Imitative behaviour Cohesiveness Existential factors Catharsis Interpersonal learning
. Group psychotherapy Universality (removes group members sense of isolation) Altruism (the experience of helping anther group member) Instillation of hope (seeing other members who have progressed in therapy) Imparting information (learning from others) Corrective recapitulation of the primary family experience (therapists analysis of transference) Development of socialising techniques (practicing social skills) Imitative behaviour (using other members as models) Cohesiveness (feeling part of the group) Existential factors (facing the basic issues of life) Catharsis (relief from expressing emotion) Interpersonal learning (using feedback from other members) Self understanding (insight)
72
impairment vs disability
Loss or abnormality of psychological, physiological, or anatomical structure or function. This definition encapsulates the medical understanding of impairment as a state in which there is a loss or deviation from normal physiological function or structure. It may be due to disease, trauma, genetic disorders and other health conditions. Impairment can affect any system of the body and result in disability if it limits the ability to perform activities that are considered normal for a human being.
73
what is handicap
Disadvantage for an individual that limits or prevents the fulfilment of a role that is normal for them, t
74
what is neyman bias
Neyman bias is a type of bias that occurs when extremely sick or healthy individuals are excluded from a study, which affects the results. L
75
Sequential diagramatic reformulation
Cognitive analytic therapy
76
terms associated with CBT IPT Psychodynamic psychotherapy
Cognitive behavioral therapy :- Homework Socratic questioning Negative automatic thoughts/ cognitive distortions Core beliefs Interpersonal therapy :- Grief Role transitions Interpersonal deficits Interpersonal disputes Psychodynamic Psychotherapy :- Transference Countertransference
77
% of those convicted of homicide made contact with mental health services within 12 months of the offence.
9
78
mental disorder amd homicide
ates of mental disorder (lifetime) in people convicted of homicide in England and Wales (1996-1999): Mental disorder Rate Any mental disorder 34% Schizophrenia 5% Affective disorder 7% Personality disorder 9% Alcohol dependence 7% Drug dependence 6%
79
wolpe
https://www.mrcpsychmentor.com/question/questions.php?q=0#:~:text=Reciprocal%20inhibition%20is%20a%20core%20concept%20in%20systematic%20desensitisation%2C%20a%20behavioural%20therapy%20developed%20by%20Joseph%20Wolpe%20(1958).%20It%20posits%20that%20based%20on%20the%20concept%20of%20reciprocal%20inhibition%20(pioneered%20earlier%20by%20Wolpe)%2C%20one%20cannot%20remain%20anxious%20and%20relaxed%20at%20the%20same%20time.