Psych 12 Flashcards
(50 cards)
What is the distinguishing feature between dissociative amnesia and other conditions resulting in memory loss
Procedural memory is preserved
How do you distinguish binge-purge anorexia from bulimia
In anorexia patients have significantly low body weight vs. bulimia where patients have normal body weight
Define binge eating
Excessive food intake within a 2 hour period accompanied by a sense of loss of control
Time frame of bulimia
Binge eating and compensatory behaviors occur at least once a week for 3 months
Tx of anorexia
SSRI do not work
CBT, family therapy, supervised eating group
Tx of Bulimia
Fluoxetine is only FDA approved
Binge-eating disorder vs. Bulimia
Patients with binge-eating disorder suffer from distress over their binge eating by do not try to control their weight by purging or restricting
Time frame of binge eating disorder
Binge eating occurs at least once a week for 3 months
What are the sleep stages
To remember EEG waves THINK: BATS Dream Big ♣ Awake (eyes open) • Beta waves ♣ Awake (eyes closed) • Alpha waves • Meditating ♣ Non-REM N1 • Theta waves • Light sleep ♣ Non-REM N2 • Sleep spindles and K complexes • Bruxism (teeth grinding) ♣ Non-REM N3 • Delta waves (lowest frequency) • Deepest sleep • Sleep-walking, night terrors, bed wetting ♣ REM sleep • Beta waves • Loss of motor tone • Dreaming
What are types of insomnia disorder
- Difficulty initiating sleep
- Frequent nocturnal awakenings
- Early morning awakenings
- Waking up feeling fatigued and unrefreshed
Tx of insomnia
CBT is first-line
Benzos, Non-benzo hypnotics, Trazodone, amitriptyline, Doxepin
DSM criteria and time frame for hypersomnolence disorder
o Excessive sleepiness despite at least 7 hours of sleep, with at least one of the following:
♣ Recurrent periods of sleep within the same day
♣ Prolonged, nonrestorative sleep > 9 hours
♣ Difficulty being fully awake after awakening
o Occurs at least 3 times per week for at least 3 months
Tx of hypersomnolence disorder
Modafinil or stimulants
Amphetamine-like antidepressants such as atomoxetine are second line
Time frame for narcolepsy
o Recurrent lapses into sleep or naps
♣ Minimum 3x per week for 3 months
What is it called when you have hallucinations when going to sleep and when waking from sleep
HypnaGogic = Going to sleep
HyponopoMic = waking froM sleep
What substance can be used to test for narcolepsy
Low CSF levels of hypocretin
What is cataplexy
Brief loss of muscle tone precipitated by strong emotion (e.g. laughter excitement)
Tx of cataplexy
Sodium oxybate (drug of choice)
TCAs, SSRI/SNRI
What is Delayed sleep phase disorder
o Chronic or recurrent delay in sleep onset and awakening times with preserved quality and duration of sleep
What is advanced sleep phase disorder
o Normal duration and quality of sleep with sleep onset and awakening times earlier than desired
What part of the brain coordinates circadian rhythm
Suprachiasmic nucleus in the hypothalamus
What disorders occur in Non-REM sleep
Sleepwalking, sleep terrors, nightmare disorder
Describe a sleep terror episode
o Recurrent episodes of sudden terror arousals
o Difficult to arouse during an episode
o After episode, patients usually return to sleep without awakening
o Dreams are not remembered
Describe nightmare disorder
o Recurrent frightening dreams that occur during the second half of the sleep episode
o Terminate in awakening with vivid recall
