Psych Flashcards

(44 cards)

1
Q

what is the thought process when speaker never gets to the point

A

tangentiality

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2
Q

what is the thought process when there is delay reaching the point, over-inclusion, and excessive details

A

circumstantiality

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3
Q

what is the thought process where ideas shift from one subject to another in completely unrelated ways

A

loose associations

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4
Q

what is the thought process with rapid verbalizations, play on words, where ideas tend to be connected

A

flight of ideas

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5
Q

what are ruminations

A

mood-congruent concerns with anxiety/depression

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6
Q

what is depersonalization

A

feeling one is falling apart/fragmenting

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7
Q

what is agnosia

A

inability to recognize people/objects

-can be organic

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8
Q

what NT are MC implicated in mood disorders

A

norepinephrine and serotonin

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9
Q

In depression _____ is decreased. In mania it is increased

A

dopamine

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10
Q

What differentiates grief from depressive episode

A

grief has no disturbance on self esteem, guilt, or worthlessness

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11
Q

MC sign of MDD

A

psychomotor retardation

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12
Q

Symptoms of depression

A
SIGECAPS+MOOD
Sleep disturbances
Interests- loss of pleasurable activities
Guilty
Energy loss
Concentration decreased
Appetite
Psychomotor slowing
Suicidal thoughts
MOOD depressed
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13
Q

Bipolar I is

A

manic episodes +/- MD episodes

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14
Q

Symptoms of manic episode

A
DIGFAST
Distractibility
Indiscretions (pleasureable activities)
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkative
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15
Q

Bipolar 1 + MDD episode treatment

A

Symbyax

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16
Q

Bipolar II is

A

hypomania + MDD

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17
Q

Rapid cyclers have

A

> = 4 episodes of mood disturbances in prev 12 months

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18
Q

Mixed episodes of bipolar dx is

A

criteria for manic and mdd episode met (except duration) met nearly every day during at least a 1 week period

19
Q

cyclothymic dx

A

2+ years of hypomania and depression

20
Q

dysthymic dx

A

2+ years of depressed mood- “low hum”

21
Q

Suicide assessment mnemonic

A
SADPERSONS
S: sex   M>F to succeed, F more attempts
A: age  15-24 highest age group
D: depression       Inc risk 20x gen population
P: prior hx
E: EtOH/drug abuse
R: rational thinking loss
S: support system loss
O: organized plan
N: no signif other, divorced, widowed
S: sickness (terminal, AIDS, CA)

5+ have high risk

22
Q

Dx Adjustment disorder

A

emotional response to stressful event
sxs within 3m of stressor- depression/anxiety
once stressor/consequences terminated sxs <6m
NOT bereavement

23
Q

TOC adjustment disorder

A

psychotherapy, crisis intervention

24
Q

excessive worrying about number of events/activities more days than not with fatigue, muscle tension, sleep disturbances, palpitations

A

Generalized Anxiety Disorder

25
Tx generalized anxiety disorder
Combo of CBT + meds (likely benzo prn)
26
Tx generalized anxiety disorder with cognitive symptoms
Buspar
27
Tx generalized anxiety disorder with muscle tension, irritability, insomnia
Effexor
28
Tx generalized anxiety disorder with depression
SSRI
29
DOC panic disorder
Alprazolam (Xanax) and Paroxetine (Paxil)
30
Discrete period of intense fear with palpitations, SOB, sweating, and fear of losing control
Panic attack
31
marked fear/anxiety of 2+: using public transport, being in open spaces, being in closed spaces, standing in line, being in a crowd, being outside of the home
DX Agoraphobia
32
TOC Agoraphobia
CBT | Paroxetine
33
acrophobia
heights
34
agoraphobia
open places
35
ailurophobia
cats
36
algophobia
pain
37
astraphobia
thunderstorms
38
claustrophobia
enclosed spaces
39
cynophobia
dogs
40
monophobia
being alone
41
mysophobia
contaminations
42
xenophobia
strangers
43
zoophobia
animals
44
TOC specific phobias
exposure therapy/behavior