Psych

Question 1

How do you treat neuroleptic malignant syndrome

Answer 1

supportive
dantrolene (Dantrium)
followed by bromocriptine (Parlodel)/ amantadine

Bromocriptine/amantadine possess direct DA receptor agonist effects and may serve to overcome the antipsychotic-induced dopamine receptor blockade.

Dantrolene is a direct muscle relaxant.

Question 2

what is perphenazine

Answer 2

typical antipsychotic

Question 3

Factors weighting toward a poor prognosis in

schizophrenia include:

Answer 3

early / insidious onset 
 lack of obvious precipitating stressors
poor premorbid functioning
 neurological signs and symptoms
social isolation
 family history 
 poor support systems
negative symptoms.

Question 4

Catatonia is characterized by

Answer 4

marked psychomotor disturbances including prolonged immobility, posturing, extreme negativism

Question 5

Name 2 anti-crazy drugs that are injectable

Answer 5

haloperidol and fluphenazine are available in long-acting forms

Question 6

Schizophrenia affects ____% of the adult population

Answer 6

0.3% to 0.7%

Question 7

Schizophrenia and water

Answer 7

20% have psychogenic polydipsia

Self-induced water intoxication should always be considered in the ddx of ams and sz in schizophrenic
pts

Question 8

_________ has, as its main symptom, the visual hallucination of a transparent phantom of one’s own body

Answer 8

Autoscopic psychosis

Question 9

_______ is a fixed belief that familiar persons have been replaced by identical imposters who behave exactly like the original person

Answer 9

Capgras syndrome
(delusion of doubles)

Question 10

______ is the delusion that the person is a werewolf or other animal

Answer 10

Lycanthropy

Question 11

______ is the false perception of having lost everything, including money, status, strength, health, and internal organs

Answer 11

Cotard syndrome

Question 12

________ is a shared psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing.

Answer 12

Folie à deux

Question 13

Systematic desensitization

Answer 13

behavioral therapy

3 steps: relaxation training; hierarchical construction of
anxiety provoking situations and then desensitization to the stimulus

ex
hierarchical construction: low-anxiety situation, such as just thinking about a flight that is scheduled for 6 months away, and end with a high-anxiety situation, such as actually imagining herself sitting in an airplane while it experiences turbulence

desensitization to the stimulus : proceeding through the list from least anxiety-provoking through most
anxiety-provoking while maintaining oneself in a deeply relaxed state

Question 14

Transference

Answer 14

refers to the projection of feelings once connected to important figures in the patient’s past onto another important figure (often an authority figure).

Transference causes patients to unconsciously reenact old scripts with new others

Question 15

___________ is generally the preferred choice in cases where patients are undergoing acute life crises and are feeling overwhelmed

Answer 15

Supportive psychotherapy

Question 16

psychoanalysis

Answer 16

a system of psychological theory and therapy that aims to treat mental disorders by investigating the interaction of conscious and unconscious elements in the mind and bringing repressed fears and conflicts into the conscious mind by techniques such as dream interpretation and free association

Question 17

management of a patient with factitious disorder

Answer 17

• Splitting is common, so regular interdisciplinary team meetings are called for to manage these patients.
• A PCP should be appointed gatekeeper of all treatment, medical and psychiatric.
• Empathic, nonconfrontational, and face-saving maneuvers are preferred (vs aggressive / confrontational b/c will cause the patient to flee)

Question 18

one reason personality disorders are hard to treat

Answer 18

The patients often see the source of their problems in others, not themselves

Question 19

_________ the awareness that the patient is not alone or unique in his or her suffering and that others share similar symptoms and difficulties, is a powerful healing factor in group therapy

Answer 19

Universalization

Question 20

___________ is characterized by an emphasis on the nurturing, caring role of the therapist and a focus on current reality

Answer 20

Supportive psychotherapy

Question 21

Once cognitive distortions (maladaptive automatic thoughts) are recognized , __________ is used to unravel them by testing them, identifying their
maladaptive underlying assumptions, and testing the validity of those assumptions as well.

Answer 21

cognitive therapy

Question 22

__________ would also use the understanding of the patient and the recreation of the past through clarification, confrontation, and interpretation

Answer 22

Psychoanalysis

patient often comes > once/week,
often patient lies on a couch facing away from the therapist.

Question 23

A ________ would most likely focus on the

negative worldview of this patient and attempt to restructure those thoughts.

Answer 23

cognitive therapy

Question 24

A _________ would most likely instruct the patient to change his/her behavior as an antecedent to recovery (such as exercising or another activity).

Answer 24

behavioral therapist

Question 25

An ________ would focus on developing a supportive and gratifying relationship with the patient to help provide the empathic responsiveness that was hypothesized as absent in the patient’s past

Answer 25

experiential-humanistic therapist

Question 26

expelling or withholding of an idea or feeling from consciousness.

Answer 26

repression differs from suppression by affecting conscious inhibition of impulses to the point of losing and not just postponing goals.

Question 27

n refers to the substitution of an unacceptable feeling or thought with its opposite

Answer 27

reaction formation a person who is very angry at his wife brings home flowers for her

Question 28

achieving of impulse gratification and the retention of goals by altering a socially objectionable aim or object to a socially acceptable one.

Answer 28

Sublimation mature defense, also humor, altruism, asceticism, anticipation, and suppression person who wishes to be admired by everyone channels this behavior into doing charity work

Question 29

mature defenses

Answer 29

sublimation, humor, altruism, asceticism, anticipation, and suppression

Question 30

conversion of psychic derivatives into bodily symptoms and reaction with somatic manifestations rather than psychic ones

Answer 30

Somatization

Question 31

excessive use of intellectual processes to avoid affective expression or experience.

Answer 31

Intellectualization person who has gotten into a disagreement with his best friend spends hours objectively analyzing the conversation to understand what happened

Question 32

splitting or separation of an idea from the affect that accompanies it but that is repressed

Answer 32

Isolation of affect a person told that he has been fired from his long time place of employment appears unemotional about the fact

Question 33

internalization of the qualities of an object. When used as a defense, it can obliterate the distinction between the subject and the object

Answer 33

Introjection

Question 34

perception of and reaction to unacceptable inner impulses and their derivatives as though they were outside the self

Answer 34

projection a person who is angry at her friend is convinced that the friend is angry at her instead

Question 35

adoption of characteristics or behavior of the victim’s aggressor as one’s own. For example, it is not uncommon for the victim of child abuse to grow up to be an abusive parent

Answer 35

Identification with the aggressor

Question 36

avoidance of awareness of some painful aspect of reality by negating sensory d

Answer 36

denial

Question 37

shifting of an emotion or a drive from one object to another (eg, the shifting of unacceptable aggressive feelings toward one’s parents to the family cat)

Answer 37

displacement