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THIRD YEAR > Psych > Flashcards

Psych Flashcards

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1
Q

distrust and suspiciousness of others such that their motive are perceived as malevolaent
%
when

A

paranoid personlaity disorder
0.1%
early adulthood

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2
Q

pervasive pattern of attachment from social groups and a restrictive range of expressions of emotions in interpersonal settings
%
when

A

schizoid
0.8%
early adulthood onwards

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3
Q

pervasive pattern of disregard for and violation of the rights of others
%
when

A

antosocial
0.6%
15 onwards

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4
Q

borderline PD %
when
treatment

A 
0.7%
early adulthood
CBT, antipsychotics
anger - topirimate
hostility - phenalzine
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5
Q

excessive emotional symp and attention seeking
%
when

A

histrionic PD
1%
early adulthood

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6
Q

social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation
%
when
treatment

A

avoidant
0.8%
early adulthood
social skills training. some evidence for anti depressants

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7
Q

dependant PD
%
when

A

0.1%

early adulthood

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8
Q

pervasive pattern of preoccupation with order lines perfectionism and mental and interpersonal control at the expense of flexibility openness and efficiency
%
when
difference between this and OCD

A

obsessive compulsive
1.9%
early adulthood
OCD is egodystronic

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9
Q 
F32.0
F32.1
F32.2
F32.3
F32.8
F32.9
A

mild depressive episode (2 core and 2 minor)
mod depressive episode (2 core and 3/4 minor)
severe depressive episode without psychotic symptoms (3 core and 5 or more minor)
severe depressive episode with psychotic symptoms
other depressive episodes
depressive episode unspecified

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10
Q

core symptoms of depression

A

episode should last at least 2 weeks
loss of interests or pleasure
decreased energy or increased fatiguability

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11
Q

minor symptoms of depression

A 
loss of confidence or self esteem
self reproach or guilt 
suicide/death thought 
decrease in ability to concentrate 
psychomotor agitation or retardation
sleep disturbance 
change in appetite
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12
Q

mild depression treatment

mod/severe

A

info and support and follow up in 2 weeks

pharmacology and high intensity psychotherapy

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13
Q

pharmacology treatment for depression

A

SSRI usually citalopram

fluoxetine, proexetin, sertaline

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14
Q

how long are people kept on SSRIs for depression

A

trail for 6 weeks unless side effects in first week

wait 4-7 days before starting a new drug with fluoxetine

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15
Q

what is given in under 18s

A

fluexetine

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16
Q

whats given in treatment resistant or recurrent depressive episodes

A

phenolzine

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17
Q

why is there paroxetin discontinuation syndrome

A

long half life

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18
Q

depression and sleep issues

A

mitalezpam

sedative and weight gain

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19
Q

depression and obesity

A

fluexoetine

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20
Q

depression and sexual dysfunction

A

mitazepine, bupropion

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21
Q

follow up with depression

A

6 months

continue for 2 years if risk of relapse

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22
Q

somatic depression treatment

A

ECT or pharma

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23
Q

atypical depression key point
often associated with what
treatment

A

low mod but reactive
anxiety
phenalzine

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24
Q

people are out to kill me
I’m being poisoned for my sins
I’ve got cancer but i deserve it

A

hypochondrical

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25
I'm dead the world around me doesn't exist
nihilistic delsusion often in elders cartard syndorme
26
treatment for psychotic depression
ECT first line | amoxapine and olanzapine - dual effect and good for episodic attacks
27
post stroke depression
1/3 of patients | most common neurppsychoatric complication
28
post MI depression
62% have depressive symptoms | 15-22% have major depression
29
type 1 BPD | type 2 BPD
mood disturbance and mania | mood disturbance and hypomania and no mania
30
acute manic episode treatment
valproate/oral anti psychotic lithium if non immediate BZD for sedan if required
31
acute depressive treatment | treatment should be avoided when
SSRI and lithium,/valproate/anti psychotic | avoid in rapid cycling/recent hypomanic episode
32
long term treatment for BPD
lithium olanzapine/questipine valproate, lamotrigine, carbamazepine psychotherapy for depressive symptoms
33
hypomanic
elected for 4 consecutive days
34
manic
elected for 7 consecutive days
35
mania with psychotic symptoms
grandiose, self referential, erotic, persecutory content
36
positive symptoms of schiz
delusions, hallucinations, though disorders
37
negative symptoms of schiz
apathy, lack of social withdrawal, lack of volition, social withdrawal, cognitive impairment
38
first rank symptoms of schiz
auditory hallucinations delusional perceptions thought abnormalities
39
lifetime risk of schiz
1%
40
treatment for schiz
risperidone olanzapine clozapine
41
what can make schiz sym[toms worse and cause psychotic symptoms
stimulant drugs - coke, amphetamines
42
commonest age of presentation of anorexia
18 | f>m
43
risk assessment for anorexia
BMI 17.5-16 low/mod mod 16-15 high 14.9-13 very high <13
44
severe enduring eating disorders
brain shrinkage disadvantageous reward related decisions no joy chronic stress
45
treatment for anorexia
psychological educations obsessional ideation - fluexetine
46
referring syndrome risk preventions
frequent monitering of blood and slow pace of initial refeeding
47
bulimia how many episodes | treatment
2 in a week over 3 months | CBT. self help
48
binge eating disorder how often | difference between this and bulimia
at least once a week | not associated with inappropriate compensatory behaviour
49
48hour from traumatic event up to 1m 3m >3m
acute stress reaction acute stress disorder PTSD acute PTSD chronic
50
if trauma mild and present for less than 4 weeks
watchful waiting and review
51
acute stress disorder when and how long | treatment
within 1m lasts under 3 days practical support. brief CBT
52
when does complex PTSD develop
after prolonged exposure to trauma
53
when can PTSD occur
days/weeks/months/years after event
54
triggers for PTSD
visual auditory smell taste kinasthetic
55
for a diagnosis what is the period of time that symptoms need to present
within 6 months of event or end of a period of stress
56
treatment for PTSD
trauma focused CBT eye movement and desensitisation therapy anti depressants - paroxetine mirtazepam, amitrip, phenalzine BZDs- bromazapam, clorazapem gabapentin, prcegablin atypical antipsychotics, mood stabilisers
57
generalised anxiety diagnosis
6 months of worry | 4 symptoms of anxiety and at least one from autonomic
58
autonomic anxiety symptoms
palpitaions/poudning heart/increased HR trembling dry mouth
59
chest and abd symptoms
difficulty breathing, choking sensation, chest discomfort, nausea
60
brain and mind symptoms
dizzy derealisation/depersonalisation fear of losing control fear of dying
61
general anxiety symptoms
hot flushes cold chills | numbness or tingling sensation
62
muscle anxiety symptomsm
tension, pains, restlessnesss, on edge, difficulty swallowing
63
general anxiety symptoms
exaggerated response to surprises, difficulty concentrating, irratibility, sleep problems
64
treatment for geenrliaed anxiety
CBT guided help relaxation SSRIs - sertaline SNRIs - vanlafaxine, pregablin
65
health anxiety is what
excessive or disproportionate preoccupation with having or acquiring a serious illness
66
panic disorder timing
peak with 10mins and last around 30-45mins
67
2/3 patients with panic disorder develop what
agoraphobia
68
treatment for panic disorders
CBT SSRI if contraindicated or no response in 12 weeks then clomiparine or imipramine offered (TCAs)
69
poor prognosis of OCD
male early onset tics multiple symptoms
70
treatment for OCD
psychotherapy - exposure and response prevention CBT SSRIs, clomipramine, risperidone, lamotrigene
71
physical symptoms of social phobia
blushing fear of nom urgency or fear of mictiration or defacation
72
treatment of social phobia
``` CBT cognitive restructioning social skills training SNRIs - venlafaxine, phenalzine BZDs - bromazapam, clonazapam gabapentin, pregablin ```
73
agoraphobia treatment
SSRIs CBT graded exposure first line TCAs - clomipramine, imipramine, venlafaxine gabapentin, pregablin
74
specific phobia who symptoms
females graded exposure SSRIs

THIRD YEAR (27 decks)

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