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Flashcards in Psych Deck (37)
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1

Schizophrenia allele R.F.

val increases risk of schizo with weed (skunk)
Val is a COM-T allele

2

+ve schizophrenia symptoms

excess dopamine in mesoLIMBIC

3

-ve schizophrenia symptoms

reduced dopamine in mesoCORTICAL

4

Phobia Rx

Cognitive = stepwise desensitization OR reciprocal inhibition/flooding
Behaviour = exposure theory and control of hyperventilation

5

Paroxysmal attacks Rx

SSRI: paroxetine
Can add benzo
For autonomic symptoms can use Beta blocker

6

PTSD Rx

Eye Movement Desensitisation and Re-Processing
Can use paroxetine

7

Adjustment disorder

Verbalisation helps; gets better usually by 6 months

8

Driving after psychotic episode

Suspend license for 3 month post treatment

9

OCD

Exposure response prevention and CBT. Sertraline for 12 weeks

10

Psychosis brain association

In temporal lobe, particularly relevant in epilepsy

11

Recent alcohol abuse

Carbohydrate deficient transferrin

12

Bio management for alcoholism

Acamprosate = reduced cravings
Disulfram = ALDH inhibitor causing hangovers
Natrexone = reduced high/enjoyment
(SE: GI disturbance and headache)

13

Bio management for opiates

Methadone (complete agonist) OR buprenorphine (partial agonist which comes in liquid form)
Naltrexone for long term use

14

Bulimia + hypersomnia

Kleine Levin syndrome

15

Obsessive orality and sexuality

Kluver Bucy syndrome

16

PMDD or PMS Rx

Fluoxetine during luteal phase and diet change

17

Vaginismus Rx

Graded trainers or Kegel's exercise

18

Non consensual rubbing on others

Frotterism
Rx = covert sensitisation, which creates associate of bad outcomes when looking at images

19

Body part fettish

Paritalism

20

Heller's syndrome

Autism in boys after 2 years normal and reverts development by 10 years

21

MECP2 gene on X Chr

Rett's

22

Hand wringing

Rett's

23

TCA in elderly

Avoid if can, prefer to use SSRI

24

Reversing EPSE

IV procycline (Ach inhibitor)

25

Delusional mood/atmosphere

Primary delusion that something strange will happen

26

Alexithymia

Cannot describe mood

27

Autochthonous delusion

Primary delusion that occurs out of the blue

28

Reflex hallucination

Hallucination in different modality to stimulus, e.g. HEARING tap running and then SEEING hallucination of dead dog

29

Simple hallucination

Hallucination in same modality to stimulus

30

Elementary hallucination

Buzzing or flashing lights, minor hallucination
Usually organic cause