Psych Flashcards

Question

Hypomanic episode

Answer 1

At least 4 days Greater than or equal to 3 of GIFTS DP Different to character when not symptomatic Disturbance in mood and change in functioning Not severe enough to cause marked impairment Not due to substance or medical condition

Answer 2

2 years hypomanic symptoms that don't meet criteria for hypomanic episode and numerous periods with depressive symptoms that don't meet criteria for a major depressive episode During 2 years hypomanic and depressive present half the time and not without for more than 2 months No MDE, manic or hypomanic episode A not better explained by psychotic disorder Not due to substance or medical condition Significant distress

Answer 3

``` More days than not for 2 years IHELLPP - Insomnia or hyper - Feelings of hopelessness - Low energy or fatigue - Low esteem - Poor appetite or overeating - Poor concentration or difficulty making decisions Not without for more than 2 months Criteria for MDD may be present for 2 years No manic or hypomanic, not cyclothymic Not psychotic Not due to medical condition or substance Significant distress ```

Answer 4

SUSPECT Suspicious that others are exploiting or deceiving them Unforgiving Spousal infidelity without justification Perceive attacks on character, counterattacks quickly Enemies or friends - preoccupied with acquaintance trustworthiness Confiding in others is feared Threats interpreted in benign remarks

Answer 5

DISTANT Detached affect and emotionally cold Indifferent to praise or criticism Sexual experiences of little interest Takes done alone Absence of close friends that are not 1st degree relatives Neither desires nor enjoys close relationships Takes pleasure in few if any activities

Answer 6

ME PECULIAR ``` Magical thinking Experiences unusual perception Paranoid ideation Eccentric behaviour Constricted or in appropriate affect Unusual thinking or speech Lacks close friends Ideas of reference Anxiety in social situations ```

Answer 7

IMPULSIVE ``` Impulsivity Mood instability Paranoia / dissociation under stress Unstable self image Labile intense relationships Suicidal Inappropriate anger Vulnerability to abandonment Emptiness ```

Answer 8

CORRUPT ``` Cannot conform to law Obligations ignored Reckless disregard for safety Remorseless Underhanded (deceitful) Planning insufficient (impulsive) Temper (irritable and aggressive) ```

Answer 9

GRANDIOSE ``` Grandiose Requires excessive admiration Arrogant Needs to be special Dreams of success, power, beauty and love Interpersonally exploitative Others: Lacks empathy, unable to recognise feelings and needs of others Sense of entitlement Envious or believes others are envious ```

Answer 10

ACTRESSS ``` Appearance used to attract attention Centre of attention Theatrical Relationships are believed to be more intimate than they are Easily influenced Seductive behaviour Shallow expression of emotions which rapidly shift Speech is impressionistic and vague ```

Answer 11

CRINGES Criticism or rejection reoccupies thoughts in social situations Restraint in relationships due to fear of being shamed Inhibited in new relationships due to fear of inadequacy Needs to be sure of being liked before engaging socially Gets around occupational activities required interpersonal contact Embarrassment prevents new activity taking or risks Self-viewed as unappealing or inferior

Answer 12

RELIANCE Reassurance required for everyday decisions Expressing disagreement difficult Life responsibilities assumed by others Initiating projects as they have no confidence Alone makes them feel helpless or uncomfortable Nurturance - goes to excessive lengths to obtain Companionship sought urgently Exaggerated fears of beings left to care for themselves

Answer 13

SCRIMPER ``` Stubborn Cannot discard worthless objects Rule/detail obsessed to the point of loss of activity Miserly Perfectionistic Excludes leisure due to devotion of work Reluctant to delegate to others ```

Answer 14

>4 - Increasing amounts to achieve excitement - Restless or irritable when attempting to cut down or stop gambling - Has made repeated unsuccessful efforts to control, cut back or stop gambling - Preoccupied with gambling - Gambles when distressed - After losing money, returns another day to get even - Lies to conceal gambling - Lost significant relationship, job, educational or career opportunity because of gambling Not manic episode

Answer 15

>2 in 12 months Tobacco in larger amounts over longer period than was intended Persistent desire or failed attempts to cut down Time spent in activities for obtaining or using tobacco Craving to use tobacco Recurrent use -->? failure to fulfil roles Continued tobacco use despite social or interpersonal problems caused by tobacco Recurrent where it is hazardous Used despite knowledge of having persistent physical or psychological problem that has been caused or exacerbated by tobacco Tolerance - need for increased amounts, diminished effect Withdrawal - need tobacco/nicotine to avoid withdrawal symptoms ``` Tobacco withdrawal Daily use for at least several weeks Abrupt cessation/reduction --> >4 - Irritability, anger, frustration - Anxiety - Difficulty concentrating - Increased appetite - Restlessness - Depressed mood - Insomnia Significant distress Not attributed to another medical condition or another mental disorder or due to another substance ```

Answer 16

Larger amounts over longer period than was intended Persistent disre or failed attempts to cut down Time spent in activities for obtaining, using or recovering from Craving use Recurrent use --> failure to fulfil roles at work Continued use despite social or interpersonal problems Activities given up due to use Continued despite knowledge of harms Tolerance Withdrawal ``` Intoxication Recent use Problematic or psychological changes --> euphoria --> apathy, dysphoria, psychomotor agitation or retardation Pupillary constriction + 1 of - Drowsiness or coma - Slurred speech - Impairment in attention or memory ``` ``` Withdrawal: Cessation of reduction in ovoid use that has been heavy and prolonged OR administration of opioid antagonist after a period of use >3 of Dysphoria Nausea and vomiting Muscle aches Lacrimation or rhinorrhoea Pupillary dilation, piloerection or sweating Diarrhoea Yawning Fever Insomnia Significant distress Not attributable to another medication condition or another disorder ```

Answer 17

INTOXICATION Recent use Maladaptive behavioural or psychological changes (inappropriate sexual or aggressive behaviour, mood lability) >1 of - Slurred speech - Incoordination - Unsteady gait - Nystagmus - Impaired cognition (attention, memory) - Stupor or coma Not due to another medical condition and not by another mental disorder ``` WITHDRAWAL Cessation or reduction in prolonged use >2 of - Autonomic hyperactivity - Hand tremor - Insomnia - N and V - Transient visual, tactile or auditory hallucinations or illusions - Psychomotor agitation - Anxiety - Grand mal seizures Significant distress Not attributable to another medical condition or another mental disorder ```

Answer 18

Mental Act Prevents Real Niggas Consenting ``` Mental illness present Assessment required Properly made at MHS Risk No less restrictive way Consent - lack capacity ``` TA - add on regular review, and tribunal to review

Answer 19

DELIRIUM - Symptoms ``` Disordered thinking Euphoric - labile mood Language impaired Illusions/delusions.hallucinations (usually visual) Reversal of sleep wake cycle Inattention Unaware/disoriented Memory deficits ``` ABCDE - DSM ``` Attention and awareness Brevity - Acute and fluctuating Cognitive changes Direct physiological cause Explanation not due to alternative ``` Aetiology ``` Infectious Withdrawal Acute metabolic disorder Trauma CNS Hypoxia Deficiencies Endicronipathies Acute vascular Toxins Heavy metals ```

Answer 20

DEMENTIAS ``` Delirium/Drugs Emotional/Endocrine Memory Elective Neurological Toxic Intellect Amnesic Schizophrenia ``` Evidence of significant cognitive decline from previous level Cognitive deficits interfere with independence in everyday activities Do not occur exclusively in the context of a delirium - not better explained by another disorder

Answer 21

AEIOUTIPS ``` Alcohol withdrawal syndrome Epilepsy, electrolytes, hepatic/uraemic encephalopathy Insulin Opiates Uraemia Temperature Infections PE SOL, stroke, shock, seizure ```

Answer 22

DEESCALATION Don't withdraw privileges, seclude or medicate Ensure safety of others Escape Stance - protective and read Calm, non-threatening Allow for ventilation of anger and feelings Leave the area if secure and safe to do so Assistance and enough skill staff available Time out - offer time out Invite to sit and verbalise concerns Options/choices - exercise, music, coffee Never turn your back

Answer 23

``` Cognitive restructuring Behavioural activation Specific problem solving Goal-oriented Coping skills Multiple strategies - role [playing etc. Makes patients pay attention to their mood following automatic thoughts to learn about the relationship between these thoughts and their emotions ```

Answer 24

Optimise accuracy Setting Confidentiality Respect Language Establish rapport and maintain cultural safety Consider access, adherence, support, understanding ``` Enhancing knowledge Utilise resources Assess existing knowledge Understand the context Partake in health service orientation Take the time to engage Be culturally aware Create connections ```

Answer 25

``` Necessity to leave Barbed wire phase Liberation phase Early after-effects phase Delayed after-effects phase Recovery phase ``` ``` Problems Family and community disconnection Geographical dislocation Lifestyle change Loss of spirituality Cultural despair ``` ``` Barriers: Lack of knowledge lack of trust reluctance to seek help Costs of care Tranport Employment commitments Cultural differences Language Housing, etc. support Schooling for children ```

Answer 26

VALPROATE ``` Appetite Liver failure Pancreatitis Reversible hair loss Oedema Ataxia Teratogenicity Encephalopathy ```

Answer 27

``` Hypocalcemia Hypothyroidism Nephrogenic diabetes insipidus Convulsions, coma QtC prolongation Metallic taste in mouth Tremor, choreathetoid movements Hyperreflexia Ataxia, Nystagmus, Blurred vision due to nystagmus, dysarthria, dysdiedochokinesis NV, abdominal pain Arrhthymias ```

Answer 28

FALTER ``` Fever Autonomic instability Leucocytosis Tremor Enzymes Rigidity ```

Answer 29

``` Name Age/ethnicity Living Education Extras MHAct ```

Answer 30

``` Euthymic Apethetic Angry Dysphoric Europhobic Apprehensive ```

Answer 31

Attention, Fluency, Memory, Language, Visuospatial abilityies

Answer 32

Abstraction, Fluency, impulsivity, reflexes

Answer 33

ICD is heierachriacal, descriptive, international DSM is hiereachiral, encourages more diagnoses, uses operationalised criteria, american, avoids theoretical explanations when no ethology

Answer 34

Birth - 6 months - forming bond 6-2 years - More than 1 person attachment, need mother for secure base, 2-5 - Tolerate separation, fears and phobias intense - need to have guidance School - Have capacity to monitor own thinking, memory and action, and recognise privacy of thought Adolesence - can feel alone, need support, friends become attachment --> OBSERVER SELF Adulthood - couple, numerous, secure is protective in psychological health SECURE BASE --> SELF ESTEEM --> SELF IMAGE --> PERSONALITY

Answer 35

WBC and neurotrphils weekly for 18 weeks --> MOnthly Cardiac parameters every 2 days for 1st month, weekly for first 18 weeks --> monthly Troponin and CRP 6 monthyly ECG - 1,2,3,4 weeks, then 6 monthly Echo - starting and 6 monthly Metabolic monitoring - 6monthly IF WBC 3.0 HAVE TO STOP or NEUTRO <1.5 ``` Agranulocytosis Cardiomyopathy Myocarditis hypersaliviation Constipation Nocturnarl enuresis ``` SAME AS OTHER antipsychotics other than this Rare - hepatitis, cholestatic jaundice, pancreatitis, thrombocytopenia, NMS, Diabetes, Paralytic ileum, collapse

Answer 36

``` Knoweldge Side effets Cultural beliefs Regimen complexity Finances Social support and access Lack of patient involvement Disatisfication heatht literacy Forgetfulness ```

Answer 37

``` Nausea Vomiting Diarrhoea Nephrogenic diabetes insipudus Renal function Thyroid - hypothrryoidia Weight gain hair loss Neurological - motor impairment, confusions, convulsions Metallic taste Disoreintation, Ataxia, dysarthria Muscle twitches, tremor Hypercalcemia ESPES sometimes Cognitive impariment ```

Answer 38

Antihistamine - sedation, weight gain Alpha - hypotension, dizziness, drowsiness Weight gain, diabetes Muscuarinic - blurring of vision, increased intraocular pressure, dry mouth and eyes, urinary retention, constpiation D2 - prolactinaemia, breast swelling, pain ESPES - acute dystonia, akathisia, tardive dyskinesia, parkinsonism QTC NMS Phenothiazines - obstructive jaundice DA --> GABA --> GLUT ++++++ Blocking DA normalises inhibitory function of GABA 3 monthly for first year then 6 monthly

Answer 39

POSITIVE IS IN MESOLIMBIC DA --> GABA --> GLUT (double inhibitory) --> increased DA = increased glut NEGATIVE IS MEESOCORTICAL DA --> GLUT (excitatory) (decreased DA = negative symptoms)

Psych Flashcards

(63 cards)