psych exam 2

Question 1

suicidal plan

Answer 1

with means, has access to materials

Question 2

higher rates of suicide

Answer 2

Native american
Alaskan
Non hispanic whites
Veterans
Sexual minority youth
Survivor mass casualty

Question 3

Highest risk for change in tx relating to suicide

Answer 3

in 3 days

then within 30 dys

Question 4

SAFE-T

Answer 4

Suicide
Assessment
Five step
Eval
Triage

Question 5

Columbia suicide severity rating scale

Answer 5

minimum 6 questions

Risk and Protective factor checklist

Question 6

What chemical mainly associated with Anxiety

Answer 6

Seretonin

Question 7

What is very effective for Anxiety

Answer 7

CBT

Question 8

Gen Anxiety DSM5

Answer 8

at least 6 mo

THREE of following: restless, easty fatigue, poor conc, irritable, poor concentration, sleep disturbance

Question 9

Tx for Mild Gen Anxiety

Answer 9

CBT

10-15 sessions

Question 10

Tx for Mod/Severe Gen Anxiety

Answer 10

SSRI/SNRI

If conc about substance abuse: Buspirone or Hydroxyzine

Question 11

Social anxiety disorder onset

Answer 11

late childhood/
early teen
6 mo or more

Question 12

Tx for Social Anxiety

Answer 12

1st line: CBT

Question 13

Tx ofr Performance Anxiety

Answer 13

Beta blockers

short term: Benzo

Question 14

Strong Genetic component

Answer 14

Panic disorder

Question 15

Higher in Native American

Answer 15

Panic disorder

Question 16

Panic disorder

Answer 16

Onset early 20s

Period of intense fear/discomfort with FOUR of following, reach peak within 10 minutes

Question 17

Panic disorder episode is followed by

Answer 17

at least 1 MONTH or more of: concern about future attack, implication of attack, maladaptive behavior

Question 18

Tx for Panic disorder

Answer 18

CBT, SSRI, SNRI, or

Benzo (Clonazepam)

Question 19

Onset for Phobia

Answer 19

7-10 YO (younger)

Question 20

Tx for Phobias

Answer 20

CBT
Sig improvement in 1-5 sessions!

does not take as long, therapy can be super specific

Question 21

OCD onset

Answer 21

early in life 11-20 YO

prog gets worse as age increases

Question 22

Hoarding disorder (a subtype of OCD)

Answer 22

Male = Female
50% hereditary
50% have SI

Question 23

Tx for OCD

Answer 23

TCA: Anafranil (Clomipramine)

+ SSRI, SNRI,

Question 24

Adjustment disorder

Answer 24

Sx w/in 3 mo of stressor, Resolve w/in 6 mo

Question 25

Tx for Adjustment disorder

Answer 25

Group therapy

Question 26

Length of inpatient tx for Eating disorder

Answer 26

30-60 days

Question 27

Length of Intensive outpatient tx for Eating disorder

Answer 27

1-3 months

Question 28

Tx for Bulimia disorder (puke) P for Puke

Answer 28

Prozac

Question 29

Tx for Binge eating disorder

Answer 29

Vyvanse

Question 30

SE of meds that can be concerning when treating Eating Disorders

Answer 30

Atypical Antipsychotic: Weight gain Benzo: Habit forming ADHD: decreased app, weight loss, heart problems Anticonvulsant: underweight, purging

Question 31

Time length when it goes from Acute stress to PTSD

Answer 31

1 month

Question 32

Common areas disrupted by trauma

Answer 32

``` Safety Trust Power/control Esteem Intimacy ```

Question 33

Hippocampus

Answer 33

Learns fear environment/ context

Question 34

LC

Answer 34

NE release

Question 35

Insula/Anterior Cingulate Cortex

Answer 35

Visceral/autonomic | "gut feeling" assoc w/fear

Question 36

Pre-frontal cortex

Answer 36

Emotional regulation Controls amygdala (young ppl @ higher risk bc not developed)

Question 37

DREAMS acronym relating to PTSD

Answer 37

``` Detachment Re-experiencing Emotional effects Avoidance Month long Systemic hyperactive ```

Question 38

Common clinical comorbidities assoc w PTSD

Answer 38

``` Heart dz Auto-immune Hyperlipid Cystitis Dementia Fibromyalgia Chronic pain ```

Question 39

Meds for PTSD

Answer 39

Sertraline | Paroxetine

Question 40

Do NOT use these two meds for PTSD

Answer 40

Benzos | Antipsychotics

Question 41

DO NOT do active Trauma therapy if:

Answer 41

Primary active substance abuse Cognitive impairment Psychosis not under control

Question 42

CARE-MD approach to SSD

Answer 42

``` Consult Assessment Regular visit Empathy Medical-psychiatric interface Do no harm ```

Question 43

Tx for SSD

Answer 43

CBT and Mindfulness

Question 44

Tx usually only last days-weeks and remit spontaneously

Answer 44

Conversion disorder neural complaints

Question 45

Illness Anxiety disorder tx

Answer 45

Assurance Regular visits Indiv or Group therapy

Question 46

#1 comorbid associated with Body Dysmorphic Disorder

Answer 46

Depression

Question 47

Components of CBT for treating Somatic disorders

Answer 47

12 sessions Symptom focused Incorporate journaling

Question 48

Factitious disorder On SELF or OTHERS

Answer 48

Internal reward attention seeking poor sense of identity hard to treat

Question 49

Malingering external benefit

Answer 49

Secondary gain no DSM5 criteria Tx: Remove the incentive