Psychiatry Flashcards
(29 cards)
What is countertransference?
Doctor projects feelings about formative or other important persons onto patient
What is the difference between displacement and projection?
Displacement is the feelings transferred to a neutral person or object, while projection is when an unacceptable internal impulse is attributed to an external source
What is the difference between fixation and regression?
Fixation is temporary; regression is turning back the block
What is the difference between reaction formation and sublimation?
Reaction formation is when a warded-off feeling is replaced by its opposite, while sublimation is when it is replaced with something that does not conflict with one’s value system
What are the mature defenses?
sublimation, altruism, humor, suppression
Deprivation for ___ months can lead to irreversible changes in an infant
6
T/F ADHD is associated with decreased frontal lobe volume
TRUE
In order to classify for Tourette’s, it has to persist for how long?
> 1 year
Tourette’s is associated with which other disorder?
OCD
What is the treatment for separation anxiety disorder?
SSRIs
What is Rett’s disorder?
X-linked disorder exclusively in girls around 1-4
What are the neurotransmitter changes associated with anxiety, depression, Alzheimer’s, Huntington’s, schizophrenia, and Parkinson’s?
anxiety - high NE, low GABA, low serotonin
depression - low NE, dopamine, serotonin
Alzheimer’s - low ACh
Huntington’s - low GABA, ACh, high dopamine
Schizophrenia - high dopamine
Parkinson’s - low dopamine, high serotonin, high ACh
Where would one see tactile hallucinations?
In cocaine abuse or alcohol withdrawal
How long does schizophrenia need to last to classify it?
> 6 months
How long does a delusional disorder need to last to classify?
> 1 month
How many qualifiers does a manic episode need?
3 things out of list
How many qualifiers does a depressive episode need?
5 out of a list (SIGECAPS)
What medication does atypical depression respond to?
MAOIs, SSRIs
How many qualifiers does a panic disorder need?
4 out of a list
Is OCD ego syntonic or dystonic?
Ego dystonic
What is the difference in acute stress disorder and PTSD?
Time; PTSD is greater than 1 month
What are the three types of personality disorders?
Clusters A, B and C; weird, wild and worried
How many qualifiers does one need for substance dependence?
3 out of a list
What medication would be used with opioid overdose?
naltrexone, naloxone