Flashcards in Psychiatry Deck (81)
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1
mother yells at her child, because husband yells at her
displacement - transferring avoided ideas and feelings to a neutral person or object (vs. projection)
2
abused child later becomes a child abuser
identification - modeling behavior after another person who is more powerful
3
a man who wants to cheat on his wife accuses his wife of being unfaithful
projection-attributing an unacceptable internal impulse to an external source (vs. displacement)
4
after getting fired, claiming the job was not imporatant anyway
rationalization - proclaiming logical reasons for actions actually performed for other reasons
5
a patient with libidinous thoughts enters a monaster
reaction formation - replacing a warded-off idea or feeling by an (unconciously derived) emphasis on its opposite (vs. sublimation)
6
teenager's aggression toward father is redirected to perform well in sports
sublimation (mature) - replacing an unacceptable wish with a course of action that is similar to the wish but does not conflict with one's value system
7
mature ego defenses
sublimation (vs. reaction formation), altruism, suppression (vs. repression), humor
8
guanfacine class of drugs and use
alpha 2 agonist for ADHD and Tourette
9
guaifenesin class of drugs and use
expectorant
10
Rett syndrome
XD in girls exclusively. Regression, loss of verbal abilities, ataxia, sterotyped handwringing at early age
11
length for dx of Tourette
> 1 year
12
which components of orientation are lost first
first time, then place, then person
13
EEG changes in delirium
diffuse slowing
14
dx time for schizophrenia
> 6 months
see brief psychotic disorder and schizophreniform disorder
15
dx time for brief psychotic disorder
less than 1 month
16
dx time for schizophreniform disorder
1-6 months
see schizophrenia and brief psychotic disorder
17
dx time delusional disorder
> 1 month
18
dx time manic episode
> 1 week
19
DIG FAST
distractibility, irresponsibility, grandiosity, flight of ideas, agitation, decreased need for sleep, talkativeness
20
dx time hypomanic
> 4 consecutive days. not as severe as manic
21
dx time schizoaffective disorder
> 2 weeks with concurrent mood disorder
22
dx time cyclothymic disorder
> 2 years
23
dx time MDD
>2 weeks
24
SIGECAPS
sleep disturbance, loss of interest, guilt, energy, concentration, appetite, psychomotor, suicidality
25
changes in sleep during depression
more REM sleep overall, and closer to the beginning of night. also repeated awakening and terminal insomnia
26
dx time persistent depressive disorder (dysthymia)
>2 years
27
dx time panic disorder
attack + > 1 month of distress about future attacks
28
dx time for general anxiety disorder
> 6 months
29
dx time adjustment disorder
less than 6 month
30