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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

dx time PTSD

> 1 month