Psychology #4 Flashcards

(54 cards)

1
Q

Name the Cluster A Personality Disorders (3 of them)

A

-Schizoid
-Schizotypal
-Paranoid

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2
Q

Name the Cluster B Personality Disorders (4 of them)

A

-Antisocial
-Borderline
-Histrionic
-Narcissistic

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3
Q

Name the Cluster C Personality Disorders (3 of them)

A

-Avoidant
-Dependent
-Obsessive Compulsive

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4
Q

Explain Schizoid Personality

A

-Voluntary social withdrawal and anhedonic introversion
-Avoids people: introvert, anhedonic, odd, detached, flat affect

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5
Q

Explain Schizotypal Personality

A

-Odd, eccentric, bizarre behavior or thoughts
-Schizophrenia without psychosis
-Talk to self, magical thinking, discomfort with close relationships
-Suspiciousness

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6
Q

Explain Paranoid Personality Disorder

A

-Distrust and suspiciousness
-Preoccupation with doubting loyalty of others
-Sees hidden messages, doesn’t forgive
-Suspiciousness of faithfulness of partner

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7
Q

Explain Antisocial Personality Disorder

A

-Behaviors deviate from norms of society
-May commit criminal acts
-Must be 18 years old (conduct disorder past)
-Irritability, no remorse
-Disregard for safety

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8
Q

What are some symptoms of borderline personality disorder?

A

-Unstable, unpredictable mood swings and affect
-Blown up reaction, broken relationships, bad behavior (suicide, substances, spending, binge eating)

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9
Q

Symptoms of Histrionic Personality Disorder

A

-Attention seeking
-Tantrums, self-absorbed
-Sexual, seductive
-Influenced by others
-believes relationships are more intimate than they are

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10
Q

What is narcissistic personality disorder

A

-Grandiose sense of self-importance
-Superiority
-Need for admiration, no empathy
-Arrogance
-Fragile self-esteem
-Exploit others for self gain

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11
Q

What is dependent personality disorder?

A

-Inability to assume responsibility
-Submissive behavior
-Fear of being alone
-No day to day decisions
-No disagreement
-Seeks approval of others

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12
Q

What is avoidant personality disorder?

A

-Social inhibition due to fear of rejection
-Timid, shy, lacks confidence
-Inferiority complex
-Averse to do new activities
-Preoccupation with being rejected

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13
Q

Obsessive Compulsive personality disorder symptoms

A

-Preoccupation with order, details, and perfectionism without obsessions or compulsions
-Ego Syntonic
-Devotion to work, morals, ethics
-Can’t discard useless objects
-Rules, lists, details

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14
Q

What is illness anxiety disorder/hypochondriasis?

A

Preoccupation with having a serious illness

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15
Q

What other things do people with illness anxiety disorder do?

What is the treatment?

A

-Care seeking, doctor shopping
-At least 6 months in time

-Regularly scheduled appointments
-CBT

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16
Q

What is malingering?

A

Intentional falsification for external (secondary) gain such as money, food, shelter, or avoidance of prison, school, etc.

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17
Q

On the other hand, what is factitious disorder?

A

Intentional falsification for primary gain (inner self to be seen as ill) but no external rewards

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18
Q

What are the two types of factitious disorder?

A

-Imposed on self: presents themselves
-Imposed on Another: considered child or elder abuse

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19
Q

Symptoms of factitious disorder

A

-Exaggeration of symptoms (hurt themselves)
-Willing to undergo extensive testing
-Hospital jump, have medical knowledge

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20
Q

What is conversion disorder?

A

-At least 1 symptom of neuro dysfunction that can’t be explained by a condition.

It CAN be related to an actual trauma, though.

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21
Q

What are some examples of the symptoms in conversion disorder?

A

-Motor dysfunction: paralysis, mutism, seizures, gait problems, ticks, globus.
-Sensory dysfunction: blindness, deafness, paresthesias, etc.

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22
Q

What is true about conversion disorder?

What is the treatment?

A

It is not intentional produced!

Patient education + CBT

23
Q

On the same hand, what is somatic symptom disorder?

A

Physical symptoms involving at least 1 systems but no physical cause on workup

24
Q

What are risk factors for somatic symptom disorder?

What are some examples of symptoms for this condition?

A

-Young women, onset before age 30, history of sexual abuse

-SOB, vomiting, amnesia, dysmenorrhea, pain, burning sex organ

25
Treatment for somatic symptom disorder
-Regularly scheduled appts -Psychotherapy
26
What is body dysmorphic disorder?
Preoccupation with at least 1 perceived flaw in appearance that is not observable by others
27
What are some things those with dysmorphic disorder do?
-May commit repetitive acts (mirror checking, comparison to others, approval seeking)
28
Treatment for body dysmorphic disorder
-SSRI's +/- CBT -TCA's alternative
29
What criteria have to be present to diagnose ADHD
-Symptom onset before age 12 - Last > 6 months in 2 settings -At least 6 inattentive symptoms and/or at least 6 hyperactivity symptoms
30
Treatment for ADHD
-Behavior modification -Stimulants (first line): Methylphenidate, Amphetamine/Dextroamphetamine -Non Stimulants: Atomoxetine
31
What do stimulants do (MOA)
Increase release of norepinephrine and dopamine
32
Adverse effects of stimulants?
-Abdominal pain
33
What is narcolepsy? Symptoms of it
-Decreased ability to regulate sleep-wake cycles -Symptoms: chronic daytime sleepiness, cataplexy (emotionally triggered weakness of face, neck knees), hallucinations, sleep paralysis, sleepwalking, RLS, OSA, etc.
34
What two diagnostics can be done for narcolepsy?
-Polysomnography: spontaneous awakenings, REM sleep within 15 minutes of sleep, increased light non-REM sleep -MSLT: fall asleep < 8 minutes (normal 10-15), sleep onset rapid eye movements
35
Treatment for narcolepsy
-Modafinil (inhibit dopamine reuptake) -Solriamfetol -Cataplexy: Fluoxetine, Atomoxetine
36
Autism Spectrum Disorder is impairment in social interaction or communication with restrictive behaviors. Symptoms are usually recognized at what age?
Rapid deterioration of social or language skills during first 2 years of life -Recognized between 12-24 months
37
True or False: No specific medication is to treat Autism?
True, treat the symptoms
38
Conduct disorder is when patients deviate from age-related norms and violates behaviors of others. This is more common in ______, and those with what other two conditions? This is diagnosed before what age? It may progress to?
More common in males, those with ADHD and ODD Before 18 years old Antisocial personality
39
Symptoms of conduct disorder
-aggression to humans and animals -destruction of property -deceitfulness or theft -serious violations of rules -< 18 years old
40
Treatment for conduct disorder
-Behavior modification
41
What is oppositional defiant disorder
Defiant toward authority but no aggression or breaking laws -Angry or irritable mood, argumentative, defiant behavior, vindictiveness
42
What is disruptive mood dysregulation disorder?
-Disruptive and angry child, but do not do it on purpose and may feel remorseful for actions
43
What is dissociative identity disorder? Who is it MC in?
Presence of 2 or more identities or personalities -MC in women, PTSD, sexual abuse
44
What is dissociative amnesia?
Inability to recall autobiographical information
45
Treatment for dissociative identity and amnesia disorders?
Psychotherapy
46
With premenstrual dysphoric disorder, which is severe PMS with functional impairment, the symptoms occur ___________ and are relieved within ___________, plus ___________
Occur 1-2 weeks before menses (luteal phase), relieved within 2-3 days of onset of menses, plus 7 or more symptom free days in follicular phase.
47
What should you request of patients with PMDD?
Keep a diary for > 2 cycles
48
Treatment for PMDD
-Lifestyle: decrease stress and caffeine -SSRI's (first line)
49
What are parasomnias? There are two types, REM and NREM. Explain both.
-Disruptive sleep disorders that occur while falling asleep, sleeping, or waking REM: dream enactment, pt recalls dreams, occur later in life, and associated with degenerative brain disease. NREM: run in families, occur in kids, are amniotic to events in morning, and outgrown by adulthood.
50
What diagnostic is done for parasomnias?
Clinical or PSG
51
Treatment for parasomnias
-Sleep hygiene -Avoid substance abuse -Injury protection -Benzos for sleep -Sleep medicine consult
52
What are two examples of NREM parasomnias?
Sonambulism (sleep walking) Sleep Terrors (abrupt screaming, crying, etc.)
53
What are two examples of REM parasomnias?
-REM sleep behavior disorder: vocalization and aggressive movements that reflect acting out dreams -Nightmares: abrupt arousal in state of fear, terror, anxiety
54
How do you differentiate NREM vs REM parasomnias?
REM has recall NREM there is no recall of events