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EPPP > Quick Deck > Flashcards

Quick Deck Flashcards

1
Q

Brief Psychotic Disorder

Psychotic Disorder

A
  • 1+ of 4 symp. 3 main.
  • 1d+ - 1mo
  • delusions, hallucinations, disorganized speech + disorganized movement
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2
Q

Schizophreniform

Psychotic Disorder

A
  • 2+ of 5 symp. 3 main.
  • 1mo+ - 6mo-
  • delusions, hallucinations, disorganized speech + disorganized movement, negative symptoms
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3
Q

Schizophrenia

Psychotic Disorder

A
  • 2+ of 5 symp. 3 main.
  • 1mo+ (active)
    6mo+ (prodromal/residual).
  • delusions, hallucinations, disorganized speech + disorganized movement, negative symptoms
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4
Q

Schizoaffective

Psychotic Disorder

A
  • MDD or manic episodes w/
  • 2wk+ w/o mood symptoms w/ delusions/hallucinations
  • same symptoms as Schizophrenia
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5
Q

Delusional Disorder

Psychotic Disorder

A
  • 1+ delusions
  • 1mo+
  • Jealousy, Somatic, Persecutory, Erotomaniac, Grandiose (J.SPEG)
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6
Q

Bipolar I

Bipolar Disorder

A
  • 1+ manic episode 1+ MDD or hypomanic episode, psychosis, impaired funct., hosp.
  • 1wk+ mania, 4d+ hypo, 2wk+ MDD
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7
Q

Bipolar II

Bipolar Disorder

A
  • 1+ hypomanic episode, 1+ MDD episode, no psychosis, intact funct
  • 4d+ hypo, 2wk+ MDD
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8
Q

Cyclothymic

Bipolar Disorder

A
  • many hypomanic + MDD symptoms w/o meeting criteria.
  • 2yr+ 18y/o+, 1yr+ 18y/o-
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9
Q

MDD

Depressive Disorder

A
  • 5+ symp. 2 main.
  • 2wk+
  • low mood, loss of interest, sleep issues, appetite issues, irritable mood, fatigue
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10
Q

Persistent Depressive Disorder

Depressive Disorder

A
  • 2+ symp. low mood.
  • 2yr+ 18y/o+, 1yr+ 18y/o-
  • low mood, poor appetite/overeating, insomnia/hypersomnia, hopelessness
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11
Q

Disruptive Mood Dysregulation Disorder

Depressive Disorder

A
  • 1+ verbal/behavioral outburst 3x/wk+ w/ irritable/angry mood between outbursts ~qD for most of the day.
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12
Q

Specifiers

Depressive Disorder

A
  • peripartum onset
  • seasonal affective pattern
  • mild, moderate, severe
  • recurrent or single episode
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13
Q

ODD

Disruptive/Impulse-Control/Conduct Disorder

A
  • 4+ symp. toward 1+ persons other than siblings
  • 6mo+
  • recurrent pattern of angry/irritable mood, argumentative/defiant behavior, &/or vindictiveness
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14
Q

Conduct Disorder

Disruptive/Impulse-Control/Conduct Disorder

A
  • 3+ symp. w/i the past 12mos & 1+ symp. w/i the past 6mos.
  • specifiers based on number of conduct problems + their consequences (mild, moderate, & severe).
  • dx can’t be given to 18y/o+ who meets criteria for Antisocial Personality.
  • subtypes:
    1) Childhood-onset w/ 1+ symp. prior to 10y/o.
    2) Adolescent-onset with no symptoms prior to 10y/o.
    3) Unspecified onset when onset unknown.
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15
Q

Intermittent Explosive Disorder

Disruptive/Impulse-Control/Conduct Disorder

A
  • verbal or physical aggression occurring 2x/wk on average for 3mo+ w/o property damage
  • or 3 behavioral outbursts in 12mo resulting in property damage or physical injury to others.
  • dx for 6y/o+; in childhood or adolescence
  • failure to control aggressive impulses
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16
Q

Separation Anxiety

Anxiety Disorder

A
  • 4wk+ kids/teens, 6mo+ adults
  • often after exposure to stressful event (parental divorce, death or relative or pet).
  • inappropriate/excessive fear/anxiety about being separated from attachment figure
17
Q

Specific Phobia

Anxiety Disorder

A
  • fear/anxiety must be disproportionate to actual danger
  • 6mo+
  • specifiers:
    1) animals
    2) environment
    3) situation
    4) blood-injection-injury
    5) other
  • intense fear/anxiety about a specific object/situation, accompanied by avoidance or endurance w/ intense distress.
  • Mowrer’s (1947)
18
Q

Mowrer’s Two-Factor Theory

Anxiety Theory

A
  • anxiety is related to a combo of classical & operant conditioning.
  • one first experiences classical conditioning at which they find something scary
  • then one experiences operant conditioning by avoiding that scary thing.
  • the person’s avoidant behavior in negatively reinforced.
19
Q

Social Anxiety

Anxiety Disorder

A
  • must be disproportionate to actual danger
  • 6mo+
  • fear/anxiety ~social situation -> either avoids it or endures w/ extreme fear/anxiety
20
Q

Panic Disorder

Anxiety Disorder

A
  • 4+ of 13 symp.
  • 1+ attack followed by 1mo+ of concern about future attacks or consequences
  • unexpected panic attacks
21
Q

Agoraphobia

Anxiety Disorder

A
  • 2+ of 5 situations
    1) public transportation
    2) open spaces
    3) enclosed spaces
    4) standing in line/crowd
    5) being outside alone
  • fear/anxiety must be disproportionate to actual danger
  • fear/avoid/require companion nearly always due to concern that escape will be difficult or no one is available for help if the person develops panic/incapacitating/embarrassing symptoms
22
Q

GAD

Anxiety Disorder

A
  • 3+ symp.
    1+ symp for kids.
  • 6mo+ most days
  • excessive worry across events, activities
  • worry must be difficult to control
23
Q

OCD

OCD-related Disorder

A
  • specifiers used to indicate level of insight.
  • 1hr+/d
  • time-consuming recurrent obsession/compulsions
24
Q

Body Dysmorphic

OCD-related Disorder

A
  • repetitive behaviors/mental acts; others notice/mock the flaw
  • preoccupation w/ perceived defect/flaw in physical appearance
25
Q

Depression Etiology

Depressive Disorder

A

age
* young adults linked to genetics, life stressors, + limited problem solving/cognitive abilities.
* older adults linked to chronic illness, especially if it decreased psychical functioning & leads to social isolation.
* older adults are less likely to refer to affective symptoms & more likely to refer to somatic symptoms, cognitive changes, & loss of interest in activities.

culture
* Latinx, Mediterranean, Middle Eastern, Asian, & non-Western cultures report more somatic symptoms.
* Western cultures report more psychological symptoms.

26
Q

Depression Comorbidity

Depressive Disorder

A
  • mostly linked w/ substance use (alcohol), then anxiety, then personality
  • sleep abnormalities, prolonged latency (lingered initiation), reduced REM + slow-wave, increased REM density (more eye movements per unit of time)
  • coronary heart disease, stroke, diabetes, Parkinson’s
  • can be bidirectional in causality of heart attacks (myocardial infarction)
27
Q

Depression Tx

Depressive Disorder

A
  • psychotherapy, psychopharm (equal), & a combination (more effective)
  • St. John’s Wort has similar effects as SSRIs; helpful for mild-moderate, but can cause serotonin syndrome when taken w/ SSRI & can decrease drug effects when taken w/ alprazolam/Xanax or bupropion/Wellbutrin.
  • Ketamine/Esketamine (used since 1960s) nose spray is fast-acting tx for treatment resistant depression + SI; it increased glutamate & is used w/ an oral antidepressant
  • ECT or rTMS
  • telepsychotherapy; similar effects to face-to-face
  • children: insufficient evidence to recommend a specific tx
  • adolescents: CBT, interpersonal psychotherapy for adolescents (IPT-A), fluoxetine/Prozac but insufficient evidence to recommend one tx over another.
  • adults: MCBT, IPT, behavior, psychodynamic, & supportive therapy, or second-gen antidepressants (SSRI or SNRI); strong recommendation for combined tx of CBT or IPT plus second-gen antidepressant
  • older adults: recommended either group-CBT or combo of IPT & second-gen antidepressant; insufficient evidence for bibliotherapy or life review therapy
28
Q
A

EPPP (15 decks)

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