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Flashcards in Shit - Psych Deck (39):
1

Positive vs. negative

positive = do something
negative = take away something

2

Reinforcement vs punishment

Increase behaviour
Decrease behaviour

3

Reaction formation

UNCONSCIOUSLY replacing bad thoughts/idea with the opposite

4

Sublimation

CONSCIOULY replacing bad thoughts/idea with something SIMILAR to the wish but that doesn't conflict with their views

5

Undoing

symbolically nullifying bad thing with confession/atonement

6

anaclitic depression

Isolated children become withdrawn/unresponsive

7

Conditions associated with tourettes

OCD
ADHD

8

ADHD Rx

Amphetamines:
Methylphenidate, atomoxetine (NRI), Clonidine (a2 agonist)

9

Tourette's Rx

Low dose, high potency antipsychotics (i.e. flu)
Clonidine
Tetrabenazine (also used for Huntington's)

10

Rett syndrome s/s

Girls
Progressive regression around 1-4; verbal, intellectual, ataxia, hand-writhing

11

Alzeimers NTS

Low Ach
High glutamate

12

Anxiety NTs

High NE
Low 5HT
Low GABA

13

Delerium vs dementia

Delerium = altered consciousness, acute onset, wax and wane, 2', abnormal EEG

Dementia = decreased intellectual functioning with normal consciousness, gradual, usually irreversible, usually 1', abnormal EEG

*reversible dementia via hypothyroidism, depression in elderly, B12 deficiency, NPH

14

Hallucination types:

Visual = medical
auditory = psych
tactile = alcohol or cocaine
olfactory = epilepsy
gustatory = epilepsy

15

Schizophrenia/brain

High DA activity
Decreased dendritic branching

16

Schiz timelines:

6 m = schizophrenia

Psychotic with mood on top = schizoaffective

17

> 1month with ONLY delusions

Delusional disorder

[

18

depersonalization vs. derealization

deperson = out of body

derealize = world seems fake

*both have reality-testing in tact

19

hypomanic vs manic

Hypoamnic = no psychotic features, no marked impairment, ≥ 4 days

Manic = marked impairment, ≥1 week OR hospitalized

20

Bipolar I vs. II vs. cyclothymia

I = mania ± depressive or hypomanic
II = hypomania + depressive
Cyclothymic = hypomania to dysthymia

21

Rx of bipolar

MOOD STABILIZERS:
lithium, valproic acid, carbamazepine, atypical antipsychotics

22

Dysthymia timeline

>2 years

23

DMDD Dx

Outbursts 3x/week, disproportional reactions, multiple places

Dx between 6 and 18 years

24

Normal vs. pathological grief

Normal = shock, denial, anger, guilt, somatic symptoms, HALLUCINATIONS of their voice

Pathologic = >6 months, major depressive criteria, psychotic symptoms (other than the hallucinations)

25

Venlafaxine treats:

Panic disorder
PTSD

26

GAD timeline

>6 months

27

acute stress disorder vs adjustment disorder vs PTSD

Acute stress disorder = 3d-1m
Adjustment disorder = 6m for chronic stressor
PTSD = >1m

28

Ego defences with personality disorders

Projection = Paranoid
Splitting = boarderline

29

Russel's sign

callouses on knuckles from bulimia

30

Sleep hygiene vs stimulus ctrl

hygeine = caffeine, naps

stimulus = bed for sleep only

31

Narcolepsy brain

Decreased hypocretin (orexin) production in lateral hypothalamus

32

GHB for:

Narcolepsy daytime somnolence and cataplexy

33

RX RLS

dopamine (can be a precursor to parkinson)

34

RLS vs PLM

RLS = aware of pain and movement to relieve it
PML = unaware fo movements

35

Benzo OD Rx

Flumazenil

36

Withdrawal existential crisis =

amphetamines

37

Wernicke encephalopathy s/s

Triad:
- confusion
- opthalamoplegia
- ataxia

38

Korsakoff

Confabulations
Memory loss
Personality changes

Periventricular hemorrhages and mamillary body degeneration

39

DTs: s/s and timeline

2-4 days after last drink
Autonomic hyperactivity