10/10 Intro to Psych - Tobia

Question 1

link between structure and function in psych patient

Answer 1

MOLECULAR LEVEL

issue with neurotransmitters or structure → behavior or fxnl impairment

*obviates use of lab/radiographic procedures

• clinical diagnosis that is evidence-based

Question 2

typically, don’t have to know the NUMBER OF CLINICAL CRITERIA req to rule a condition in

2 exceptions

Answer 2

1. hypomania
2. minor depression

Question 3

categories of psych diagnoses

Answer 3

1. mood/anxiety
2. psychotic/dissociative
3. other

Question 4

mood disorders 2x2

Answer 4

Question 5

major depressive disorder

Answer 5

defined by either…

• depressed mood
• loss of interest (anhedonia)

if patient presents with either, need to go on to next step

SIG E CAPS

• suicidal ideation
• guilt
• change in energy
• impaired concentration
• appetite
• psychomotor agitation/retardation
• sleep disturbance

total of 5 for 2 weeks or more → MDD!

Question 6

bipolar affective disorder

Answer 6

elevated, expanded, or irritable mood

if yes, next step…

DIG FAST

total of 4 or 5 over 7 days → MANIC EPISODE

Question 7

hypomania

Answer 7

still using the dig fast criteria (total of 4 or 5)

BUT

less than 7 days!!!

Question 8

minor depression

Answer 8

similar criteria to major depression: SIG E CAPS

BUT, less than 5 criteria

for 2 weeks duration

Question 9

minor depression + hypomania?

Answer 9

cyclothymia!

Question 10

psychiatric evaluation

Answer 10

equivalent of H&P when chief complaint is psychiatric in nature

if CC NOT psych-related:

include psych history with PMH

if CC is psych-related:

create new heading “Past Psych History”

Question 11

MMSE

Answer 11

screening tool for dementia.

NOT the Mental Status Exam - should not be confused!

Question 12

things you should list in HPI for psych

Answer 12

1. onset: timing of problems
2. duration: how long (constant/intermittent)
3. assoc signs/symptoms (pertinent +/-)
4. modifying/relieving factors

Question 13

psych ROS questions

Answer 13

• depressed mood and/or anhedonia
• elevated, expansive, irritable mood
• SI/HI (suicidal/homicidal ideation)
• are you a nervous person?
• delusions, hallucinations (+ sx of psychosis)
• CAGE; illicit substance use

Question 14

factors contributing to mental illness

Answer 14

Question 15

biopsychoSOCIAL

social acronym

Answer 15

shovel axe

Social support/environment

Housing

Occupation

Value (economic)

Education

Legal issues

“Axe”ss to healthcare

Question 16

Freud

Answer 16

• theory of human behavior: personality is unconsciously driven
• humans are anxious animals
  
  • anxiety: friction between what we want/what we’re allowed to do
• Id (pleasure principle; what you want) vs. Super Ego (reality principle; societal norms)
  
  • Ego defense mechanisms which help resolve anxieties
• psychosexual stages

Question 17

Jung

Answer 17

• personality is unconsciously driven
• humans are one animal
• Collective unconscious (archetypes)
• Shadow (Id), Self (Ego), Animus/Anima
  
  • no superego

Question 18

Erikson

Answer 18

8 Stages of Man

Question 19

personality → personality disorders

Answer 19

functional impairment

personality disorder: deficits in 2 or more of the domains (cognitive, affective, interpersonal, impulse control) → impairment in social, occupation, interpersonal fx