2/13: Intro to Psych Evaluation Flashcards
Describe the main features of the DSM5
a
Developmental theories: Piaget
Intellectual development
Developmental theories: Freud
psychosexual dev
Developmental theories: Erickson
psychosocial dev
Developmental theories: Kohlberg
moral development
distinct disadvantage to resiliency
chaotic environment
main cause or contributing factor to mental illness
STRESS
main cause or contributing factor to mental illness
STRESS
Adjustment Disorder
emotional/behavioral sx in response to an identifiable stress–> marked distress and/or signif impairment
- occurs w/in 3 months of stressor onset, lasts<6 m after stressor gone
- not due to another mental DO or normal bereavement
Acute Stress Disorder
- lasts 3 days to 1 month
- ppted by acute stress/trauma, esp first-handed
Acute Stress Disorder
- lasts 3 days to 1 month
- ppted by acute stress/trauma, esp first-handed
Acute Stress Disorder + sx
1) intense anxiety/emotional response
2) re-living event (nightmares, flashbacks)
3) guilt
4) panic attacks
5) impaired memory
PTSD + sx
1) Arousal: sleep problems, hyper vigilance, self-destructive behavior, irritability
2) intrusion: forced recollection, physiological reactivity, flashbacks, nightmares
3) avoidance: internal (memories) or external (cues, reminders)
4) negative emotional and cognitive change: amnesia, negative beliefs, fear/shame/anger, loss of interest, detachment, lack of positive emotion
PTSD + sx
1) Arousal:
2)
PTSD + pts
trauma, burn, rape, sexual disorder, behavior disorder pts
what can rekindle or exacerbate PTSD in the medical setting?
invasive medical procedures
PTSD diagnosis
“in your life, have you had an experience of frightening/horrible/upsetting that, in the past month, you:
1) unwanted nightmares about it
2) avoided situations that reminded you of it
3) hypervigilant
4) detached from others/environment
(3/4 “yes” =PTSD)
PTSD diagnosis
“in your life, have you had an experience of frightening/horrible/upsetting that, in the past month, you:
1) unwanted nightmares about it
2) avoided situations that reminded you of it
3) hypervigilant
4) detached from others/environment
(3/4 “yes” =PTSD)
complicated grief
intense guilt, prolonged anhedonia, inability to find meaning in life, suicidal ideation
anticipatory grief
prepared for the loss, helps shorten time of bereavement
demoralization
patterned maladaption; pt feels trapped, subjective incompetence, believe they cannot master what troubles them
comforting grief
normal rituals and practices of mourning help, and supportive interactions w/caregivers
comforting demoralized person
giving pt more control over their circumstances, treating aversive sx (ie. n/v), providing helpful info and empathetic support