2ndyear Reviews Flashcards
loosening of associations
unrelated/unconnected
disorder in the logical progression of thoughts
no train of thought
flight of idea
rapid succession of fragmentary thoughts or speech
abrupt change in content, speech is incoherent
mania
psychotic
loss of reality
delusions, hallucinations
neurotic
no loss of reality
real, intraspyschic conflicts that cause anxiety
obsession, phobia, compulsion
functional
no known structural damage
tangentially
digressive, irrelevant manner of speech where central idea is never communicated
** goes on a tangent**
circumstantiality
disturbance in associative thought in which patients digress into unnecessary thoughts before getting to central idea
schizophrenia, obsessional disturbance, dementia
thought blocking
interruption in train of thinking before idea is finished and patient completely forgets what is said
word salad
incoherent mixture of words and phrases (no connection at all)
seen in severe schizophrenia
hallucinations
false sensory perception occurring in absence of external stimuli
delusions
false belief
based on incorrect inferences about external reality
maintained despite being told it is false
orientation
awareness of oneself and surroundings
A and O x 3 (person, place, time) (+ situation)
insight
conscious recognition of one’s condition
8 main topics of MSE
Appearance/behavior Speech Mood Thought Perception Cognitive behavior Insight Judgement
what medication causes agranulocytosis?
clozapine
types of psychotherapy (6)
psychoanalysis group therapy family therapy marital therapy biofeedback cognitive therapy
group therapy
goal is to change behavior
variety of disease in group is good
works for almost every disease
psychoanalysis
brings suppressed memories into present personality
free association
access the unconscious
sigmund freud
family therapy focus
improving relationships in the family structure
marital therapy
alleviate emotional distress and disability
promote well being but can still lead to divorce
biofeedback
autonomic nervous system under voluntary control
see emotions
relaxation techniques and EMG used
cognitive therapy assumes
patient problem is based on perception of environment
cognitive triad of depression
- negative self thought
- negative view of world
- believe that world will not change
SOME signs of anxiety disorder
trembling, shaking, tachycardia, sweating, diarrhea
parathesia (pins and needles)
dread, insomnia, upset stomach
drugs (categories) used to treat anxiety
- Benzos
- SSRI
- TCA
- MOI
s.e. are worse at higher doses
types of anxiety disorders
- GAD
- Panic Disorder (agoraphobia)
- Phobic disorders
- OCD
- Social Anxiety disorder
- Acute Stress Disorder
- PTSD
generalized anxiety disorder
fear, worry, tension with out panic attacks (>6 months)
benzos + SSRIs
agoraphobia
fear of leaving home, somewhat specific (spaces)
afraid of getting a panic attack in public
panic disorder
SUDDEn
may be triggered by thought, person, situation
patient is quick to freak out
treated with SSRI + Benzo
physical symptoms of panic disorder
tachycardia, hyperventilation, SOB, can pass out
feel scared, out of control
no psychotic ideation
are benzos good for anxiety disorders
NO
they will mellow you so you calm down but doesn’t treat the persistent fear
social anxiety disorder
afraid of humiliation, won’t answer questions
fear of being ridiculed or making mistakes
treat with CBT
obsession
a repetitive thought
eats at you inside
compassion
action that is taken to reduce the obsession
OCD
obsessions and compulsions
patient is aware this is a problem
Fluvoxamine -Treatment
acute stress disorder
witness, participate, know someone who has been thru traumatic event
onset of anxiety secondary to event
short (less than one month)