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PSYCHIATRY > 7. Eating, Sleeping, Sexuality > Flashcards

7. Eating, Sleeping, Sexuality Flashcards

1
Q

How long is detoxification for substance abuse?

A

5-21 days

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2
Q

How long is rehabilitation for substance abuse?

A

28 days

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3
Q

How long is residential treatment for substance abuse?

A

6-24 months

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4
Q

What is involved in detoxification?

A

treat acute physical effects of withdrawal in medical unit (designed to prevent life-threatening withdrawal symptoms through a prescribed protocol).

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5
Q

What is involved in rehab?

A

short term programs that offer full schedule of structured activities to divert attention away from wanting and needing drugs (motivate continued progress toward recovery and prevent early replapse)

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6
Q

What is involved in residential treatment?

A

intense therapy and little contact with outside world with goal of life-long sobriety and abstinence from drugs through improvement of emotional state and belief system (while providing emplyment and education)

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7
Q

Sleep problems in major depression.

A

shortened REM latency
early AM awakening
fitful sleep
hypersomnia

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8
Q

Sleep problems in PTSD.

A

nightmares

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9
Q

Sleep problems in manic bipolar.

A

drastically decreased need for sleep
highly irritable
manic episode can be triggered by sleep deprivation or jet lag

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10
Q

Sleep problems with sleep apnea.

A

Daytime lethargy

can be mistaken for depression or lack of motivation

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11
Q

Sleep problems with schizophrenia.

A

patient often up all night in agitated, aimless activity (driven by delusional thinking)

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12
Q

What is the most commonly diagnosed ED?

A

ED-NOS (most children/adolescents do NOT fulfill all the criteria for AN or BN)

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13
Q

Which ED causes obesity?

A

BED (binge eating disorder)

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14
Q

What is the predisposing biological factor for EDs?

A

dysregulation of serotonin system involved with developing and maintining EDs

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15
Q

What races have the worst body image?

A

white and hispanics

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16
Q

What is a precipitating factor for EDs?

A

dieting (get psychological boosts from increased sense of mastery and reduced emotional reactivity and reward with maintenance of ED behaiors)

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17
Q

How is purging a perpetuating factor of EDs?

A

Purging decreases anxiety and releases mood-improving neurotransmitters

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18
Q

Overestimation of body size and shape with relentless pursuit for thinness that typically combines excessive dieting and compulsive exercising.

A

Anorexia

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19
Q

Episodes of eating large amounts of food in a brief period (binge eating) followed by acts intended to eliminate or reduce the effects of ingested calories (vomiting, laxative use, exercising, or fasting)

A

Bulemia

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20
Q

Waht are the two subtypes of anorexia?

A

restrictive subtype

binge-purge subtype

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21
Q

Describe restrictive subtype anorexia.

A

caloric intake severely limited to monotonous “healthy” food and water or beverages with low caloric density and eating on a very tight schedule that follows an initial habit of dieting

22
Q

Describe binge-purge subtype

A

intermittent overeating followed by acts to rid body of calories by vomiting or taking laxatives (may even chew and spit out food or use diet pills)

23
Q

What are the characteristics of bulemia?

A
  • Restrict during day and binge at night on “forbidden food” followed by shame/guilt
  • Aware of calories and fat but not as regimented as anorexia
  • Vomiting and laxatives most common way to rid calories
24
Q

Characteristic of AN or BN: diet soda drinking

A

Bulemia

25
Q

Characteristic of AN or BN: excessive alcohol intake

A

Bulemia

26
Q

Characteristic of AN or BN: compulsive, ritualistic exercising often linked to sport

A

Anorexia

27
Q

Characteristic of AN or BN: impulsive personality

A

Bulemia

28
Q

Characteristic of AN or BN: difficulty maintaining stable relationships

A

Bulemia

29
Q

Characteristic of AN or BN: depression

A

Bulemia and Anorexia

30
Q

Characteristic of AN or BN: white, early to middle adolescent females of above-average intelligence and SES

A

Anorexia

31
Q

Characteristic of AN or BN: perfectionist, anxious, conflict-avoidant, risk-aversive

A

Anorexia

32
Q

Characteristic of AN or BN: enamel erosion with tooth decay/fracture/loss

A

Bulemia

33
Q

Characteristic of AN or BN: OCD traits

A

Anorexia

34
Q

Characteristic of AN or BN: hypometabolic (cold, tired, weak, no energy)

A

Anorexia

35
Q

Characteristic of AN or BN: dizziness, fainting, palpitaitons

A

Anorexia and Bulemia

36
Q

Characteristic of AN or BN: subconjunctival hemorrhages

A

Bulemia

37
Q

Characteristic of AN or BN: self-injurous behavior

A

Bulemia

38
Q

Characteristic of AN or BN: lanugo with loss of scalp hair

A

Anorexia

39
Q

Characteristic of AN or BN: constipation

A

Anorexia

40
Q

Characteristic of AN or BN: cold, cyanotic easily bruised and dry skin

A

Anorexia

41
Q

Characteristic of AN or BN: enlargement of parotid and submandibular glands

A

Bulemia

42
Q

Characteristic of AN or BN: HypoK and hyperCl

A

Bulemia

43
Q

Genital exposure to unsuspecting person or stranger

A

Exhibitionism

44
Q

Use of non-living objects for arousal

A

Fetishism

45
Q

Touching or rubbing against non-consenting person

A

Frotteruism

46
Q

Attraction to or behavior involving a prepubescent boy or girl

A

Pedophilia

47
Q

Intense fantasies, urges, or behaviors (whether real or stimulated) of being humiliated or made to suffer

A

Masochism

Sadism

48
Q

Cross-dressing that produces sexual arousal

A

Transvestic fetishism

49
Q

Arousal while viewing nudity or sexual activity by others who have not given permission

A

Voyeurism

50
Q

What is a paraphilic disorder?

A

intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting individuals

51
Q

What is required to diagnosis a sexual psychiatric disorder?

A

“significant impairment and disorder”

52
Q

What are most sexual dysfuncitons due to?

A

medication side effects

PSYCHIATRY (9 decks)

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