Abnormal Psychiatry Flashcards
ID AKA
Pleasure principle
EGO AKA
Reality principle
SUPEREGO AKA
Moral principle
The executive organ of the psyche
Ego/Reality Principle
involuntary/unconscious behavior that an individual uses to reduce stress or solve self-conflicts
Defense Mechanism
Defense Mechanism: Expression of emotions through actions
Acting out
Defense Mechanism: Denying existence overwhelmed of disbelief
Denial
Defense Mechanism: Transfer unacceptable emotions onto a less threatening object/person
Displacement
Defense Mechanism: Transfers unacceptable feelings onto another person and believes they feel/think the same
Projection
Defense Mechanism: Going back to developmental stages
Regression
Defense Mechanism: Unconsciously erases negative experiences from consciousness
Repression
Defense Mechanism: Spacing out; detaches from reality
Dissociation
Defense Mechanism: Transforming unacceptable emotions to socially acceptable response
Sublimation
Defense Mechanism: Consciously avoiding disturbing thoughts
Suppression
Defense Mechanism: Consciously negate unacceptable actions
Undoing
Dedicated to help to reduce stress
Altruism
Defense Mechanism: Uses humor to minimize stress
Humor
Fixed false belief; Incorrect assumption about external reality
Delusions
Fixed false belief that a person’s thought is controlled by external forces
Control
Exaggerated conception of a person’s identity
Grandeur
Fixed false belief that one’s lover commits infidelity
Infidelity (Pathologic Jealousy)
Fixed false belief that a person is being persecuted
Persecution
Fixed false belief that a person is deprived of material possession
Poverty
MC type of Delusion
Persecution
False sensory perception; not based on reality
Hallucinations
Types of Hallucination
Auditory (MC)
Visual
Tactile
Olfactory
Gustatory
Symptoms of Schizophrenic DIsorder
DElusions
HAllucinations
DIsorganized speech
CAtatonic behavior
NEGAtive symptoms
DMS V Dx Criteria for Schizophrenic Disorder
- 2/5 Symptoms (1st 3 or any are included lasting at least 1 month)
- Overall sx at least 6 months
- (-) Mood disorder dx
Subtypes of Schizophrenic Disorder
Paranoid
Disorganized/Hebephrenia
Catatonic
Undifferentiated
Residual
1 or more delusional sx or frequent auditory hallucinations
Paranoid
MC Subtype of Schizophrenic Disorder
Paronoid
Characteristics of Paranoid
(+) Delusion of Persecution or Grandeur
Most Severe Subtype of Schizophrenic DIsorder
DIsorganized/Hebephrenia
Poor contact in reality
Inappropriate social & emotional responses
DIsorganized/Hebephrenia
Characteristics of DIsorganized/Hebephrenia
Disorganized thought process
Spontaneous laughter
Classic Feature of Catatonic
Marked inc in disorganized motor behavior (uncoordinated)
Characteristics of Catatonic
Stupor
Rigidity
Posturing
Negativism
Incomplete set of active schizophrenic symptoms
Residual
Characteristics of Residual
Emotional blunting
Illogical thinking
Mild dissociation
Dx of Schizophrenia with a symptom duration of < 3 months
Last 4-8 weeks
Bouffee Delirante (Acute Delusional Psychosis)
Symptoms of Bouffee Delirante (Acute Delusional Psychosis)
Severe Agitation
DeHaDiCaNega
Schizophrenia + Mood Disorder
Schizoaffective Disorder
Duration of sx last at least 1 month & < 6 months
Schizophreniform DIsorder
Duration of sx at least 1 day but < 1 month
Brief Psychotic Disorder
Symptoms of Depression
Anhedonia
Insomnia/Hypersomnia
Weight Change
Fatigue
Feeling of Worthlessness
Disorganized thoughts
Hallmark of Major Depressive Disorder
Anhedonia
Manic + MDD
Bipolar 1
Hypomanic + MDD
Bipolar 2
Symptoms of Panic Disorder
Palpitations
Chills/Sweating/Heat Sensation
Trembling/Shaking
Feeling of Choking/Suffocation
Paresthesia/Numbness
Excessive worrying about everything
Generalized Anxiety Disorder
Constant Sx of GAD
Muscle Tension
Irritability
Sleep Disturbance
Restlessness
Easily Fatigue
Difficulty in concentrating
Sx of OCD (Most to Least Common)
CONtamination
Pathological doubt
Intrusive thoughts
Symmetry
Others (Hoarding and nail biting)
Manifestation of physical sx d/t mental/psychological & emotional factors
Somatization
unconscious conversion of mental stress to physical sx (Neurological)
Conversion Disorder
Sx of Conversion Disorder
Paralysis
Deafness
Loss of Vision
Misinterpretation of body Sx d/t fear of serious disease
Hypochondriasis
Eating non-nutritional food (ice, soil, clay)
PICA
episodes of binge eating + inappropriate ways of stopping weight gain
Bulimia Nervosa
Decreased food intake d/t distorted weight perception
Anorexia Nervosa
Excessive food intake d/t stress
Binge Eating Disorder
Voiding at night (bed wetting)
Enuresis
Uncontrolled fecal elimination
Encopresis
Personality Disorders: Cluster A
Paranoid
Schizoid
Schizotypal
Personality Disorders: Cluster B
Histrionic
Antisocial
Boderline
Narcissistic
Personality Disorders: Cluster C
Trichotillomania/Hair Pulling Disorder
Cold & aloof behavior
Cluster A PD
Dramatic, emotional, excited
Cluster B PD
Anxious, fearful
Cluster C PD
Excessive suspicion of others; mistrust
Paranoid
Disengagement of social interaction; dec emotional expression (flat affect)
Schizoid
Acute stress in developing close relations; cognitive & perceptual distortions
Schizotypal
Characteristics of Histrionic
Attention seeker
Very emotional
Flamboyant
Inability to have deep & long-lasting attachment
Inability to conform with social norms; disregard rights of others
Antisocial
Instability to build a relationship of self-image
Unstable mood & affect
Borderline
Grandeur delusion
Inc sense of self-importance
Narcissistic
Characteristics of Autism
Impaired social engagement/communication
Patterned/Stereotyped behavior
Echolalia
Delay in Language
Progressive condition in when normal child development in the first 6 months and deterioration of developmental milestones happens after
Rett Syndrome
Classical Features of ADHD
Hyperactivity
Inattentiveness
Impulsiveness
ADHD DSM IV
after 7 y/o
ADHD DSM V
12 y/o
Recurrent airway obstruction during sleep causing apnea
Sudden awakening with gasping
Obstructive Sleep Apnea
Chronic daytime sleepiness
Difficulty in staying awake for a long period of time
Narcolepsy
Sleep walking
Somnambulism
Sleep talking
Somniloquy
abnormal behavior during sleep; nightmares
Parasomnia
Uncomfortable feeling at night = Inc movement during sleep
Restless Leg Syndrome
Most important anti-psychotic
Chlorpromazine (Thorazine)
1st effective anti-psychotic with negligible extrapyramidal S/E
Clozapine (Clozaril)
Manages severe agitation & delusional thinking
Haloperidol/Haldol
Common S/E of Anti-Psychotics
Akathisia
Commonly used Anxiolytics
Benzodiazepines
Anxiolytic that has slow effectiveness
Buspirone
Effective anxiolytic for the majority of GAD Sx
Venlafaxine
1st line of treatment for ADHD patients
Methylphenidate (Ritalin) - chewable
Dextroamphetamine (Dexedrine) - patch