ABP DX INTENSIVE (On-going) (4//24) Flashcards
- What is the most common method of losing weight utilized by people with Anorexia Nervosa?
a) Induced Vomiting
b) Laxatives
c) Rigorous physical exercise
d) Diuretics
c) Rigorous physical exercise
Eating Disorders
Bulimia Nervosa - Eating large amounts of food (binge); guilt; purging techniques; most common is induced vomiting
Anorexia Nervosa - successful at losing weight; drastic weight loss; limit calorie intake; most common method is exercise
Restricting type (limit calorie intake) and binge-eating-purging type (binge eat then purge; difference is weight loss)
Binge-eating Disorder - binge repeatedly but DON’T purge (cycle of guilt for weight - diet - extreme craving - binge eating)
Can develop MDD because of mental toll
Make sure to know underlying reason for their behaviors/thoughts before making diagnosis
Body dysmorphic disorder - perceived flaw in appearance
Pica - eating nonnutritive substances/things
Eating Disorder - Weight-related reason
- This is a type of Bipolar disorder that could be diagnosed with psychotic features.
a) Bipolar I
b) Bipolar 2
c) All of the above
d) None of the above
c) All of the above
Psychotic features - hallucinations
Mood Disorders
Major depressive episode - most common and most severe
At least 2 weeks
With cognitive symptoms (lose motivation and purpose) and altered physical functioning (sleep probs, change in appetite)
Mania - extreme pleasure in every activity (super hyper, elevated mood, impulsive, inflated self-esteem (feeling invincible); at least 1 week
Hypomania - less severe mania; need only last 4 days
Cyclothymia/Cyclothymic Disorder - Alternating depressed mood and hypomanic symptoms for at least 2 years; Chronic form of bipolar disorder
Dysthymic DIsorder - Depressed mood for at least 2 years; more bad prognosis because less responsive to treatment
Major Depressive Disorder - 1 episode of MDE
- Ronald dreamed of becoming the most successful soccer player of all time. He practiced hard to achieve his dream. However, he got involved in a car accident that took both of his legs. Without his legs, it would be impossible for him to achieve his life goal. Realizing this, he committed suicide. This suicide could be called as
a) Fatalistic
b) Anomic
c) Egoistic
d) Altruistic
c) Egoistic
Kinds of Suicide
Anomic - Suicide due to disappointment/disillusionment
drastic change in life; happiness is over
Fatalistic - Suicide due to pervasive oppression
hindi nakaranas ng freedom, only way to be free is to take their own life, seen in tightly regulated/low freedom/high pressure societies
Egoistic - Suicide due to low social integration
Isolated individuals, high risk for unmarried childless people
Altruistic - Suicide for benefit of community; too much social integration
Willing to sacrifice life for community; off yourself to abide by customs/beliefs of the community (eg. seppuku)
- What is the priority for the diagnosis of intellectual disability?
a) IQ that is below 60 or as high as 70
b) IQ that is below 70 or as high as 75
c) Age and IQ scores
d) Adaptive functioning
d) Adaptive functioning
For intellectual ability, look first at adaptive functioning, then IQ
If fail in adaptive functioning, look at IQ (IQ is basically the confirmer)
If IQ is 2 SDs below the mean (SD), they have intellectual disability
- A person is hallucinating that he is flying or floating. This hallucination is called what?
a) Tactile hallucination
b) Projectile hallucination
c) Symptomatic hallucination
d) Proprioceptive hallucination
d) Proprioceptive hallucination
Types of hallucination
Visual - Seeing things
Olfactory - Smelling things (most rare)
Tactile - Feeling things/sense of touch
Auditory - Hearing things (most common)
Gustatory - Tasting things
Presence - Feeling someone’s in the room
Proprioceptive - Thinking body is moving; floating, flying
Projectile and symptomatic ???
- Lorna, on numerous occasions, stated that her child has been replaced by a look-alike imposter. Once she even refused to pick up her child from school, screaming “Give me my real daughter back, she is not my daughter”. Lorna might be suffering from
a) Cotard’s syndrome
b) Capgras syndrome
c) Hallucinations
d) Delusions
d) Delusions
Capgras Syndrome - belief that someone they know was replaced by a double/imposter; can come with conspiracy theory (it was the govt./aliens)
Disprove by removing “imposter” from sight and letting person only hear their voice
Cotard Syndrome - belief that someone they know is dead
Can also be belief you lost an organ
Anything to do with corporeal experience
- The mother of a 10-year-old boy with an 8-month history of excessive eye twitching and intermittent chirping said that she had noticed movements and sounds ever since the child started going to school. What is the most likely diagnosis?
a) Provisional Tic Disorder
b) Persistent Tic Disorder
c) Tourette’s disorder
d) Transient Tic disorder
a) Provisional Tic Disorder
Tic Disorder
Look at duration for differentiation between tic disorders; then look at type of tics involved
Motor Tics - Involuntary muscle movement
Copropraxia - doing inappropriate actions
Echopraxia - repeating actions of someone else
Vocal Tics - Involuntary vocalizations
Palalia - involuntarily repeating own words
Coprolalia - saying inappropriate words
Echolalia - repeating words of someone else
Provisional Tic Disorder - motor and/or vocal tics present for less than 1 year
Persistent Tic Disorder - motor OR vocal tics (not both) present for more than 1 year
Tourette Disorder - both motor AND vocal tics present for more than 1 year
Hierarchy: 1) Tourettes, 2) Persistent, 3) Provisional
Important because if you need new diagnosis, it should not go down the hierarchy from previous diagnosis; new diagnosis should be equal or higher
Symptoms can wax and wane, but even so the duration is still there
- A mother of a child who was previously diagnosed with Tourette’s disorder tells you that since elementary school, her child had been teased because of having both motor and vocal tics. As he grew older, however, his tics became less frequent. Currently, only mild motor tics remain. What is the appropriate DSM-5 diagnosis?
a) Provisional Tic Disorder
b) Persistent Tic disorder
c) Tourette’s disorder
d) Unspecified Tic disorder
c) Tourette’s disorder
See number 7
The hierarchy of tic disorders
- A man suddenly came barging inside a police station screaming that his twin sister was killed by gunmen while on a trip to another province. When asked how he found out, he exclaimed that he just knows it because they have a special bond as twins. After putting him on the phone with his sister, who was alive and well, the man expressed relief that she was alive. Which of the following best fits this presentation?
a) He had a delusional belief, because he believed it was true without proper proof.
b) He did not have a delusional belief, because he changed his mind in light of new evidence.
c) He had a grandiose delusion, because he believed that he could know things that are happening even from far away
d) He did not have a delusion, because in some cultures it is believed that it is possible to know things about their relatives due to the special bond they share.
b) He did not have a delusional belief, because he changed his mind in light of new evidence.
Delusion - Persistent belief contrary to reality
Persistent - fixed; not easy to change their mind
Contrary to reality - false
He’s not delusional because it was not persistent
Delusional Disorder - Only diagnosed if delusion is only problem and no other symptoms
Erotomanic type - believe someone they like (usually higher status) is also in love with them; every little thing they do has special meaning to one with the delulu
can kidnap them to save them from imagined danger; stalk
Grandiose type - believe they’re someone special, have special power, have special role in world (the chosen one!!)
Jealous type - believe partner is not loyal kahit small thing lang yung ginawa
May control their behavior to make sure they’re loyal
Persecutory type - believe someone in the world is out to get them
Somatic type - delusions about body; feeling their organs are failing; most common is they believe they have a microchip/worms in body
Mixed type - Have multiple types of delusion
Unspecified type - Has delusion but is none of the above
Referential delusion - belief you’re the topic of conversation kahit hindi related sayo; not part of the above
- Children with disruptive mood dysregulation disorder often meet the criteria for which additional diagnosis?
a) Oppositional Defiant Disorder
b) Intermittent Explosive Disorder
c) Schizophrenia
d) Attachment Disorder
a) Oppositional Defiant Disorder
Oppositional Defiant Disorder
Problem with authority figures (parents, teachers)
need to get mad or disrespect them, always fighting with them
They only disrespect one particular person (ex. Disrespectful to parents but not to teachers)
Disruptive Mood Dysregulation Disorder (DMDD)
Severe and recurrent (intensity and duration) temper tantrums that are inappropriate to the situation or to child’s developmental level
Has persistent irritability (after temper tantrum they’re still mad)
Ex. getting super pissed at smallest of things
Intermittent Explosive Disorder (IED)
Severe and recurrent temper tantrums that are inappropriate to the situation or child’s developmental level
Irritability goes away (after temper tantrum they’re okay na (well-mannered and respectful))
- Although gambling can seem compulsive, gambling disorder is not considered a type of OCD for which of the following reasons?
a) Individuals with gambling disorder have poorer insight into their irrational behavior.
b) The repetitive behavior associated with gambling disorder is meant to avoid anxiety.
c) A person with gambling disorder derives direct pleasure from the behavior.
d) In gambling disorder, individuals have control over their repetitive behaviors.
c) A person with gambling disorder derives direct pleasure from the behavior.
Gambling Disorder is under substance abuse disorder because symptoms are the same.
Pleasure from the behavior -> Leads to the addiction
- What is the most common site of hair pulling in trichotillomania?
a) Scalp
b) Pubic area
c) Facial area
d) All of the above
a) Scalp
Trichotillomania - Hair pulling disorder; must be severe enough to cause bald spots; feels guilt/distress for behavior
Scalp is most common, then eyebrows (easy access hair!)
Also includes pulling hair of other people, animals, or hairy things (eg. carpet)
Obsessive-Compulsive and Related Disorders
Obsession - Intrusive thoughts
Compulsion - Repetitive behavior to satisfy obsession
Prayers: repetitive words/phrases to satisfy obsession
Common compulsions: washing, cleaning, counting, checking, requesting assurances, repeating actions, ordering
Body Dysmorphic Disorder - Perceived flaw in appearance; imagined ugliness (compulsion: always fixing appearance, hiding appearance whenever you go out)
May lead to cosmetic surgery
Hoarding Disorder - Keeping everything even if they’re not useful anymore; piling trash
Animal Hoarding - keeping animals even if they can’t take care of them
Trichotillomania - Hair Pulling
Excoriation - Skin-picking; must be severe enough to cause skin lesions
- Fanny belongs in a tribe who worships the Moon Goddess, Chang’e. They believe that sacrificing rabbits would satiate the goddess because according to the myth, Chang’e loves rabbits. To get her blessings, Fanny killed all rabbits, as well as all living things within the vicinity, including human beings. Fanny also believes that the goddess speaks to her. What could you determine from Fanny’s behavior?
a) Fanny does not have a psychological disorder
b) Fanny is a religious fanatic.
c) Fanny is a normal human being.
d) Fanny might have a psychological disorder.
d) Fanny might have a psychological disorder.
Four Ds: Deviant Behavior, Danger, Distress, Dysfunction
Fanny’s behavior went beyond the culture, so it’s possible there’s a disorder na
- A 10-year-old boy is brought in for evaluation because of his explosive outbursts when is frustrated with schoolwork. At other times, however, his parents reported that he is behaved and pleasant. Which diagnosis best fits the child?
a) Reactive Attachment Disorder
b) Disruptive Mood Dysregulation Disorder
c) Oppositional Defiant Disorder
d) Intermittent Explosive Disorder
d) Intermittent Explosive Disorder
Impulse-Control DIsorders - experience high degree of tension and the only way to relieve themselves is to do the act
Kleptomania - recurrent failure to resist urges to steal objects even if it’s not useful
Intermittent Explosive Disorder - Acting out their aggressive impulses
Pyromania - irresistible urge to set fires
Career choice: Firefighter (tagatambay sa sunog uwu)
Not all arsonists have pyromania
- In social phobia, the object of an individual’s fear is the potential for which of the following?
a) Harm to self or others
b) Embarrassment
c) Separation from objects of attachment
d) Social or occupational impairment
b) Embarrassment
Social phobia - Scared to do some kind of performance in front of others; scared to be scrutinized/criticized by others
- Anne Curtis and Solenn Heusaff, best friends of Jehn, were surprised when they saw her lose so much weight in just a week. They did not know that, in order to lose weight, Jehn eats 4 pcs of Cattleya Yellow Pad every day to avoid feeling full, which in turn reduces her food intake. Jehn might be diagnosed with
a) Bulimia Nervosa
b) Pica Disorder
c) Anorexia Disorder
d) None of the above
c) Anorexia Disorder
See number 1
Underlying motivation: Weight loss -> Anorexia
- In addition to preoccupations with a perceived body flaw, which of the following behaviors would be most suggestive of a diagnosis of body dysmorphic disorder?
a) Repetitive mirror checking in response to the preoccupation.
b) Consulting a psychiatrist because of the distress caused by the preoccupation.
c) Losing an unhealthy amount of weight in order to improve one’s physical appearance.
d) Having a related preoccupation concerned with acquiring a disfiguring illness.
a) Repetitive mirror checking in response to the preoccupation.
See number 12
- Which of the following is a type of non-rapid eye movement sleep arousal disorder in DSM-5?
a) Nightmare disorder
b) Sleep terrors
c) Fugue
d) All of the above
c) Fugue
Kinds of Sleeping Disorders
Dyssomnia - Problem is quality of sleep
Insomnia - Can’t sleep or sleep time is so short you don’t feel rested or feel like you can’t sleep at all
Hypersomnolence - Sleep is too long but still don’t feel well-rested; characterized by sleep inertia (still super tired/feeling ayaw galaw upon waking)
Narcolepsy - Sleeps anytime anywhere
Parasomnia - Abnormal behaviors during sleep
Sleep Terrors - non REM sleep, no detail recall of events, is like scared and panicky while they sleep and have hard time waking them up
Nightmare Disorder - REM sleep, we dream, can remember the dream in detail
Sleepwalking - Walking in your sleep (woah shocker), can go down stairs and leave house; can usually be found in places that are familiar to them (been there before)
- A man routinely spends a great amount of time pulling out facial hair with tweezers, even after carefully shaving. This act of his consumes a significant amount of time. He explained that he becomes anxious when looking at himself and seeing that his facial hair is asymmetrical, and so he pulls them in an effort to make them more symmetrical. However,he is rarely satisfied with the results. What is the most appropriate diagnosis?
a) Body dysmorphic disorder
b) Delusional Disorder, somatic type
c) Trichotillomania
d) Obsessive-compulsive disorder
d) Obsessive-compulsive disorder
See number 12
Underlying motivation: The asymmetry is the problem, not the perceived flaw
If because feeling ugly - BDD
If because they’re bored - Trichotillomania
- In order to meet the diagnostic criteria for excoriation, the picking must be severe enough to result in which of the following?
a) Skin lesions
b) An infection
c) Itching
d) Permanent deformity
a) Skin lesions
See number 12
- What is the essential diagnostic feature of factitious disorder?
a) Conscious misrepresentation and deception
b) Somatic symptoms
c) External gain associated with illness
d) Normal physical examination and laboratory tests.
a) Conscious misrepresentation and deception
Somatic Symptom and Related Disorders
Somatic Symptom Disorder - somatic complaints with no medical basis; there is a physical manifestation but no medical cause
Illness Anxiety Disorder - aka hypochondriasis; severe anxiety on having developed a serious disease (small symptom already indicates a severe disease)
They research their illness; do self-diagnosis; hospital hopping (consulting multiple doctors)
Conversion Disorder - Functional Neurological Symptom Disorder; physical malfunctioning with no organic cause -> part of body is not working but no problem (eg. can’t see from one eye, can’t walk with a leg)
La belle indifference - Indifferent to their symptoms; chill even when they experience the symptom or are told they have no problem; is NOT a basis for diagnosing Conversion Disorder
Cause: Psychological Trauma
Factitious Disorder - Faking the disorder; aka Munchausen Syndrome
For primary gain: Sympathy, attention of others
Facticious Disorder/Munchausen Syndrome by proxy - The faking is imposed on someone else (usually mom on child)
Malingering (Faking) - NOT a disorder; for secondary gain (financial benefits; skip work)
- Bran fell down from a high tower which damaged his brain. Since then, he was unable to remember memories regarding his past, even his own identity. Bran is suffering from
a) Anterograde amnesia
b) Retrograde amnesia
c) General Amnesia
d) Selective Amnesia
b) Retrograde amnesia
Kinds of Amnesia due to PHYSICAL CAUSES (eg. injury, illness)
Anterograde Amnesia - Can’t make new memories
Retrograde Amnesia - Forgetting past memories
Dissociative Disorders
Depersonalization-Derealization Disorder
ONLY Feelings of unreality is so severe
Must not be due to other disorder (eg. panic disorder; schizophrenia)
Depersonalization - perception alters, temporarily lose sense of own reality; out-of-body experience (feeling they’re watching themselves in 3rd person)
Derealization - reality of external world is lost; feeling environment is changing (ex. People/objects change appearance)
Dissociative Identity Disorder - Presence of at least 2 clear personality states called alters
Host personality - alter that handles executive functioning of person
Original personality - the OG personality that first harbored the body
Often report they have blackouts (don’t remember what happened between memories)
Dissociative Amnesia - Big chunks of memory are forgotten; amnesia due to PSYCHOLOGICAL CAUSES
Localized amnesia - a period of time is forgotten
Selective amnesia - may recall some, but not all (event); usually events directly related to traumatic experience
General amnesia - complete loss of memory for one’s life history; even your own identity and procedural memory
Hardest memory to forget is procedural memory
Systematized amnesia - for a specific category of information (Can remember things perfectly except one specific category of info of memory like one specific person or thing)
Continuous amnesia - forgets new event as it occurs
Most common: Localized and Selective
Most rare: General
Dissociative Fugue - Subtype of Dissociative Amnesia
Unexpected trip by memory loss; sometimes can make new identity
Fuge means “flight”
- Which of the following is the most obvious and apparent characteristic of a young girl diagnosed with Fragile X Syndrome?
a) Long and narrow face
b) Upward slanting eyes
c) Extreme shyness
d) Large ears
c) Extreme shyness
Developmental Disorders
Fragile X Syndrome - X chromosome is susceptible to damage
Affects cognitive ability/intellectual capacity
Higher risk in males (cuz XY); most obvious sign is physical characteristics: long narrow face and large ears
Females with fragile x syndrome have no physical abnormalities, most obvious sign is extreme shyness
Mom contributes more to child’s intelligence (XX)
Down Syndrome
Simian Crease (only one crease on palm)
Flattened nose and face, upward slanting eyes
Hypotonia (floppiness) - parang stuffed toy paghinawakan
- Which of the following is a core feature of insomnia disorder?
a) Cognitive impairment
b) Dissatisfaction with sleep quantity or quality
c) Abnormal behavior during sleep
d) Daytime fatigue
b) Dissatisfaction with sleep quantity or quality
See number 18
- Which of the following is true about reactive attachment disorder?
a) RAD occurs only in children who have impaired communication.
b) RAD occurs only in children without a history of severe social neglect.
c) RAD occurs only in children who lack healthy attachments.
d) RAD occurs only in children who have secure attachments.
c) RAD occurs only in children who lack healthy attachments.
Attachment Disorders - Diagnosed in children
Reactive attachment disorder - very seldom seek out caregiver/don’t respond to you even if you’ve been together for a while
Disinhibited Social Engagement Disorder - no inhibition in approaching adults (kahit stranger feeling close), very easy to make kwento about anything including personal information about life
- Disorder which involves involuntary, although sometimes voluntary, urination.
a) Encopresis
b) Excoriation
c) Enuresis
d) Rumination
c) Enuresis
Encopresis - Involuntary pooping
Enuresis - Involuntary Enuresis
Excoriation - Skin picking
- Which of the following should not be used for the diagnosis of conversion disorder?
a) The symptoms are not intentionally produced.
b) Onset that is associated with stress or trauma
c) Symptoms not be explained by neurological disease
d) La belle indifférence
d) La belle indifférence
See number 21
- Which of the following symptoms is most likely to indicate the presence of hypersomnolence disorder?
a) Non-refreshing sleep in main sleep episode
b) Sleep inertia
c) Frequent napping
d) Headache
d) Headache
See number 18
- Which of the following is a defining characteristic of cataplexy?
a) It persists for hours
b) It occurs unilaterally
c) It is induced by suggestion
d) It is sudden
d) It is sudden
Cataplexy - Brief and sudden loss of muscle movement brought about by intense emotions (“YAAAAA–” o(–( )
- Children with this disorder often exhibit hypervigilance in social interactions and might not seek or accept comfort in times of threat.
a) Reactive Attachment Disorder
b) Disinhibited Social Engagement Disorder
c) Separation Anxiety
d) Autism Spectrum Disorder
a) Reactive Attachment Disorder
See number 25
31 A woman comes to your office and reports that she is only there because of constant pleadings by her mother to see you. She tells you that although she has a good social network of both sexes, she has never had any sexual arousal in both men and women, no erotic fantasies, and little interest in sexual activity. She has found like-minded individuals, and they accept themselves as asexual. What is the appropriate diagnosis, if any?
a) Female sexual interest/arousal disorder, lifelong, severe.
b) Hypoactive sexual desire disorder
c) No diagnosis, because she did not meet the minimum requirement for hypoactive sexual desire disorder.
d) No diagnosis, because she does not have clinically significant distress or impairment.
d) No diagnosis, because she does not have clinically significant distress or impairment.
No distress or impairment despite no sexual interest/arousal
If meron, diagnosis would be Female Sexual Interest/Arousal disorder
Sexual Disorders
Desire - No desire/fantasy/interest in sex; not aroused in sexual activity
Female: Female Sexual Interest/Arousal Disorder
In DSM-IV, diagnosis would be Hypoactive Sexual Desire Disorder (no desire or fantasy for sex, not aroused when in sexual activity)
More difficult to reach orgasm
Male: Male Hypoactive Sexual Desire Disorder
Pain
Female: Vaginismus (Genito-Pelvic Pain/Penetration Disorder)
Muscle spasms in vagina upon penetration; usually because anxious especially if first time
Penis can’t enter tapos kung ipupush mo pa yan sobrang sakit
Gets stuck/locked inside pag pinilit?
Paraphilic Disorders
Paraphilia - experience intense sexual arousal to atypical objects, situations, fantasies, behaviors, or individuals
If interest causes distress/dysfunction, it’s paraphilic disorder (ex. fetishism vs. fetishistic disorder)
Fetishism - Sexually attracted to non-living objects (includes body parts)
Voyeurism - Practice of observing, to become aroused, to an unsuspecting individual undressing or naked (includes sex videos, use of cameras)
Exhibitionism - achieving sexual arousal by exposing genitals to unsuspecting strangers, thrill comes from element of surprise
Frotteurism - touching or rubbing one’s genitals to an unsuspecting person
Transvestic Fetishism - Sexual arousal is strongly associated with act of dressing in clothes of the opposite sex (cross dressing), usually seen in males
32 A 16-year-old boy, who does not seem pervasively irritable or depressed, has a long history of defiant behavior toward authority figures. He gets into fights at schools, fights with his parents, and often breaks doors and punches walls. He frequently lies, and he began to steal money and jewelry from his parents. What is the most likely diagnosis?
a) Oppositional Defiant Disorder
b) Conduct Disorder
c) Disruptive Mood Dysregulation Disorder
d) ADHD
b) Conduct Disorder
Conduct Disorder - Basic rights of others are violated (stealing, hurting, lying, etc.)
33 A 15-year-old boy has a history of episodic violent behavior that is out of proportion to the situation. During an episode, he will become extremely angry, punching holes into walls or destroying furniture. After 30 minutes, he is calm and back to himself. What should be the most appropriate diagnosis, if any?
a) Intermittent Explosive Disorder
b) Bipolar Disorder
c) Disruptive Mood Dysregulation Disorder
d) Conduct Disorder
a) Intermittent Explosive Disorder
See number 10
34 What is the hallmark of caffeine withdrawal?
a) Vomiting
b) Flu-like symptoms
c) Drowsiness
d) Headache
d) Headache
35 Individuals with obsessive-compulsive personality disorder are primarily motivated by a need for which of the following?
a) Efficiency
b) Control
c) Admiration
d) Autonomy
d) Autonomy
PERSONALITY DISORDERS
Cluster A: Odd or Eccentric
Paranoid PD - pervasive distrust and suspiciousness; everyone is out to get them
Schizoid PD - detachment from social relationships; loners, doesn’t like people because for them relationships are messy and undesirable; flat affect (loner by choice)
Schizotypal PD - eccentricities of behavior; governed by magical thinking (strong belief in superstitions)
Cluster B: Dramatic, Emotional, or Erratic
Antisocial PD - disregard for and violation of rights of others, lack remorse and guilt, incapable of feeling normal range of emotions, can manipulate other; 18+ years old; should have history of conduct disorder
Borderline PD - instability of interpersonal relationships; PD that is linked with mood disorder (always on extreme side); tendency to idealize caregivers and fear abandonment (kahit super simple act) by them; respond in rage, aggression, self-mutilative behaviors (if u leave imma kms)
Histrionic PD - excessive emotion and attention seeking; exaggerated emotions, the more people the more exaggerated, want to be center of attention; problem in delaying gratification; use appearance/bodies to get attention (very seductive), feeling close
Narcissistic PD - grandiosity, lack of empathy; they’re only the important ones no one else; love identifying themselves with those of higher status
Cluster C: Anxious or Fearful
Avoidant PD - Social inhibition; loner, ayaw kaibigan, wants interpersonal relationships but can’t make any because they fear rejection and humiliation
Dependent PD - pervasive need to be taken care of, because of super low self-esteem, they can’t do anything on their own even tasks of daily living and small decisions; idealize caregivers and fear abandonment by them; respond in complete compliance (super person pleaser as long as you stay); can be victims of domestic abuse
Obsessive-compulsive PD - preoccupation with orderliness, perfection; everything little thing is planned; they want control over everything
Difference from OCD: Those with OCD experience stress and anxiety; Ego dystonic (incongruent yung behavior to how they perceive themselves)
36 According to the biological view, what part of the brain holds the personality?
a) Frontal lobe
b) Parietal lobe
c) Occipital lobe
d) Temporal lobe
a) Frontal lobe
Specifically prefrontal cortex
Frontal lobe is called “seat of personality
37 You decided to visit an art exhibit where you found a life-sized sculpture of a man. While admiring the sculpture made of clay you suddenly saw it wink at you. With your knowledge of Schizophrenia, you can say that you just had an ________.
a) Delusion
b) Hallucination
c) Illusion
d) Perception
c) Illusion
Illusion - There is stimulus but it’s misinterpreted
Hallucination - No stimulus but you’re sensing things
38 What is the basic characteristic of madness?
a) Delusion
b) Hallucination
c) Disorganized speech
d) Catatonia
b) Hallucination
39 Jehn was born and raised by the Uzumaki Clan, whose traditions were founded on the importance of Mother Earth, and thus, believes that all plants are heavenly beings that must be respected. During a visit to the town, Jehn saw a gardener cutting roses. She started organizing the things around her according to color and shapes in order to appease Mother Earth based on her clan’s teachings. Jehn could be diagnosed with which of the following?
a) Obsessive-Compulsive Disorder
b) Trichotillomania
c) Manic Disorder
d) None
d) None
Because behavior is based on culture
40 The following are examples of positive symptoms except
a) Alpha cried hysterically after passing an easy 10-item quiz.
b) Beta sat for a long period of time and showed little interest in participating in work or social activities.
c) Kappa believes that he cannot say anything because his thoughts have been removed by some outside force.
d) Delta, at times, feels that some insects are crawling under his skin.
b) Beta sat for a long period of time and showed little interest in participating in work or social activities.
Positive Symptoms - Dapat wala ka, but you have it
Negative Symptoms - Dapat meron ka, but you don’t have it
ACD are positive symptoms
