Affect Disorders pg4 to Sexual Disorders pg4 Flashcards
Affect Disorders aka
Thymic/mood disorders (euthymic = good/normal)
Mania (necessary) & melancholia (eventually happens) mood swings. Several types depending on length of swings & states. Usually appears at 20-years of age. Elevated rate (obesity, HTN, DM, hyperlipidemia. “potato chip disease”. Tx: lithium, drug stabilizers, mood charting
Bipolar disease
causes hypomaniac and mild depressive episodes (small mood swings)
Cyclothymic
aka depression, hopelessness, suicidal. 50% are misdiagnosed/unrecognized, self inflicted injuries - “cutter”. High incidence: alzheimers, DM, parkinsons, heart, stroke, cancer, HIV, fibromyalgia and chronic pain. MEdications contribute: blood pressure, hormones, and antibiotics. More prominent in females, re occurance is common. Major depression is 2 weeks of 4 symptoms from the following list: Loss of appetite, insomnia, agitation, worthlessness, suicidal, poor concentration
Unipolar disease
Similar to depression, but diagnosis is 2 years of at least 3 symptoms (same list as unipolar). Tx for both depression & dysthymia: personal therapy, drugs, ECT nutrition. B6 (metabolizes tryptophan to serotonin), magnesium, Vit D, calcium, omega 3
Disthymic
Seasonal Affect Disorder
(SAD) Tx: Light, exercise, comfort foods
Psychosis aka
altered reality
Yourng adults are most commonly afflicted, reality is altered, episodic, altered perception, hallucinations. Delusions, hear voices, disorgainized speech (incoherent, clang) Rhyming. Algoria (poverty of speech), Avolition (lack of purposeful action or motivation)
Schizophrenia
Types of schitzophrenia
1 Disorganized - (Old term - Hebephrenic) unpredictable mood shifts. 2 Catatonic - rigid posture, expressionless flat affect, “masked faces” Totally checked out. 3 Paranoid - Delusions of persecution. 4 Schizophreniform - (short lived and mild) adolescent onset, family induced, contradidtory messages
Old school term. No regard for self or others, abnormal lack of empathy. Combines with strongly amoral conduct masked by an ability to appear outwardly normal. Verbal therapy not effective
Psychopath
Believes they are superior, grandiose, lack remorse, shallow emotions, need stimlulation, pathological liar, violent
Sociopath/Antisocial
(survival mode) Multiple personalities, childhood abuse and neglect, can be short term event.
Dissociative
Physical complaint with no organic pathology (exaggerate complaints), entirely unconcious process,
Somatoform Disorders
Convinced of a body flaw (real or imagined) and preoccupied with it (e.g. anorexia nervosa)
Dysmorphic disorder
Anorexia nervosa fear of fat. Bulimia Binge and purge (Barretts) Pica no nutritional value
Food disorder
(hysteria) Psychic conflict causing physical symptom - single physical impairmnet caused by emptional event
Conversion disorder
Preoccupation with personal health or contracting illness
Hypochondriac
(aka Briquets syndrome) Females under 30 (usually starts in adolescence) multiple systems, confusing
Somatization disorder
(aka psychogenic pain disorder) underlying emotional process, pain often allowes escape from responsibility
Somatoform pain disorder
Delusional parasitosis, believes they are invaded by insects, parasites, hair etc
Morgellons disease
Exaggerates personal complaints
Munchausen syndrome
caregiver inflicts harm on individual they are careing for.
Munchausen by proxy
General anxiety disorder
(GAD) Constant excessive fear, hypervigilant.
GAD symptoms
twitching, sweating, dry mouth headache, stomach ache, urinary frequency
