Anxiety, Personality, Eating Disorders Flashcards

1
Q

Treatment for MDD refractory to other treatment ad for pregnant women with MDD. Also considered when immediate response is needed (acute suicidality), in depression with psychotic features, and for catatonia

A

ECT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Produces a painless seizure in an anesthetized patient. Major adverse effects are disorientation and temporary anterograde/retrograde amnesia usually resolving in 6 months.

A

ECT

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Risk factors for suicide completion

A

SAD PERSONS

S - Sex (male)
A - Age (teenager or elderly(
D - Depression

P - Previous attempt
E - EtoH or drug use
R - loss of Rational though
S - Sickness (medical illness, 3 or more prescription meds)
O - Organized plan
N - No spouse (divorced, widowed, or single, esp. if childless)
S - Social support lacking

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

_________ try more often, ______ succeed in suicide completion more often

A

women

men

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Inappropriate experience of fear and worry and its physical manifestations (anxiety) when the source of the fear/worry is either not real or insufficient to account for the severity of the symptoms. Symptoms interfere with daily functioning.

A

Anxiety disorder.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lifetime prevalence of 30% in women and 19% in men. Includes panic disorder, phobias, PTSD, and GAD.

A

Anxiety disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Defined by the presence of recurrent periods of intense fear and discomfort peaking in 10 minutes with at least 4 of the following: Palpitations, Paresthesias, Abdominal distress, Nausea, Intense fear of dying or losing control, light headedness, chest pain, chills, choking, disconnectedness, sweating, shaking, SOB.

STRONG GENETIC COMPONENT.

A

Panic disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Treatment for panic disorder

A

CBT, SSRIs, Venlafaxine, Benzos

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Person recognizes fear is excessive - cued by presence or anticipation of specific object or situation; treat with desensitization

A

Specific phobia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Exaggerated fear of embarrassment in social situations - treatment?

A

Social phobia

Treat: SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Recurring intrusive thoughts, feelings, or sensations (obsessions) that cause severe distress; relieved in part by the performance of repetitive actions (compulsions).

A

OCD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Behavior inconsistent with one’s own beliefs and attitudes

A

Ego dystonic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

OCD is associated with

A

Tourette’s

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Treatment for OCD

A

SSRIs, clomipramine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Persistent re-experiencing of traumatic event - may involve nightmares, flashbacks, intense fear, helplessness, or horror. Leads to avoidance of stimuli associated with the trauma and persistently increased arousal. Disturbance lasts >1 month with onset of symptoms beginning anytime after event, and causes significant distress and/or impaired functioning.

A

PTSD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Treatment for SSRI

A

Psychotherapy, SSRI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Acute Stress Disorder lasts

A

between 2 days and 1 month

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Pattern of uncontrollable anxiety for at least 6 months that is unrelated to a specific person, situation, or event. Associated with sleep disturbance, fatigue, GI disturbance, and difficulty concentrating.

A

GAD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

GAD Treatment

A

SSRIs, SNRIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Emotional symptoms (anxiety, depression) causing impairment following an identifiable psychosocial stressor (e.g. divorce/illness) and lasting < 6months

A

Adjustment Disorder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Patient consciously fakes or claims to have a disorder in order to attain a specific secondary gain (avoiding work, getting drugs). Poor compliance with treatment or follow-up of diagnostic tests. Complaints cease after gain (vs. factitious disorder).

A

Malingering

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Patient consciously creates physical and/or psychological symptoms in order to assume “sick role” and to get medical attn. (primary gain)

A

Factitious disorder

23
Q

Chronic factitious disorder with predominantly physical signs and symptoms. Characterized by a history of multiple hospital admissions and willingness to receive invasive procedures.

A

Munchausen’s syndrome

24
Q

When illness in a child or elderly patient is caused by the caregiver. Motivation is to assume a sick role by proxy. Form of child/elder abuse.

A

Munchausen’s syndrome by proxy

25
Q

Category of disorders characterized by physical symptoms with no identifiable physical cause. Both illness production and motivation and unconscious drives. Symptoms NOT intentionally produced or feigned. More common in women.

A

Somatoform disorders

26
Q

Variety of complaints in multiple organ systems (at least 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic) over a period of years, developing before age 30

A

Somatization disorder

27
Q

Sudden loss of sensory or motor function (e.g. paralysis, blindness, mutism), often following an acute stressor; patient is aware of but sometimes indifferent toward symptoms - more common in females, adolescents, and young adults

A

Conversion

28
Q

Preoccupation with and fear of having a serious illness despite medical evaluation and reassurance

A

Hypochodriasis

29
Q

Preoccupation with minor or imagned defect in appearance, leading to signficiant emotional distress or impaired functioning; patients often repeatedly seek cosmetic surgery

A

Body Dysmorphic Disorder

30
Q

Prolonged pain with no physical findings; pain is the predominant focus of clinical presentation and psychological factors play an important role in severity, exacerbation, or maintenance of pain

A

Pain disorder

31
Q

An enduring, repetitive pattern of perceiving, relating to, and thinking about the environment and oneself

A

Personality trait

32
Q

Inflexible, maladaptive, and rigidly pervasive pattern of behavior causing subjective distress and/or impaired functioning; person is usually not aware of problem. Usually presents by early adulthood.

A

Personality disorder

33
Q

Which cluster - odd or eccentric; inability to develop meaningful social relationships. No psychosis; genetic association with SZ

A

A “Weird” - Accusatory, Aloof, Awkward

34
Q

Cluster A - Pervasive distrust and suspiciousness; projection is the major defense mechanism

A

Paranoid

35
Q

Cluster A - Voluntary social withdrawal, limited emotional expression, content with social isolation (vs. avoidant)

A

Schizoid = distant

36
Q

Cluster A - Eccentric appearance, odd beliefs or magical thinking, interpersonal awkwardness

A

Schizotypal = magical thinking

37
Q

Which cluster - dramatic, emotional, or erratic; genetic association with mood disorders and substance abuse

A

Cluster B - Wild (Bad to the Bones)

38
Q

Cluster B - Disregard for and violation of rights of others, criminality; males > females; conduct disorder if < 18 years

A

Antisocial = sociopatch

39
Q

Cluster B - Unstable mood and interpersonal relationships, impulsiveness, self-mutilation, boredom, sense of emptiness; females > males; splitting is a major defense mechanism

A

Borderline

40
Q

Cluster B - Excessive emotionality and excitability, attention seeking, sexually provocative, overly concerned with appearance

A

Histrionic

41
Q

Cluster B - Grandiosity, sense of entitlement; lacks empathy and requires excessive admiration; often demands the “best” and reacts to criticism with rage

A

Narcissistic

42
Q

Which cluster - anxious or fearful; genetic association with anxiety disorders

A

Cluster C - Worried (Cowardly, Compulsive, Clingy)

43
Q

Cluster C - Hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desires relationships with others (vs. schizoid)

A

Avoidant

44
Q

Cluster C - Preoccupation with order, perfectionism, and control; ego-syntonic: behavior consistent with one’s own beliefs and attitudes (vs. OCD)

A

Obessessive Compulsive

45
Q

Cluster C - Submissive and clinging, excessive need to be taken care of, low self-confidence

A

Dependent

46
Q

Schizoid + odd thinking

A

Schizotypal

47
Q

Greater odd thinking than schizotypal

A

Schizophrenic

48
Q

< 1 mo schizophrenia

A

Brief psychotic disorder, usually stress related

49
Q

1-6 mo schizophrenia

A

Schizophreniform disorder

50
Q

> 6 mo schizophrenia

A

Schizophrenia

51
Q

This eating disorder commonly coexists with depression

A

Anorexia

52
Q

Russell’s sign

A

Callouses from induced vomiting, usually associated with bulimia

53
Q

Desire to live as the opposite sex, often through surgery or hormone treatment

A

TransSEXualism

54
Q

Paraphelia; cross-dressing

A

TransVESTism