Behavioural Disorders Flashcards
gender more commonly affected by personality disorders
F
what age must patients be to be diagnosed with a personality disorder
over 18 yr
give examples of cluster A “odd and eccentric” personality disorders
paranoid
schizoid
give examples of cluster B personality disorders
antisocial
borderline
histrionic
give examples of cluster C personality disorders
avoidant
dependent
anankastic
which personality disorder is this “orderliness, perfectionist, work devoted, overconscientious, stubborn, hoard money”
anankastic cluster C
which personality disorder is this “disregard/violate other’s rights, no fear or remorse, bad at reading social cues, impulsive, deceitful”
antisocial cluster B
which personality disorder is this “social inhibition, feel inadequate, hypersensitive, unwilling to get involved”
avoidant cluster C
which personality disorder is this “distrust, suspicious, think people are malevolent or deceiving them, overreact”
paranoid cluster A
which personality disorder is this “emotional, seek attention, provocative “
histrionic cluster B
which personality disorder is this “detachment from relationships, few expressed emotions, pick solitary over team/family, little pleasure in activities, indifferent to praise/criticism”
schizoid cluster A
which personality disorder is this “submissive, clingy, fear separation, find everyday decisions difficult, fear loss of support, seeks relationships”
dependent cluster C
which personality disorder is this “unstable relationships+ emotion+ self image, fear abandonment, transient stress, feel ‘empty’, DSH, impulsive (sex, spend, substance, binge), anger control, paranoia”
borderline BPD cluster B
antisocial personality disorder is a form of psychopathy. T or F
false, they’re separate things
what is the management of borderline personality disorder
DBT dialectal behavioural therapy +- antidepressant/ antipsychotic eg. olanzapine
what age range does oppositional defiant disorder ODD occur in?
<12yr aka primary school age
what age range does conduct disorder occur in?
12-18 year aka secondary school age
a child of primary school age believing in monsters under their bed is an example of ______
developmental appropriate anxiety
intrusive thoughts can be normal in a teenager and don’t require Tx / Ix. true or false
true
sleep changes, mood swings and ritual type behaviour can be normal in a teenager and don’t require Tx / Ix. true or false
true
in autism, which gender is more likely to be high functioning?
females
70% of PTx with ASD have an IQ less than ____
70
what hormone is found at lower levels in females with asperger’s
sex hormone binding globulin (hence increased free testosterone)
what area of the brain is larger than normal in ASD?
amygdala
what neurotransmitters are implicated in ASD?
glutamate, GABA and 5-HT
what areas of the brain are implicated in ASD?
frontal lobe
cerebellum
amygdala
what is the triad of ASD
social interaction + communication + restricted interests
what other behavioural disorder is present in 65% of people with ASD
ADHD
describe the tone of voice in autism
monotone
how does autism affect language?
language is good but communication is bad
what is ecolalia? (it is a feature of ASD)
repeating words back to the person saying them
what is the name of the diagnostic assessment tool for autism
ADOS
what is the management of insomnia in autism
melatonin
what is the management of aggression of DSH in autism
risperidone
what is the management of a tic disorder in autism
antipsychotic
what area of the brain is underactive in ADHD?
frontal lobe
in ADHD, there is an increase in the concentration of ____ transporters
dopamine
what transmitters are decreased in ADHD
norepinephrine (stress)
serotonin
what is the triad of ADHD
inattention, hyperactive, impulsive
in adults with ADHD, what component of the ADHD triad is increased even more and what component is less noticable
increased inattention
decrease hyperactivity
what age must symptoms be present from for a diagnosis of ADHD
5yr
what is the 1st line management of mild ADHD
non-drug management eg. parent education, social skill training
what is the 1st line management of severe or moderate ADHD?
methylphenidate aka ritalin
or dexamphetamine
what is the mechanism of methylphenidate ritalin and dexamphetamine
stimulants: block DA transporter to >DA
what is the 2nd line mx of severe or moderate ADHD?
atomoxetine SNRI
what is the mechanism of the SNRI atomoxetine in the management of ADHD?
increases norepinephrine
