Ch 22 Psychiatry Flashcards
external expression of emotion
affect
loss of memory
amnesi
absence of emotions
apathy
uncontrollable urge to perform an act repeatedly
compulsion
anxiety becomes a bodily symptom that has no physical basis
conversion
flight from customary surrounding, dissociative disorder
fugue
confused thinking, disorientation, changes in alertness, difficulty paying attention, and fearfulness, usually reversible
delirium
fixed false belief that cannot be changed by logical thinking
delusion
loss of intellectual abilities with impairment of memory, judgement, and reasoning
dementia
unstable, undergoing rapid emotional change
labile
overly suspicious thinking with fixed delusions of being harasses, persecuted, or unfairly treated
paranoia
a disorder marked by loss of contact with reality often associated with delusions and hallucinations
psychosis
medical doctor, able to prescribe medications, oversee diagnosis and treatment of psychiatric patients
psychiatrist
advanced degree but not a medical doctor, often have extensive training in research, treat patients with psychotherapy, may aid in evaluation of disorders
psychologist
can PAs and NPs be psych providers?
yes, they can prescribe meds, oversee dx and tx
what are a group of disorders characterized by an unpleasant emotional state?
anxiety disorders
______ and ______ changes often accompany anxiety disorders
behavioral and psychological changes
what are two very common symptoms of anxiety disorders?
fatigue and sleep disturbances
what is a common contributing factor in a person’s everyday life that contribute to anxiety disorder?
lack of daily structure
what is a short-lived, intense anxiety disorder associated with physiological manifestations?
panic disorder
what are common causes of anxiety disorders? (4)
- unknown
- hyperthyroidism
- drugs (cocaine, amphetamines, corticosteroids)
- associated with other mood disorders
what is chronic anxiety and exaggerated worry when there is little/no precipitating factors?
Generalized Anxiety Disorder
what are common S/S with anxiety disorder? (4)
- motor tension (shaky, trembling, jumpy)
- autonomic hyperactivity (sweat, palpitations, diarrhea, dry mouth, etc)
- apprehensive expectation
- vigilance and scanning (poor concentration, insomnia)
what disorder is irrational and debilitating fears associated with a specific object or situation?
phobic disorder
fear of being in crowded place is called?
Agoraphobia
fear of closed spaces is called?
claustrophobia
fear of heights is called?
acrophobia
what disorder is the fear of public scrutiny which leads to humiliation or embarrassment
social anxiety disorder
what disorder is a development of symptoms following an exposure to a traumatic event?
PTSD
S/S PTSD include? (5)
- intense fear
- flashback
- nightmares
- anxiety
- impairment of social interactions or ability to do work/ function properly
what disorder is characterized by one or more panic episodes alternating with depressive episodes
bipolar I disorder
bipolar I mania would look like (symptoms?) (4)
- inflated self esteem
- feelings of grandiosity
- decreased need for sleep
- excessive involvement in pleasurable activities that have negative outcomes
one or more hypomanic episodes alternating with major depressive episodes is called?
bipolar II disorder
do patients reach delusional grandiosity during hypomania in bipolar II disorder?
no
is thought more organized in hypomania/bipolar II disorder?
yes
hypomania is described as
quick and creative thoughts that leads to productivity (unlike mania)
what is the most common psychiatric disorder?
depressive disorder
what is an adjustment disorder with a depressed mood?
depressive disorder
what is depressive disorder associated with (what leads someone to having this disorder) (3)
- adverse life situation
- grief reaction (death)
- family / financial crisis
what disorder is characterized by at least one episode of serious mood depression occurring at any time of life
major depressive disorder
symptoms milder than in major depressive episodes, but longer lasting with two or more episodes in 1 year is called?
dysthymia
a combination of mild depression and hypomania, lasting for 2 years, resolving, and recurring is called?
cyclothymia
depression occurring during the winter months?
seasonal affective disorder (SAD)
is depression often secondary to substance abuse (if yes, give an example)
yes, alcohol dependence
causes of depressive disorders include? (5)
- unknown
- adverse life change
- divorce
- financial / family crisis
- illness
drug and substance abuse that can lead to depressive disorders include (8)
- alcohol dependence
- reserpine
- corticosteroids
- oral contraceptives
- methyldopa
- digitalis
- beta blockers
- sedatives
when can a depressive disorder occur specifically in women?
- postpartum
- premenstrual
- postmenopausal
s/s of depressive disorders include (8)
- SIGECAPS
- anhedonia (withdrawal from activities)
- feelings of guilt/worthlessness
- inability to concentrate
- anxiety, fatigue, insomnia
- anorexia/constipation
- suicidal ideation
- psychotic ideations
