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Psychiatry > Chapter 19 - Neurotic Stress related disorder > Flashcards

Chapter 19 - Neurotic Stress related disorder Flashcards

1
Q

condition equal in med and in women

A

OCD
hypochondriacial
Needle pric
social phobia

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2
Q

SE of benzodiazepine

A

AMNESIA
ATAXIA
Agitation and disinhibition

Congusion
congitive impairment
Cleft palate

Decrease psychomotor reactions and co-ordination
Depression - RESP **esp. elderly

Sedation

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3
Q

BENZO whithdrawl

A 
Anxiety 
Diaphoresis 
Rebound insomnia
loss of appetite and weight loss 
tremor

Depersonalization
drerealization
Disorientation
visual hallucination

Hyperacusis
Sense of imbalance - rocking on boat
Tinnitus
Increased sensitivity to light and sound

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4
Q

Age of agoraphobia

A

28 years old female

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5
Q

Social phobia age

A

M AND Female are equal

late adolescent

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6
Q

specific phobia

A

Before puberty - female > male

needle phobia - male = female

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7
Q

what is more common with social phobia

A

alcohol abuse

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8
Q

agents that induce panic attack

A 
Sodium lactate infusion (impimpramine) 
Yohibine ( presynaptic a2 adrenergic block ) 
Fluminal 
MCCP 
CCK 
CAFFINE 
CO2
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9
Q

panic disorder age

A

25

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10
Q

GAD

A

21

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11
Q

what are a of the brain is affected with GAD

A

amygdala - distrubted connectivity of the amygdala and its processng of fear and anxiety

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12
Q

age of OCD

A

20

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13
Q

compulsive washing incidence

A

WOMEN > men

Second most common compulsion of 50%

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14
Q

compluslve checking incidence

A

MEN > women

Number one compulsion 63%

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15
Q

psychoanalytical cause of OCD

A

Isolation - separation of idea from events

Magical thinking - thinking of an event in the external world can cause the event to happen without action

Reaction formation - opposite behaviour to what body wants

Undoing - act or communication which is partially negates previous one

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16
Q

Nt for OCD

A

decrease 5HT , increase dopamine

17
Q

NT for GAD

A 
Increase 5HT and Dopamine 
Decrease GABA 
same for 
- panic 
- ALLPHOBIAS
18
Q

extreme OCD which is unresponsive to med treatment

A

Anterior cingulotomy and anterior capsulotomy - MOST COMMON

Other psychosugery =

  • subcaudate tractotomy
  • limbic leucotomy
19
Q

What is hearader to treat in OCD

A

Obsessions

20
Q

timing of acute stress disorder

A

Transiet - overwhelming - within a few minutes 9not always immediate) and RESOLVES within 24-48 hours

21
Q

PTSD cause

A

Amygdala dysfunction

Stressful situation

22
Q

Number 1 treatment of PTSD

A

CBT

Other
EYE movement desensitisation and reprocessing (EMDR )
debrifing

23
Q

dissociative amnesia

A

loss of memory and absence of organic brain disorders, intoxication or excess fatigue

24
Q

Dissociative amnesia

A

Travel beyond everyday range

MAINTAIN self care

25
Q

Dissociative stupor

A

TRIAD

  • decrease or absent voluntary movement
  • lies or sits motionless long time
  • speech and movement spontaneous and absent

no psychiatric illness
evidence of a recent stressful event

26
Q

trace and possesion disorder

A

temporary loss of both sense of personal identity
FULL awareness of surroundings

Taking over by a spirit or force

27
Q

dissociative disorder of movement and sensation

A

loss of interference

CALM ACCEpTANCE - belle indifference

28
Q

dissociative motor disorder

A

loss of ability to move whole arm

29
Q

dissociative convulsion

A

mimics epilepsy

RARE tounge bitting serious brushing due to falling incontinence of urine

30
Q

dissociative anaesthesia and sensory loss

A 
psychogenic blindness (more) and deafness (less)
SKIN ANAESTHETIC _ with boundaries  - which makes it wired cause doesn't fit normal dermatome distribution (therefore in patients blind)
31
Q

Ganser syndrome

A 
approximate answers 
Clouding of concisousness 
TRUE hallucination or PSEUDOhallucinations 
conversion symptoms 
Sudden onset 
self lifting with amnesia
32
Q

Multiple personality disorder

A

two or more personality within the same individual

SUDDEN CHANGE - ass. w/ traumatic events

33
Q

epidemiology of somatoform disorder

A

females
Before 30
RURAL >urban

34
Q

malingering vs. facticious

A

malingering - voluntary productive of symptoms to obtain an external incentive (SCHOOL NOT)

Factitious disorder - intentional productive to fain non specific patient role (NOT EXTERNAL INCENTIVES ) - just like being cared for by the family

35
Q

neurasthenia

A

distressing complaints after increase mental effort

at least two of following - muscular aches, paid , dizziness, pain and tension

36
Q

depersonalization

derealization

A

Depersonalization - person feel that their own feelings and or experience distant not their own
Rerealization - object and people seem unreal

Psychiatry (7 decks)

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