Chapter 19 - Neurotic Stress related disorder

Question 1

condition equal in med and in women

Answer 1

OCD
hypochondriacial
Needle pric
social phobia

Question 2

SE of benzodiazepine

Answer 2

AMNESIA
ATAXIA
Agitation and disinhibition

Congusion
congitive impairment
Cleft palate

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

Sedation

Question 3

BENZO whithdrawl

Answer 3

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

Question 4

Age of agoraphobia

Answer 4

28 years old female

Question 5

Social phobia age

Answer 5

M AND Female are equal

late adolescent

Question 6

specific phobia

Answer 6

Before puberty - female > male

needle phobia - male = female

Question 7

what is more common with social phobia

Answer 7

alcohol abuse

Question 8

agents that induce panic attack

Answer 8

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

Question 9

panic disorder age

Answer 9

25

Question 10

GAD

Answer 10

21

Question 11

what are a of the brain is affected with GAD

Answer 11

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

Question 12

age of OCD

Answer 12

20

Question 13

compulsive washing incidence

Answer 13

WOMEN > men

Second most common compulsion of 50%

Question 14

compluslve checking incidence

Answer 14

MEN > women

Number one compulsion 63%

Question 15

psychoanalytical cause of OCD

Answer 15

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

Question 16

Nt for OCD

Answer 16

decrease 5HT , increase dopamine

Question 17

NT for GAD

Answer 17

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

Question 18

extreme OCD which is unresponsive to med treatment

Answer 18

Anterior cingulotomy and anterior capsulotomy - MOST COMMON

Other psychosugery =

• subcaudate tractotomy
• limbic leucotomy

Question 19

What is hearader to treat in OCD

Answer 19

Obsessions

Question 20

timing of acute stress disorder

Answer 20

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

Question 21

PTSD cause

Answer 21

Amygdala dysfunction

Stressful situation

Question 22

Number 1 treatment of PTSD

Answer 22

CBT

Other
EYE movement desensitisation and reprocessing (EMDR )
debrifing

Question 23

dissociative amnesia

Answer 23

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

Question 24

Dissociative amnesia

Answer 24

Travel beyond everyday range

MAINTAIN self care

Question 25

Dissociative stupor

Answer 25

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

Question 26

trace and possesion disorder

Answer 26

temporary loss of both sense of personal identity FULL awareness of surroundings Taking over by a spirit or force

Question 27

dissociative disorder of movement and sensation

Answer 27

loss of interference | CALM ACCEpTANCE - belle indifference

Question 28

dissociative motor disorder

Answer 28

loss of ability to move whole arm

Question 29

dissociative convulsion

Answer 29

mimics epilepsy | RARE tounge bitting serious brushing due to falling incontinence of urine

Question 30

dissociative anaesthesia and sensory loss

Answer 30

``` 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) ```

Question 31

Ganser syndrome

Answer 31

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

Question 32

Multiple personality disorder

Answer 32

two or more personality within the same individual | SUDDEN CHANGE - ass. w/ traumatic events

Question 33

epidemiology of somatoform disorder

Answer 33

females Before 30 RURAL >urban

Question 34

malingering vs. facticious

Answer 34

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

Question 35

neurasthenia

Answer 35

distressing complaints after increase mental effort | at least two of following - muscular aches, paid , dizziness, pain and tension

Question 36

depersonalization | derealization

Answer 36

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