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Kaplan: Behavioral Science and Social Sciences Part II > Chapter 9: Psychiatric (DSM-5) Disorders (continued) > Flashcards

Chapter 9: Psychiatric (DSM-5) Disorders (continued) Flashcards

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1
Q

What disorder is the most genetic of all the psychiatric disorders?

A

bipolar disorder

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2
Q

What are the requirements to be diagnosed with bipolar disorder?

A
  • symptoms of mania > 1 week, with loss of functioning
  • symptoms of major depressive disorder are very common but not necessary for diagnosis
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3
Q

What are the 2 types of bipolar disorder? Describe what differentiates them.

A

bipolar I: involves mania and depression
bipolar II: involves hypomania and depression

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4
Q

What are characteristics of cyclothymic disorder?

A

more mild bipolar disorder

  • mood swings
  • periods of hypomania alternating with periods of milder depression (neither meets criteria for mania or MDD)
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5
Q

Treatment for cyclothymic disorder?

A

psychotherapy

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6
Q

What is the time frame to be diagnosed with cyclothymic disorder?

A

Must have 2 years duration

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7
Q

Duration of time experiencing symptoms in bipolar II?

A

months

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8
Q

Anxiety disorders have which gender predisposition?

A

women > men

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9
Q

Duration of time requirement to be diagnosed as someone with panic disorder.

A

presence of panic attacks for > 1 month

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10
Q

Panic disorder symptoms.

A

involves worry about having more attacks and significant maladaptive behavioral changes related to the attack

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11
Q

Treatment for panic disorder?

A

benzodiazepines for panic attack or SSRIs for panic disorder

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12
Q

GAD characteristics?

A

generalized anxiety disorder is constant sense of worry for > 6 months about things on should not have to worry about

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13
Q

Treatment for GAD?

A

SSRIs or buspirone

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14
Q

Social anxiety?

A

fear of being embarrassed or humaliated in a social situation, or public speaking (called stage fright or performance anxiety only if related to performance in public)

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15
Q

Treatment for social anxiety?

A

antidepressants and beta-blockers (for stage fright, given b4 an event)

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16
Q

OCD?

A

Obsessive-Compulsive Disorder a disorder characterized by

obsessions: thought that are intrusive, senseless and time consuming

and

compulsions: acts that are repetitive, and time consuming

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17
Q

Treatment for OCD?

A

antidepressants and behavioral modification (exposure and response prevention)

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18
Q

Body Dysmorphic Disorder?

A

belief that some part of one’s body is abnormal

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19
Q

Treatment for Body dysmorphic disorder?

A

psychotherapy and SSRIs

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20
Q

Treatment for hoarding disorder?

A

SSRIs and psychotherapy

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21
Q

What is trichotillomania?

A

irresistible urge to pull out one’s own hair followed by a sense of relief. Many eat or chew their hair

22
Q

What are common symptoms of PTSD?

A

re-experiencing even in form of nightmares or flashbacks

23
Q

PTSD has what gender predisposition?

A

women> men

24
Q

Compare onset of PTSD with Acute stress disorder.

A

PTSD: anytime
Acute stress disorder: > 3 days but < 1 month

25
Q

Treatment for PTSD?

A

exposure therapy and SSRIs

26
Q

Compare duration of PTSD with acute stress disorder.

A

PTSD ≥ 1 month
Actue stress disorder: < 1 month

27
Q

What is adjustment disorder?

A

maladaptive response to an identifiable stressor causing distress in functioning

28
Q

How long should onset of symptoms and duration of symptoms last in adjustment disorder?

A
  • symptoms must occur within 3 months of stressor
  • symptoms a cannot last >6 months in duration
29
Q

What is anorexia nervosa?

A

characterized by restriction of food intake that leads to > 15% - 20% loss of ideal body weight or BMI < 17 kg/m2

30
Q

Treatment for anorexia nervosa?

A

hospitalization, behavioral modification, SSRIs, and family therapy

31
Q

What are major characteristics of bulimia nervosa?

A

characterized by binge eating followed by purging.

32
Q

Compare weight in bulimia nervosa to anorexia.

A

anorexia: BMI < 17
bulimia: weight normal

33
Q

Treatment for bulimia nervosa?

A

behavioral modification and SSRIs

34
Q

Binge eating disorder typical weight?

A

weight above normal

35
Q

Treatment for binge eating disorder?

A

stimulants

36
Q

What is somatic symptom disorder?

A

excessive thoughts, feelings, and behavior related to the somatic symptoms

37
Q

Duration required to be diagnosed with somatic symptom disorder?

A

> 6 months

38
Q

Treatment for somatic symptom disorder?

A

should be by one identified physician along with psychotherapy

39
Q

What is illness anxiety disorder?

A

Illness anxiety disorder is characterized by the belief that one has an underlying illness, despite constant reassurance

40
Q

What is the duration of illness anxiety disorders?

A

> 6 months

41
Q

Are somatic symptoms present in illness anxiety disorder?

A
  • somatic symptoms are not present; if present, mild
42
Q

Treatment for illness anxiety disorder?

A

psychotherapy

43
Q

What is conversion disorder?

A

development of neurological symptoms following psychological stressor that cannot be medically explained

44
Q

Characteristics of conversion disorder?

A
  • all work-up tests will be negative
  • patients will be indifferent to symptoms ( la belle indifference
45
Q

Treatment for conversion disorder?

A

psychotherapy

46
Q

What is factitious disorder

A

conscious production of signs and symptoms of a mental or physical illness

47
Q

What are the 2 types of factitious disorders?

A

imposed on self and imposed on others

48
Q

Treatment for factitious disorder?

A

psychotherapy

49
Q

What is malingering?

A

not a mental illness.

  • conscious production of signs and symptoms of mental or physical illness
50
Q

Compare and contrast symptoms production in Somatic Symptom Disorder, factitious disorder, and malingering?

A

Somatic symptom: unconsious
Factitious: intentional
Malingering: intentional

51
Q

Compare and contrast motivation in somatic symptom disorder, factitious disorder, and malingering.

A

somatic symptom: unconscious
factitious: unconscious
malingering: intentional

Kaplan: Behavioral Science and Social Sciences Part II (14 decks)

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