clinical psych

Question 1

Generalized Anxiety

Answer 1

Excessive worry about everyday things at a disproportionate level.
Fatigue, agitation, irritability, sleepless, distracted

6 months ongoing
More days than not
Most of the day

CBT
Medication: anti-anxiety
Benzodiazepines

Question 2

Panic Disorder
Agoraphobia

Answer 2

Regular, strong, unexpected panic attacks and worry about having an attack. Often triggered by stimuli

Panic attacks and intense anxiety related to the attack for 1 month

Question 3

Specific Phobias

Answer 3

Fear of blood-injury-injection, situations (elevators, planes), nature (heights) or other (choking)
Irrational fear of specific situations that interfere with life function
NO Medication

Question 4

Social Anxiety

Answer 4

Fear of social situations which limit functioning. Can be caused by trauma.
Fear associated with with social situations that interfere with life

Question 5

PTSD

Answer 5

Sense of intense fear triggered by past trauma that another traumatic event might occur. Can experience flashbacks or nightmares.

exposed/involved in an event with the threat of death, injury or sexual violence as a witness, first responder or victim

Question 6

Obsessive Compulsive

Answer 6

Engages in obsessive behaviors in an attempt to ease anxiety. Thought-action fusion.

Experiences compulsions in an irrational manner

Question 7

Manic/Hypomanic episode

Answer 7

Grandiosity, goal obsession, psychomotor agitation, reduced sleep, racing thoughts, distracted, talkative, risky behavior

3+ symptoms with a euphoric mood for 1 week (mania) or 4 days (hypomania)

Question 8

Major depressive episode

Answer 8

Anhedonia, weight/eating change, insomnia/hypersomnia, psychmotor changes, fatigue, guilt, concentration loss, suicidal thoughts

Depressed or diminished interest and another 3 symptoms for 2 weeks

Question 9

Major Depressive

Answer 9

1+ MDE and no history of mania
Antidepressants MAOIs, tricyclics, SSNIs and SSRIs (most common)
ECT - inducing a seizure
TMS - magnetic waves
DB - electrode stim.
BT, IT and CBT

Question 10

Persistent Depressive

Answer 10

Poor appetite or overeating, Insomnia/hypersomnia, fatigue, low self esteem, poor concentration, hopelessness

Feeling depressed most of the times for 2 years and 2+ symptoms

Question 11

Bipolar 1

Answer 11

Single or recurrent manic episode
SSRIs and SSNIs for depression, Lithium for mania
IPSRT

Question 12

Bipolar 2

Answer 12

Single or recurrent hypomanic episodes and depressive episodes

Question 13

Cyclothymic

Answer 13

Numerous alternate periods of hypomania and depression (not MDE), lasting 2 years

Question 14

Schizophrenia

Answer 14

Neg- flat affect, anhedonia, apathy
Pos - hallucinations, delusions, disorganized behavior

2 symptoms and impairment and in areas of life
Antipsychotic medication - typical and atypical
Cognitive remediation therapy

Question 15

Schizophreniform

Answer 15

2 symptoms for 1-6 months

Question 16

Schizoaffective

Answer 16

Major depressive/manic episode and psychosis for 2 weeks

Question 17

Delusional

Answer 17

1+ delusion for 1 month and relatively brief or no MDE/Mania

Question 18

Brief Psychotic

Answer 18

Delusions, hallucinations, disorganized speech, disordered/catatonic behavior
1 symptom for less than a month

Question 19

Attenuated psychotic

Answer 19

Attenuated form of delusions, hallucinations or disorganized speech
1 symptom at least 1/week for a month. No other mental disorder

Question 20

Personality disordered syndrome

Answer 20

Intense abundance and lack of a domain of personality

Personality traits result in significant distress or impairment

Difficult to treat - few seek treatment. Therapeutic and pharmacological care

Question 21

psychopathy

Answer 21

Fearless dominance, boldness, disinhibition, hostility
APSD, PCL-r, PPI
Assessments
Therapy