Exam 5 Mental Health Flashcards
Pleasure Principle
Id
Reality Principle
Ego
Opposite of the id
Superego
Moral component
Superego
Rational Self
Ego
Munchausen Syndrome
most severe form of fictitious disorder
7 Somatoform Disorders
Factitious Disorder Somatization Disorder Pain Disorder Conversion Disorder Malingering Hypochondriasis Body dysmorphic disorder
Conversion Disorder Most Frequently Affects
Women
Sudden deficit in voluntary or sensory motor function w/o organic cause
Conversion disorder
La Belle Indifference
Relative lack of concern due to medical problem/ condition–> Conversion disorder
Examples of physical expressions of conversion disorder
Paralysis, aphonia (can’t talk), seizures, anosmia (inability to smell), pseudocyesis (false pregnancy)
pseudocyesis
false pregnancy
exaggerated believe that body/ (body part) is deformed/ defective
Hx includes numerous plastic surgeries/ dermatologist
Body Dysmorphic Disorder
Body Dysmorphic Disorder most commonly focuses on
the face (esp for females)- shape of nose, excessive facial hair, ears, eye, mouth, lips, teeth) Men (body build & genitalia)
Body Dysmorphic Disorder Co-morbidities
Depression & OCD
3 clusters of personality disorders
Cluster A: odd/ eccentric
Cluster B: dramatic, emotional, or erratic
Cluster C: anxious or fearful
Cluster A (odd/ eccentric) personality disorders
Paranoid
Schizoid
Schizotypal
4 Cluster B personality disorders
Antisocial
Borderline
Histrionic
Narcissistic
3 Cluster C personality disorders
Avoidant
Dependent
Obsessive-compulsive
distrust & suspiciousness of others; Other’s are spiteful
begins in early adulthood.
Paranoid Personality- Cluster A
Song for Narcissistic Personality Disorder
Popular-Kristin Chenowth (Wicked)
Song for Paranoid Personality
Somebody’s Watching Me (Mr. Rockwell)
Song for Antisocial Personality
The Wanderer
Family influences (eating disorders)
Controlling High expectations (achievement) Chaotic (dramatic, arguments, tension) Enmeshed Passive father, domineering mom Dependent child High parental criticism
High mortality rate (10%)
Borderline Personality
1* gain
enable the individual to avoid difficult situations/ unpleasant activities about which anxious
2* gain
attention/ support not otherwise forthcoming
NDx somatization disorder
Ineffective Coping
Deficient Knowledge
NDx Pain Disorder
Chronic pain
Social Isolation
NDx Conversion Disorder
Disturbed sensory perception
NDx Hypochondrias
Chronic Low Self-esteem
grandiose sense of personal achievements
Narcissistic Personality
Interventions for Somatic Disorders
- Accept Physical Complaint as Real
- ID gains
- Initially fulfill most urgent needs, slowly w/d
- Explain new s/s will be referred to MD
- Allow to Verb. fears
- Spend Time W/ Pt
- Shift focus from somatic complaints to feelings/ neutral topic
- Do not push awareness/ insight
Characterized by: Terror of weight gain (⬇️85% expected wt) Preoccupied with food View self as fat when emancipated Peculiar handling of food
Anorexia nervous
Critera for hospitalization (anorexia)
Wt loss of 30% over 6 mo
Hypothermia
K<3meq/ L
EKG changes
Referring syndrome
Demands of replenished circulatory system overwhelm capacity of nutritionally depleted heart➡️cardiovascular collapse
Panic Attacks are the Key Feature
Panic Disorder
Mysophobia
Fear of dirt, germs, contamination
Algophobia
Fear of pain
Anthropophobia
Fear of People