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Clinical Psych > Final > Flashcards

Final Flashcards

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1
Q

4Ds

A

Deviance
Distress
Dysfunctional
Dangerous

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2
Q

What are the major components of the MSE

A 
Appearance
Motor
Speech
Affect
Thought content
Thought process
Perception
Intellect
Insight
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3
Q

MINI mental status exam

A 
Orientation
Short term memory
Concentration
Arithmetic ability
Language
Praxis-learning
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4
Q

Scoring of the MMSE

A

Traditional score threshold is >23

21-25 inconclusive
26 highly likely

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5
Q

Stanford Binet intelligence test

A

Average IQ 100 SD 15.

<70 disability
>130 intellectually gifted

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6
Q

Deviation intelligent quotient

A

IQ

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7
Q

Wechsler adult intelligence scale (WAIS-4)

A

Adult intelligence

Avg 100 SD 15

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8
Q

Personality tests

A 
MN multiphasic personality inventory (MMPI)
Beck depression inventory (BDI)
Projective tests (emotional functioning)
-Rorschach ink blot 
-thematic apperception test (TAT)
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9
Q

Neuropsychological testing

A

Uses behavioral measures to asses skills and abilities to brain function

Cognitive skills

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10
Q

MRI

A

Diagnose disease that affect nerve fibers that make up the white matter

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11
Q

Proton magnetic resonance spectroscopy (MRS)

A

Metabolic activity of neurons

Areas of brain damage

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12
Q

FMRI

A

How people react to stimuli in time

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13
Q

Diffusion tensor imagining (DTI)

A

Investigate abnormalities in white matter of brain adn neural pathways

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14
Q

Biological perspective and TX

A

Disturbances due to neurotransmitters imbalanced

Psychotherapy meds/surgery
Electroconvulsive therapy

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15
Q

Psychodynamic perspective and TX

A

Freud
Defense mechanisms

Psychodynamic therapy —self awareness

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16
Q

Behavioral perspective and TX

A

Due to faulty learning experiences

Classical conditioning pavlov-automatic responses

Operant conditioning-skinner-voluntary behaviors

Counterconditioning-systematic desensitization
Contingency management-token economy
Modeling

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17
Q

Cognitive perspective and TX

A

Product of disturbed thought

Cognitive restructuring
Cog. Behavioral therapy
Acceptance and commitment therapy

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18
Q

Humanistic perspective and TX

A

People are motivated to strive for meaning in live

Person-centered (Rogers)
Self-actualization (Maslow)

Unconditional positive regard
Motivational interviewing

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19
Q

Person centered theory

A

Rogers

Individuals uniqueness

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20
Q

Self actual inaction theory

A 
Hierarchy of needs
Physiological
Safety
Love/belonging
Esteem
Self-actualization

Maslow

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21
Q

Positive psychology

A

Seligman

Potential for growth and change

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22
Q

Agoraphobia

A

Intense anxiety triggered by real/anticipated exposure to situations which they may not be bale to get help or escape

  • public transportation
  • enclosed space
  • open space
  • outside of home alone
  • lines or a crowd
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23
Q

TX for agoraphobia

A 
Benzodiazepines
SSRI
SNRI
Relaxation training
Panic control therapy
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24
Q

Ddx for anxiety disorder

A 
Cardiovascular problem
Arrhythmia
Endocrine disorder
MI
PE
Neurologic conditions
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25
Q

OCD MC in who?

A

Mc in young males and adult women

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26
Q

TX for OCD

A

Clomipramine

Satiation therapy
Thought stopping

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27
Q

BDD TX

A

Obsession about appearance

SSRI
CBT

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28
Q

Trichotillomania

A

Pull out one’s own hair

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29
Q

Excoriation disorder MC in?

A

Picking at ones own skin 3/4 female

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30
Q

TX for BDD and trichotillomania

A

Habit reversal training—learn new response to compete with habit

Stimulus control

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31
Q

TX for PTSD

A

SSRI

Virtual reality therapy

Eye movement desensitization reprocessing (EMDR)

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32
Q

Dysphoria

A

Intense sad mood

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33
Q

How common is depression

A

6-10% have current depression

2x as common in weomen

34
Q

Secrets of depression 7

A 
Common
Missed
Easy to diagnose when looking
Severe
Recurrent
Costly
Highly treatable
35
Q

Patient health questionnaire

A

Depression

36
Q

Depressive disorders

A

Major depressive disorder
Dysthymic disorder
Disruptive mood dysregulation disorder
Premenstrual dysphoric disorder

37
Q

Major depressive disorder

A

At least 2 weeks of depressed mood or loss of interest nearly all day

+4 s/s

38
Q

Subtypes of major depression

A

Psychotic: plus delusions/hallucinations
Seasonal
Atypical
Postpartum

39
Q

Persistent depressive disorder (dysthymia)

A

C depression of less intensity

3 symptoms for 2 years +

40
Q

Disruptive mood dysregulation disorder (DMDD)

A

In children with irritability and outbursts that are developmentally inappropriate and 3x/wk+

41
Q

Bipolar 1 vs bipolar 2

A

1: one of more manic episodes and possibility of major depressive
2: one or more depressive episodes and at least one hypomanic episode

42
Q

Cyclothymic disorder( subtype of bipolar)

A

S/s more chronic and less severe

Meet criteria for hypomanic episode. Numerous depressive periods and NEVER meet criteria for major depressive
Lasts at least 2 years

43
Q

Treatment for bipolar s

A

SSRI, SNRI, TCA, MAOI
Lithium

ECT
Deep brain stimulation
Behavioral activation
CBT

44
Q

Women vs men and suicide

A

Women: more attempts, less lethal succeed less often

Men: fewer attempts, more lethal, succeed more

45
Q

One of the top 3 causes of death in young adults and teens

A

Suicide

46
Q

5 components to suicide risk

A 
Ideation
Intent
Plan
Access to lethal means
History of past attempts
47
Q

What is schizophrenia classified as

A

A spectrum disorder

48
Q

Neologisms

A

Make up new words and think people understand them and know them.

49
Q

Bleuler’s for A’s

A

Association: thought disorder
Affect: emotional disturbance
Ambivalence: can’t follow through
Autism: withdrawal from relating

In regards to schizophrenia

50
Q

Psychotic disorder s/s

A

Delusion
Hallucinatin
Disorganized speech
Catatonic/disorganized behavior

51
Q

Schizophrenia or disorder

A

S/s of schizophrenia but 1-6months

52
Q

Schizoaffective disorder

A

Schizophrenia with co-occurring with major affective disorder such as major depressive or bipolar

53
Q

Delusional disorder

A

Only s/s are delusions for at least one month

54
Q

Treatment for schizophrenia/psychotic disorders

A

Neurileptics (antipsychotic)
Thorazine and hallow

Extrapyramidal symptoms (rigid muscles, tremors, struggling, restless)
Tardive dyskinesia (involuntary movements of the mouth, arms and trunk of the body)

CBT
cognitive training

55
Q

Personality disorders

A 
Pattern that is pervasive and inflexible. Manifests in 2/4:
Cognition
Affect
Interpersonal functioning
Impulse control
56
Q

Paranoid personality disorder

A

Always on guard and impossible to trust others. Project blame on others

57
Q

Schizoid personality disorder

A 
Alone
No desire to love
Insensitive to others feelings
Perceived as cold
Find situations that involved minimal interaction
58
Q

Schizotypal personality disorder

A

Odd beliefs, behavior, appearance, ideas, etc.

59
Q

Antisocial personality disorder

A 
Disregard for society moral/legal standards
Psychopathy!!!!!!
Lack remorse
Poor judgment 
Incapacity for love
Lack of emotional response
Impulsive
Never nervous
Unreliable, untruthful and insincere
60
Q

Borderline personality disorder

A

Poor impulse control and instability in mood

Avoid abandonment, intense unstable relationships, impulsive, etc

61
Q

Histrionic personality disorder

A

Exaggerated emotional reactions approaching theatrical in everyday behavior
Love center of attention

62
Q

Narcissistic personality disorder

A

Inflated sense of self-importance and lack of sensativity to others around
Entitlement

63
Q

Grandiose narcissism

A

Think of self entireled in inflated way

64
Q

Vulnerable narcissism

A

Internally weak sense of self, sad when someone important betrays them

65
Q

Avoidant personality disorder

A 
Fearful and extremely sensitive to 
Disapproval
Rejection
Criticism
Ashamed/embarrassed
66
Q

Depended PD

A

Strongly drawn to others=Cliny

Unable to make decisions

67
Q

OCPD

A

Perfectionism

Worrying, indecisive, and behaviorally rigidity

68
Q

TX for PD

A

Best to CBT

69
Q

Echolalia

A

Autism

Reptivition of vocal noises made by someone else

70
Q

Autistic savants

A

Develop very narrow and specifically focused interests

71
Q

Dementia affects

A

3-11% of those older than 65

72
Q

Mnemonic fo causes of dementia

A 
Drugs
Endocrine
Metabolic/mechanical
Epilepsy
Nutrition/NS
Tumor/trauma
Infection
Arterial
73
Q

Risk factors for Alzheimer’s

A

Genetics
Smoker
Obese
Lack of exercise

74
Q

Somatoform disorders

A

Caused by the mind and reflected by the body

Somatic symptom disorder (somatization)
Illness anxiety disorder (hypochondriasis)
Conversion disorder
Factisious disorder

75
Q

Somatic symptom disorder

A

Somatization aka
Psychological distress displaced in form of physical symptoms and spend great deal of time researching them and seeking treatment for them

76
Q

Clues to somatization

A 
Thick chart syndrome
Change in utilization with increasing unexplained complaints
Vague confusing bizarre s/s
Resistance to inquiry
Physicians heart sink response
77
Q

Illness anxiety disorder

A

Hypochondriasis

78
Q

Conversion disorder

A

Aka conversion hysteria
NS s/s that cannot be explained

Blindness, weakness, paralysis etc

79
Q

Factitious disorders

A

Fake s/s due to internal need to maintain sick role—munchausen’s syndrome

Falsifying s.s for primary (internal motivations) gain

Malingering: Falsifying s.s for secondary (external motivations) gain. Ex: time off

80
Q

TX of somatic symptom and related disorders

A

SSRI
CBT
Hypnotherapy
Interpersonal therapy

Clinical Psych (2 decks)

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