Final Exam Flashcards
Pint of vodka - diagnosis?
No diagnosis at that moment.
Abuse? Doesn’t get in in trouble or cause problems (maybe relational problems?)
Dependence? Is his lifestyle and he does focus on it, but he was able to go without it - not dependent
Pint of vodka - instruments
Alcohol Use Disorders Identification Test
CAGE
Rapid Alcohol Problems Screen
SCID
Composite International Diagnostic Interview - Substance Abuse Module
Issues to consider when assessing substance abuse
Family history Treatment history Treatment preference Consumption patterns Comorbidity Need for detox
Delirium
- organic reaction, alters consciousness and attention
- impaired orientation/memory
- hallucinations and delusions
- emotional lability
- restless/agitated
Dementia
- memory loss
- anterograde amnesia, retrograde amnesia
- apraxia (coordination)
- aphasia (language)
- impaired judgment
- lack of impulse control
- personality change
Types of dementia
Alzheimer’s- gradual, progressive
Vascular- patchy, sudden, due to cardiovascular problems
Substance induced persisting- Korsakoff’s (confabulation, lying)
Pick’s- personality before memory
Parkinson’s- motor abnormalities, cognitive problems likely
Huntington’s
Pseudodementia- depression
Psychotic Disorders
Brief Psychotic Disorder - less than one month
Schizophreniform Disorder - 1-6 months
Schizoaffective Disorder - schizophrenia and mood disorder
Shared Psychotic Disorder
Delusional Disorders - non bizarre delusional system, without prominent hallucinations: (erotonanic, grandiose, jealous)
Schizophrenia - paranoid, catatonic, disorganized, residual, undifferentiated
Assessment tools for psychotic disorders
Positive and Negative Syndrome Scale
Scale for Assessment of Negative Symptoms
Abnormal Involuntary Movement Scale
Scale for Assessment of Positive Symptoms
Brief Psychiatric Rating Scale
Issues involving psychotic disorders
Cognitive functioning Emotional functioning Dangerous/suicidal behavior Cultural differences EE Medication adherence Subjective appraisal Comorbid substance abuse
Pos vs neg symptoms of schizophrenia
Positive - hallucinations, delusions, thought disorganization
Negative - absence of affect, motivation, interaction
Medication only addresses + symptoms
Dissociative Disorders (4)
Dissociative Identity Disorder - host/alters
Dissociative Amnesia - can’t remember personal info (localized, selective, generalized, continuous)
Dissociative Fugue - new identity at new place
Depersonalization Disorder - detachment from body, know what’s happening
Dissociative Disorder Assessments
Child Dissociative Checklist
Dissociative Experiences Scale
Paraphilias (8)
Pedophilia Exhibitionism Voyeurism Fetishism Frotteurism Sexual Masochism Sexual Sadism Transvestism Fetishism
4 phases of sexual response
Desire
Arousal
Orgasm
Resolution
Sexual Desire Disorders
Hypoactive Sexual Desire Disorder
Sexual Aversion Disorder
