General Psych Flashcards
DM-5 diagnostic criteria for bulimia nervosa
- Recurrent episodes of binge eating and lack of self-control
- Inappropriate compensatory behaviour for weight gain
- Episodes of inappropriate/binge eating for at least once a week for 3 months
- Self-evaluation by body shape and weight
- Depressive symptoms more common
Describe cluster A personality disorder
Odd, bizarre, eccentric
Describe cluster B PD
Dramatic, erratic
Describe cluster C PD
Anxious, fearful
What type of PD falls into group A?
- Paranoid
- Schizoid
- Schizotypal
What type of PD falls into group B
- Antisocial
- Borderline
- Histrionic
- Narcissistic
What type of PD falls into group C
- Avoidant
- Dependent
- Anankastic
Define Anankastic PD
OCD type - perfectionism extreme
Typically doubting cautious, rigid, controlling, humourless
Define Narcissistic PD
Excessive high self-regard
What is the difference between schizoid and schizotypal PD?
Schizoid is detached, aloof, fantastical and has no desire for social interaction and generally well functioning with rare presentations to services whereas Schizotypal fears social interaction and fears others and more likely to develop schizophrenia
What are the side effects from ECT?
- Brief confusion following anaesthetics
- Muscle pains/head ache
- Short term memory loss
- Long-term memory loss is rare
What questions form the AMTS?
- Age
- Time to the nearest hour
- DOB
- Year
- 42 West Street
- Location
- Name 2 people
- Current monarch
- WWII
- Count from 20-1
- Recall address
What are the First Rank Symptoms?
- Delusional perceptions
- Thought withdrawal
- Thought insertion
- Thought broadcasting
- Auditory echo
- 3rd person auditory hallucination
- Running commentary
- Passivity experiences - being under control
What are the 4 negative symptoms?
Apathy
Avolition
Alogia
Affective blunting
What is a somatisation disorder?
- Multiple physical SYMPTOMS present for at least 2 years
- Patient refuses to accept reassurance or negative test results
What is hypochondrial disorder?
- Persistent belief in the presence of an underlying serious DISEASE: cancer etc
- Patient refuses to accept reassurance or negative test results
What is a Conversion disorder?
- Loss of motor or sensory function
- Patient does not consciously feign the symptoms or seek material gain
- Patients may be indifferent to their apparent disorder - la belle indifference - although this has not been backed up by some studies
What is a dissociative disorder?
- ‘Separating off’ certain memories from normal consciousness
- In contrast to conversion disorder, involves psychiatric symptoms - Amnesia, fugue, stupor
- Dissociative identity disorder= new term for multiple personality disorder - most severe form
What is Munchausen’s syndrome?
- Factitious disorder
- Intentional production of physical or psychological symptoms
What is Malingering?
- Fraudulent simulation or exaggeration of symptoms with the intention of financial or other gain
What is Acute dystonia?
- Painful, spastic contraction of certain muscles or muscle groups
- Commonly affects neck eyes, trunk
- Tongue protrusion, grimacing, torticollis
What is torticollis?
A painfully twisted and tilted neck. The top of the head generally tilts to one side while the chin tilts to the other side
What is Akathisia?
- Distressing feeling of restlessness
- Fidgety leg movements, shuffling of feet, pacing
How can you treat Akathisia?
- Anticholinergics, propanolol, benzodiazepines, clonidine
What are Parkinson-like symptoms?
- Tremor
- Muscle rigidity
- Bradykinesia
What may Parkinson-like symptoms respond to?
Anti-cholinergics
What is Tardive Dyskinesia
- Involuntary, repetitive, purposeless movements of tongue, lips, face, trunk, and extremities
When does tardive dyskinesia occur?
- After several months or years of antipsychotic medication
What increases the risk of tardive dyskinesia-like symptoms?
- Increasing age
- Female
- Prominent negative symptoms
- Head injury/brain damage
List 4 EPSE
- Acute dystonias
- Akathisia
- Parkinson-like symptoms
- Tardive dyskinesia
What is Neuroleptic Malignant syndrome?
- Rare and can be fatal reaction to anti-psychotic medication
- Blockade of dopaminergic hypothalamospinal tracts that inhibit sympathetic neurons
What are the symptoms of Neuroleptic Malignant Syndrome?
- Hyperthermia
- Muscle rigidity - Rhabdomyolysis
- Autonomic instability
- Altered mental status
What are the complications of NMS?
- Renal failure
- Cardiovascular collapse
- Seizures
- Arrhythmias
- DIC
How would you manage NMS?
- Supportive
- Oxygen, fluids, cooling blankets
- Lorazepam/dantrolene
Mania history - 5 identifier questions
- How do you feel and for how long
- Do you feel overly happy/elated
- Racing thoughts/inability to concentrate
- Creativity/projects
- Any periods of feeling low
Mania history - 3 social questions
- Work/relationships
- Increased sociability
- Increased spending
Mania history - 3 health questions
- Sleep
- Appetite
- Substance abuse
Mania history - 3 risk questions
- Sexual need increase
- Trouble with debt/police
- Grandiose/paranoid delusional beliefs
