General questions Flashcards

1
Q

What areas of the brain may contribute to violent behaviors?

A

Prefrontal cortex

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2
Q

Side effect of hypnotics(sleep medications)

A

sedation, resp suppression

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3
Q

Trazodone side effect

A

Priapism

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4
Q

Remeron/Mirtazipine side effect

A

Hunger and Wt gain

so good for elderly with no appetite

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5
Q

Sleep medications good for onset of sleep

A

Trazadone, Lunesta, Ambien

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6
Q

Sleep medications good for keeping people asleep

A

Restoril, amitriptilyne

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7
Q

Suicide risk factors in teens, adults, and geriatrics

A
1.poor social support
2 MDD
3. alcohol, 
4.MALE, 
5. FAMILY MBR ATTEMPT, 
6. previous attempt, 
7.caucasian male
8.geriatric males tend to complete
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8
Q

DSM5 for Sleep Disorder

A

Doesn’t have a specific # of hours, poor quality of sleep 3x’s per week for 3 months

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9
Q

DSM5 criteria for Neurocognitive Disorder

A

Delirium and Dementia

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10
Q

DSM5 criteria for Compulsive Disorder

A

Best treatment is therapy

(ex: Hoarding dis

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11
Q

Major difference between Delirium and Dementia

A

Delirium= rapid onset, poor attention span

Dementia=slow progression of memory loss and putting things in weirds spots

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12
Q

Body Dysmorphic Disorder

A

Preoccupation with flaws (#1 is facial flaws)

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13
Q

What disorder does the pt count calories?

A

Eating Disorder

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14
Q

OCD most common compulsions?

A
  1. Hand washing 2. Flipping lights on and off 3. Checking (no order)
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15
Q

OCD most common compulsions?

A
  1. Hand washing 2. Flipping lights on and off 3. Checking (no order)
    Treatment- Luvinox(?), Anafronil
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16
Q

Reminiscence Therapy

A

good for Dementia/Alz pts

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17
Q

Psychodynamic therapy (primary focus?)

A

Primary focus is to help revel unconcious content aka help people realize themselves

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18
Q

CBT (focus dx tx?)

A

Everything

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19
Q

Interpersonal therapy (focus dx tx?)

A

Bipolar Disorder (resolves interpersonal problems); limited to 12-16 sessions

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20
Q

Exposure therapy (focus dx tx?)

A

Fears

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21
Q

Solution-focused therapy (focus dx tx?)

A

SI

  • focus on finding solution not dwelling on the problem
  • Miracle questions (what if the problem went away?)
  • Short term therapy
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22
Q

Motivational Interviewing (focus dx tx?)

A

Substance Use Disorder

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23
Q

What is EMDR

treatment for?

A

Eye Movement Desensitization and Reprocessing

  • Treatment for anxiety and fear
  • uses the 3 senses (visual, auditory, and tactile)
24
Q

What is EMDR

treatment for?

A

Eye Movement Desensitization and Reprocessing

  • Treatment for anxiety and fear
  • uses the 3 senses (visual, auditory, and tactile)
  • Developed by Shaipiro
25
Q

Suicide and BPD rates

A

elevated at 10%

26
Q

Suicide lethality?

A

the ability to commit suicide or cause death

  • Do they have means?
  • Plan? Do they have high suicide lethality?
27
Q

What are protective factors against suicide?

A

Religion, pets, good access to mental health care aka good alliance with therapist

28
Q

What is NREM?

A

Non Rapid Eye Movements

29
Q

What are some NREM arousal characteristics?

A
  1. sleep walking 2.sleep terrors 3. sleep eating

- they are disoriented if you wake them up

30
Q

What part of the brain is related to circadian rhythm?

A

Suprachiarsmatic nucleus in hypothalamus

31
Q

What part of the brain is related to circadian rhythm?

A

Suprachiarsmatic nucleus in hypothalamus-regulates melatonin secretions

32
Q

Medications for nightmares?

A

Prazosin(Minipress)

33
Q

Cutting behaviors- why do them?

A
  • To feel, ease their distress, feel disconnected

seen in Personality Disorder= BPD Borderline personality disorder

34
Q

Treatment for Compulsive disorders?

A

SSRIs- Esitalopram, Fluoxetine, Fluvoxe

35
Q

Treatment for Compulsive disorders?

A

SSRIs- Esitalopram, Fluoxetine, Fluvoxamine

36
Q

What are Cluster A Personality Disorders?

A

“odd eccentric-social akwardness and withdrawal”

Paranoid, Schizotypal(magical fairy people), Schizoid (withdrawn,reclusive,hermits)

37
Q

What are Cluster B Personality Disorders?

A

characterized by dramatic, overly emotional or unpredictable thinking
Narcissist, Histrionic, Antisocial

38
Q

What are Cluster B Personality Disorders?

A

characterized by dramatic, overly emotional or unpredictable thinking
Narcissist, Histrionic, Antisocial, Borderline

39
Q

What are Cluster C Personality Disorders?

A

called the anxious, fearful cluster

OCPD(Obsessive Compulsive Personality Disorder** different from OCD which is a separate dx. ), Dependent, Avoidant

40
Q

Treatment of Personality Disorders and Compulsive Disorders?

A

Medications help with symptoms, but not disorder. They need therapy

41
Q

What is the most common therapy for Personality and Compulsive Disorder

A

DBT (especially for BPD)

42
Q

What is the most common Personality Disorder?

A

Borderline

43
Q

What medication use for Suicidal thoughts?

A

Lithium(*) and Clozaril

44
Q

What do you do with Homicidal pt? (what type questions ask during 1st interview?)

A

Direct questions, address beliefs (similar to suicidal questions : Thought? Plan? How? Who?)

  • may have to contact person depending on state (Duty to warn)
  • have to inform them you will be calling the person
45
Q

Characteristics of Disorder? Schizotypal

A

Ideas of reference, odd

46
Q

Characteristics of Disorder? Schizoid

A

Apathy, detached, cold, isolated

47
Q

Characteristics of Disorder? Paranoid

A

out to get you

48
Q

Characteristics of Disorder? Narcissistic

A

they are the greatest, talk to you if your cool enough, Grandiose (if challenge them.. probally wont see them back in your office)

49
Q

Characteristics of Disorder? Borderline

A

Intense, Unstable, emptiness, Impulsive, suicide/self multilating , Dependent (one relationship to the other)

50
Q

Characteristics of Disorder? Antisocial

A

take advantage of other people and dont feel bad about it; above the law; no remorse; violent or aggressive

51
Q

Characteristics of Disorder? Histrionic

A

provacative, attention seeking, drama queens, center of attention,

52
Q

Characteristics of Disorder? Obsessive-compulsive

A

anxiety, perfectionist-rules, lists, rigid details- usually do not form social relationships d/t preoccupation

53
Q

Characteristics of Disorder? Dependent

A

low self esteem, clingy, submissive

54
Q

Characteristics of Disorder? Avoidant

A

afraid of what people think, hypersensitive to negative eval

55
Q

Suicide Intent

A

Desire to cause death

56
Q

Suicide Ideation

A

thought of death, severity depend on plans and degree of intent