Intro to Psych

Question 1

TEST: When thinking about the definition of psychiatry, it is helpful to keep in mind the idea of functional impairment. This means:

Answer 1

DIFFERENCE DOES NOT NECESSARILY MEAN DISORDERED
Someone may display a behavior or symptom of some kind that may seem outside of the norm of what most people experience, and it is easy to fall into a trap of thinking that “just because someone is different, must mean that they are disordered.”

Question 2

When thinking about the definition of psychiatry, it is not only important to think about functional impairment, but also about:

Answer 2

who is to define functional impairment. Just because you’re a healthcare provider does NOT mean that you should be the sole decider on what “funtional should be” (all about being patient centered)

Question 3

the three main points in definiing psychiatry:

Answer 3

endogenous causes, faulty interpersonal relationships, and functional impairment

Question 4

When describing psychiatry, we define it as a branch of medicine that deals with the science and practice of treating mental, emotional, or behavioral disorders especially as originating in endogenous causes or resulting from faulty interpersonal relationships. We define endogenous causes as:

Answer 4

caused by endogenous factors—those that arise within the body, often at the cellular or molecular level. These factors are typically less open to direct observation, manipulation, and avoidance than exogenous factors, functional impairment

Question 5

In addition to endogenous causes and faulty interpersonal relationships, we must also be concerned with _______

Answer 5

funcational impairment (endogenous causes, and faulty interpersonal relationships are the three defining characteristics)

Question 6

What separates a physchologist form other professions?

Answer 6

They are much more trained at doing very in-depth evaluations (i.e. the rorschoch, or the mmpi)
or these fairly in-depth evaluation methods, and psychologists are really the ones that are being trained in that as opposed to physicians

Question 7

of the different healthprofessionals working in behavioral psychology, there are:

Answer 7

psychiatrists, psychologists, social workers, marriage and family therapists (mft or lmft), and professional counselor
there are different levels of education need for each of these groups, and research is done for the first two groups

Question 8

the DSM first appear in 1952 (after many years of trying to classify mental disorders observed by the military). Up until 1974 ________, since the 80s the:

Answer 8

homosexuality was diagnosed as a mental illness; number of diagnosis have gone up exponentially and many critically say this is big pharma trying to pathologize normal experiences to make a profit. We were around 300 diagnoses and some say it could be as high as 600 for the current dsm5

Question 9

Some criticize the dsm 5 and psychiatry because:

Answer 9

it’s hard to find agreement on reliability and validity of assesment (especially because this alll came from freudian school and this was not something they focused on

Question 10

Features of the DSM5 revisions

Answer 10

asperger’s has been changed now from a mental illness to being on the autism scale (now calleld “high functioning Autism”)
Bereavement exxclusion to depression (it used to prevent people from getting the help they need but unfortunately now it causes doctors to hear bereavement and depression and jump to conclussions as opposed to investigating the true cause), and dmdd

Question 11

dmdd:

Answer 11

in the 90’s, children would exhibit behavior tha didn’t fit any boxes and so they were diagnosed as bipolar and put on heavy duty drugs. Disruptive mood dysregulation disorder (DMDD) is a childhood condition of extreme irritability, anger, and frequent, intense temper outbursts. DMDD symptoms go beyond a being a “moody” child—children with DMDD experience severe impairment that requires clinical attention.

Question 12

ptsd diagnosis:

Answer 12

can not include people watching traumatizing events on tv, media, etc

Question 13

one of the biggest changes from the dsm 4 to 5

Answer 13

PTSD: negative alterations in cognition and mood. Originally the focus was on fear, but not everyone responds to trauma with fear, it can actually be caused from depression

Question 14

the dsm is not a ______ but it:

Answer 14

treatment guide, gives a lengthy, in depth description of the disorders

Question 15

What percentage of persons aged 12 and over reported moderate or severe depression in the past two weeks (2009-2012)?

1. 8
2. 6
3. 3
4. 2

Answer 15

7.6: most likely because the question asks about moderate or severe as opposed to “mild”

Question 16

According to the World Health Organization how many people are affected by depression worldwide?
50 million
100 million
200 million
300 million

Answer 16

300 million (didn’t specify mild moderate or severe)

Question 17

According to the WHO, how are Endocrine Diseases (ED), Cardiovascular/Circulatory Diseases (CVD), Mental and Behavioral Disorders (MBD), and Musculoskeletal Disorders (MSD) ordered in terms of U.S. disability-adjusted life years (DALYs)?
MSD; CVD; MBD; ED
ED; MSD; CVD; MBD
CVD; MBD; MSD; ED
MBD; CVD; ED; MSD

Answer 17

CVD; MBD; MSD; ED; mbd would have been at the top with cvd but they chose to separate out people who inflicted personal harm to themselves. If you add those people back in, you will be tied with cvd

Question 18

TEST: Of the top 20 disabling conditions in the world (WHO-2004), how many are represented in the DSM?
7
3
5
12

Answer 18

7

depression, alcohol and drug dependence, schizophrenia, panic, all AD and dementia

Question 19

Which behavioral health disorder is the most expensive in terms of direct and indirect costs?
Depression
Schizophrenia 
Anxiety
Bipolar

Answer 19

bipolar: treatment, inpatient phase, etc

Question 20

bio-psycho-social model of psychiatry:

Answer 20

The biopsychosocial model of health and illness is a framework developed by George L. Engel that states that interactions between biological, psychological, and social factors determine the cause, manifestation, and outcome of wellness and disease.