introduction to BD Flashcards

1
Q

behavior could be called “abnormal” if it is rare

A

statistically unusual behavior

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2
Q

behavior could be called “abnormal” if it goes against social norms

A

socially unacceptable behavior

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3
Q

behavior could be called “abnormal” if it affects one’s ability to function

A

dysfunctional behavior

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4
Q

behavior could be called “abnormal” if it causes someone to be distressed

A

personally distressing behavior

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5
Q

what are the 4 D’s for defining normality and disease?

A
  1. deviance
  2. distress
  3. dysfunction
  4. danger
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6
Q

behavior is different, extreme, or unusual from social norms

A

deviance

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7
Q

behavior is considered unpleasant and unsettling to patient (not possibly others)

A

distress

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8
Q

behavior interferes with daily functioning

A

dysfunction

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9
Q

behavior poses to risk of harm to self or others (may also be harmful to property/inanimate)

A

danger

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10
Q

The Ph.D.s

A

psychoLOGISTS
clinical, counseling, research

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11
Q

the Psy.D.s

A

psychoLOGISTS “doctors of psychology”
clinical, counseling
meant to be closer to a medical doctor, but limited or no prescribing

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12
Q

the M.D.s and D.O.s

A

PsychIATRISTS
clinical
can write for medication

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13
Q

the Master degrees

A

social work, counselors, nurses, NPs, PAs
some degrees may prescribe (NP, PA)

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14
Q

other mental health professionals

A

spiritual advisors, life coaches

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15
Q

role of psychiatrists

A

Prescribes medications; supervises hospital stays; less and less psychotherapy

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16
Q

role of clinical psychologist

A

Provides psychotherapy

17
Q

role of counseling psychologist

A

Most often helps people make career choices or other changes in their lives, sometimes provides psychotherapy

18
Q

role of psychiatric social work

A

Manages case for people in tx (e.g. financial, educational, career); psychotherapy

19
Q

role of psychiatric nurse

A

Works with hospitalized psychiatric patients to improve functioning and manages various aspects of tx

20
Q

role of nurse practitioner

A

Usually works with supervising psychiatrist, assessing clients and prescribing meds

21
Q

role of PA

A

Usually works with supervising psychiatrist, assessing clients and prescribing meds

22
Q

role of pastoral counselor

A

Supportive counseling primarily for people in counselor’s congregation

23
Q

mental illness is associated with 5 things:

A
  1. increased occurence of chronic disease
    - CV, diabetes, obesity, asthma, epilepsy, cancer
  2. decreased use of medical care
  3. reduced adherence
  4. higher risks of adverse outcomes
  5. increased incidence of tobacco and alcohol use
24
Q

manual used to determine a diagnosis and help communicate that diagnosis after it is made

A

DSM

25
Q

what does the 3 things that the DSM allow?

A
  1. standardize what we consider to be “major depressive disorder,” “PTSD,” etc
  2. guides therapy for a diagnosis
  3. allows for statistical analysis
26
Q

What does the DSM-V-TR include now (3)

A
  1. goals of better assessment of symptom severity and specific “treatment targets” for clinicians, as well as handling comorbidities
  2. changes and additions of a few ICD-10 (diagnosis) codes
  3. added “prolonged” grief disorder” - controversial!
27
Q

what are the 3 criticisms of DSM-V-TR

A
  1. concern over being too subjective and not having enough scientific basis
  2. concern over diagnoses being based too much around social norms and cultural biases
  3. concern over initial nondisclosure agreement of authors of DSM-V and strong ties to the pharmaceutical industry
28
Q

diagnostic criteria of DSM-V-TR

A

features sets of criteria for specific illnesses that help determine whether a patient has a fully developed disease of merely symptoms of that disease without meeting sufficient criteria for formal diagnosis

29
Q

standard medical evaluation

A
  • much more objective
  • external validating criteria - diagnostic labs, imaging, PE
  • high diagnostic reliability
30
Q

standard psychiatric evaluation

A
  1. more subjective
  2. little-no external validating criteria
  3. lower diagnostic reliability
31
Q

what is insight-oriented interviewing

A

learn about “what lies beneath” the objective data