Mental Health Flashcards
What is counter transference.
What we feel for patients
What is transference?
What patients feel for us
What does the suprachiasmic nucleus do?
Wakes us when it is light
What does REM stand for?
Rapid eye movement
Definition of narcolepsy
Genetic, falls asleep inappropriately
What is a syndrome
A cluster of symptoms
Aphasia
Damaged ability to produce/understand language
Dysarthria
Difficulty with articulation of speech
Types of aphasia
Non-fluent
- can understand (Broca)
Fluent
- don’t understand (wernickers)
Tasks of the left hemisphere
- conversation
- language comprehension
- naming
- reading
- writing
- praxis (skilled movement)
- calculations
Tasks of right hemisphere
- facial discrimination
- facial recognition
- depth perception
- receptive affective prosody
- executive affective prosody
- music
- constructional abilities
- mental rotation of shapes
- appreciation of humor
Which hemisphere is damaged in apraxia?
Left hemisphere
What is qualia?
Subjective experience through senses
Things to record about speech
- rate
- volume
- quality
Things to record for thoughts
- speed
- form
- content
- possession
Define tangentiality
Off point
Define circumstantiality
Round-about
Define flight of ideas
Overall theme
Define derailment
Beginning makes sense
Define loosening of association
Makes no sense at all
Define a delusion
A belief held in the absence of proof
Can’t be shaken if proof to the contrary is brought
Out of keeping with social, cultural and religious background
Themes of delusions
- religiosity
- grandiosity
- persecutory
- jealousy
- erotic
Definition of hallucination
False sensory perception that occurs in absence of proof
Definition of an illusion
Misperception of a real stimulus
Depersonalization
Sense that you are not real
De realization
Sense that the environment is not real
Definition of psychosis
Out of touch with reality
What meds do bipolar people take?
Mood stabilisers - lithium
Definition of a phobia
An un rational fear
Definition of sexual orientation
Erotic response in real life and in fantasy
Define gender dysphoria
Individual trapped in wrong biological body
Define a personality disorder
A pervasive interactional style that is stable over a life-span of which they are unaware
Type A personality disorders
- paranoid
- schizophrenic
Type B personality disorders
- Narcissistic
- antisocial
- histrionic
- borderline
Type C personality disorders
- dependant
- avoidant
- obsessive compulsive
Define a paraphilic disorder
When an individual can only achieve sexual arousal through abnormal means
What is a cultural syndrome?
A cluster of co-occurring symptoms found in a specific cultural context
What is a cultural idiom of distress?
A way of talking about suffering amongst people of a certain cultural group
What is a cultural explanation?
A perceived cause/ explanatory model that provides a culturally perceived etiology for a cause of distress
Describe the DSM 4 axes
- psychiatric diagnosis
- personality ds/ mental retardation
- physical health
- psychosocial stressors
- functioning
Etiological factors
- predisposing
- precipitating
- perpetuating
- protective
Definition of epilepsy
A repeated pattern of seizures
Definition of seizure
Paroxysmal burst of electrical activity
Definition of dejavu
An overwhelming sense that this moment has already been lived
Definition of jamaisvu
Feeling unfamiliar with the familiar
Erikson’s stages of psychological life cycle
- trust vs mistrust
- autonomy vs shame and doubt
- initiative vs guilt
- industry vs inferiority
- identity vs role confusion
- intimacy vs isolation
- generativity vs self-absorption
- integrity vs despair
What does SSRIs stand for?
Serotonin specific re uptake inhibitor
IQ less than 70
Intellectual disability
Defining characteristics of autism
- deficits in language development, forming emotional ties
- intellectual disability
Characteristic of aspergers
- seem to not understand he rules of life
Types of disruptive behaviors
- ADD/ADHD
- oppositional defiant disorder
- conduct disorder (punishment was brutal but inconsistent)
Define copralalia
Uttering swear words/ inappropriate words involuntarily
Define enuresis
Wetting yourself
Define encopressis
No control of faeces
Hypovolaemic causes of LOC
- vasovagal attack (syncope)
- postural hypotension
- hyperventilation
- cardiac arrythmia
Define coma
Unrousable state of unconsciousness
Causes of comas
- apoplexy (brain stem infarction)
- epilepsy
- injury/infection
- opiates
- uraemia
When is violence a potential.
- very psychotic paranoid patients
- substance intoxication
- irritable manic
- head injuries
- severe personality disorders
Diagnosing dementia
Memory loss and one of:
- aphasia (deterioration of language)
- apraxia (inability to execute motor activities)
- agnosia (failure to recognize or identify objects)
- disturbances in executive functioning
Definition of delirium
A neuro-psychiatric syndrome characterized by extreme disturbances of arousal, attention, orientation, perception, intellectual function and affect