Mental health and psychiatry (10) Flashcards

1
Q

What is compulsion?

A

the experience of overwhelming urges to repeat a behaviour even in the knowledge that it is harmful
- present in numerous disorders

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2
Q

What is trait anxiety?

A

propensity to become anxious under a given set of stresses

  • genetic factors: polymorphisms of serotonergic and noradrenergic function
  • environment: experiences of threat, insecurity
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3
Q

How can we conceptualise anxiety disorder and depression?

A

self-perpetuating network of positive feedback loops, arising from normally adaptive responses

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4
Q

When does self-harm typically occur?

A

in the context of low self-worth and persistent distress- serves various functions e.g.reducing this distress

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5
Q

What is state anxiety?

A

psychological and physiological transient reactions directly related to adverse situations in a specific moment

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6
Q

What is addiction?

A

repeated negative reinforcement

  • in the context of persistent states of suffering/distress/tension
  • powerful unconscious component mediated by substances’ direct action on neural circuits for motivation and reward seeking
  • social context= central
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7
Q

What is OCD?

A

negative reinforcement driven by the distress caused by the intrusive, involuntary thoughts
–> cemented by habit formation- compulsive behaviours that relive state of anxiety/tension

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8
Q

What are some symptoms of eating disorders?

A
  • increased restriction of diet
  • purging
  • episodes of laxative abuse
  • excessive exercise
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9
Q

How can we conceptualise eating disorders?

A

means of reducing intense distress, particularly that associated with feeling everything is out of control

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10
Q

What are causes of psychosis?

A
  • drugs: cocaine, LSD, cannabis etc…
  • metabolic: Ca2+, Mg2+ etc…
  • endocrine: thyroid, Cushing’s…
  • infections: syphilis, encephalitis etc…
  • mania, depression, schizoaffective disorder
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11
Q

What is madness?

A

people who hear voices/disorganised behaviour/thought disorder considered differently to other mental illnesses

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12
Q

How can we conceptualise psychosis?

A

reality failure

hallucinations and delusions

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13
Q

What are auditory verbal hallucinations?

A

thoughts/internal monologue experience as external

- experienced by around 5% of healthy population

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14
Q

What are delusions?

A

fixed, false, unshakeable belief, out of context with cultural background

  • result of efforts to make sense of perplexity
  • often persecutory
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15
Q

What are some neuropsychological processes in schizophrenia?

A

Role of dopamine:
anticipated reward–> directed attention
salience- sense of importance attached to perceptions
Working memory: disruption in thought and perception- loss of context, flow, order

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16
Q

What is the treatment for schizophrenia?

A

biopsychosocial

  • Antipsychotics: antidopaminergic
  • Psychological therapies: CBT for psychosis, avatar therapy sense of agency over voices
  • Social support: supportive environments, structures and routines, housing, benefits, employment support