Miscellaneous Flashcards
What are some characteristics of the “acting out” defense mechanism?
- Immature defense mechanism
- Giving in to an impulse, even if socially inappropriate, in order to avoid the anxiety of suppressing that impulse
What are some characteristics of the “denial” defense mechanism?
- Immature
- Not accepting a reality
What are some characteristics of the “displacement” defense mechanism?
- Immature/Neurotic
- Transferring feelings from one object/person to another one (usually one that is less threatening)
What are some characteristics of the “intellectualization” defense mechanism?
- Immature/Neurotic
- Avoiding distressing/negative feelings by excessively focusing on intellectual/non-emotional details
What are some characteristics of the “projection” defense mechanism?
- Immature
- Attributing one own’s feelings to others (e.g. husband attracted to other women believes wife is having an affair)
What are some characteristics of the “rationalization” defense mechanism?
- Immature/Neurotic
- Justifying behavior to avoid difficult truths and make the behavior/outcome more acceptable
What are some characteristics of the “reaction formation” defense mechanism?
- Immature/Neurotic
- Doing the opposite of an unacceptable impulse
What are some characteristics of the “regression” defense mechanism?
- Immature
- Performing behaviors from an earlier developmental stage to avoid tension associated with the current developmental stage
What are some characteristics of the “splitting” defense mechanism?
- Immature
- Labeling people as all good or all bad (common in borderline personality disorder)
What are some characteristics of the “suppression” defense mechanism?
- Mature
- Consciously/purposefully ignoring an unacceptable impulse or emotion in order to diminish discomfort and accomplish a task/cope with reality
What are some characteristics of the “sublimation” defense mechanism?
- Mature
- Channeling unacceptable impulses into socially acceptable behavior
A patient presenting with talkativeness, gregariousness and disinhibition is likely intoxicated with what substance?
Alcohol
A patient presenting with pupillary dilation, chest pain, euphoria, hyper-vigilance, autonomic hyperactivity, and perceptual disturbances is likely intoxicated with what substance?
Cocaine/amphetamines
A patient presenting with conjunctival injection, impaired motor coordination and slowed movements is likely intoxicated with what substance?
Cannabis (including K2 and spice)
A patient presenting with nystagmus, belligerence, psychomotor agitation, violence, hypertension and seizure is likely intoxicated with what substance?
PCP (phencyclidine)
A patient presenting with irritability, aggression mania and psychosis with a history of weight-lifting/sports is likely intoxicated with what substance?
Anabolic steroids (“roid rage”)
A patient presenting with tremors, hallucinations, seizures, and fluctuating consciousness/awareness is likely withdrawing from what substance?
Alcohol
A patient presenting with anxiety, tremulousness, headache and depression is likely withdrawing from what substance?
Cocaine
A patient presenting with irritability, anger, anxiety, sleep problems, restlessness, and appetite problems is likely withdrawing from what substance?
Cannabis
A patient presenting with diarrhea, fever, chills, lacrimation, abdominal cramps, and muscle spasms is likely withdrawing from what substance?
Opiates (e.g. heroin)
What are two pharmacologic agents that can be used to treat Neuroleptic Malignant Syndrome?
Dantrolene or Bromocriptine
What is one pharmacologic agent that can be used to reverse/treat serotonin syndrome?
Cyproheptadine
What is one specific indicator of dementia (major neurocognitive disorder) vs. normal aging?
Loss of ADLs in dementia (e.g. getting lost in familiar setting, loss of ability to dress self or eat)
What is the treatment of choice of adjustment disorder?
Psychotherapy
