Psyc Flashcards
mature defense mechs
SASH sublimation altruism suppression humor
anaclitic depression
results from depriving severe infant deprivation
child becomes withdrawn and unresponsive
many of the children dx w/ conduct disorder will qualify for what dx after age 18?
antisocial personality disorder
coprolalia
involuntary obscene speech. observed in 10-20% of tourette’s syndrome
Rett’s disorder
x linked disorder almost exclusively in females (males die in utero or shortly post partum)
regression, loss of development / verbal abilities, mental retardation, ataxia, stereotyped hand wringing
NT changes in anxiety and depression
anxiety - inc NE, dec GABA and 5 HT
depression - dec NE, 5HT, DA
order of loss of orientation
time > place > person
Korsakoff’s amnesia
anterograde w/ some retrograde. caused by thiamine def > destruction of mamillary bodies
MC presentation of AMS in inpatient setting
delirium
tx of delirium
id and address underlying cause
optimize brain condition (O2, hydration, pain etc)
antipsychotics (haloperidol)
3 signs of psychosis
hallucinations
delusions
disorganized speech
which type of hallucination is more likely caused by psychiatric illness rather than medical - visual or auditory?
auditory > psych
visual > med
hypnagogic vs hypnapompic hallucinations
gogic - GOing to sleep
pompic - upon waking
3 signs of psychosis
hallucinations
delusions
disorganized speech
which type of hallucination is more likely caused by psychiatric illness rather than medical - visual or auditory?
auditory > psych
visual > med
schizoaffective disorder def
at least 2 wks of stable mood w/ psychotic sx plus major depressive, manic, or mixed episode
5 subtypes of schizophrenia
paranoid, disorganized, catatonic, undifferentiated, residual
criteria to dx schizophrenia
2 of the following: delusions hallucinations disorganized speech disorganized/catatonic behavior negative sx (flat affect, social withdrawal, amotivation, lack of speech or thought)
schizoaffective disorder def
at least 2 wks of stable mood w/ psychotic sx plus major depressive, manic, or mixed episode
5 subtypes of schizophrenia
paranoid, disorganized, catatonic, undifferentiated, residual
time req for manic episode
at least 1 wk
difference btwn postpartum blues and depression
blues - depressed affect, tearfulness, fatigue from 2-3 d postpartum resolving in 10-14 d
depression - depressed affect, anxiety, poor concentration w/in 4 wks of delivery lasting 2 wks to a year+
diagnostic criteria for major depressive disorder
depressive episodes for 6-12 mo. episodes must have at least 5 sx and last at least 2 wks. must include patient reported depressed mood or anhedonia possible sx (need >=5): sleep disturbance anhedonia guilt/worthlessness loss of energy loss of concentration appetite/wt changes psychomotor retardation/agitation suicidal ideations depressed mood
def of dysthymia
milder form of depression lasting at least 2 yrs
