Psyc Flashcards

1
Q

How long do you need to have anxiety for it to be considered generalized anxiety disorder (GAD)?

A

6 months

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2
Q

Treatment for GAD and panic disorder?

A

1st line: SSRI/SNRI
2nd line: TCAs, benzos
Also, cognitive behavioral therapy in any case.

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3
Q

What defines panic disorder?

A

Panic attacks that lead to anxiety and behavioral changes (avoidance) related to possibility of recurrence of the panic attack.

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4
Q

What is the treatment for specific phobias (ex: snakes, heights)?

A

Anxiolytics and exposure therapy.

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5
Q

What is the treatment for social phobia?

A

Meds and therapy.

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6
Q

How long must you have flashbacks, avoidance of reminders, and intrusive thoughts to be diagnosed as PTSD?

A

At least 1 month.

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7
Q

What is the treatment for PTSD?

A

psychotherapy, cognitive behavioral therapy (CBT), SSRIs/SNRIs

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8
Q

If you only have flashbacks, avoidance of reminders and intrusive thoughts for less than a month what is the disorder called?

A

Acute stress disorder

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9
Q

What is the treatment of ADHD?

A

stimulants primarily, behavioral therapy is not shown to improve symptoms of ADHD

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10
Q

What do you want to rule out in adults with suspected ADHD?

A

hyperthyroid, seizure, lead poisoning, head injury and other psychological disorders

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11
Q

What is autism spectrum?

A

Deficits in neurodevelopment for socialization, communication, and behavior.

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12
Q

What FEMALE medical problem often arises in women with anorexia nervousa?

A

Amenorrhea

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13
Q

What distinguishes bulimia from anorexia?

A

Normal weight in bulimia–>b/c anorexics can also purge/use laxatives.

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14
Q

What is the BMI for underweight?

A
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15
Q

What is the BMI for overweight?

A

25-30

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16
Q

What is the BMI for obesity?

A

> 30

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17
Q

What is the BMI percentile for overweight children?

A

85-95th percentile

18
Q

What is the waist circumference for men and women to be considered obese?

A

Women: >35
Men: >40

19
Q

What is the only drug approved for obesity?

A

Orlistat (makes your poop fatty)

20
Q

What is bipolar 1?

A

Classic manic depressive

21
Q

What is bipolar 2?

A

One episode of hypomania plus major depression.

22
Q

What is the treatment for acute mania?

A

Lithium plus valproate

23
Q

What defines major depression?

A

2 weeks of depressed mood or anhedonia.

24
Q

What is adjustment disorder?

A

emotional and behavioral reaction that is greater than would be expected for stressor and affects work or social life.

25
Q

What is dysthymic disorder?

A

less severe depression: depressed for 2+ years, most days for most of the day

26
Q

What is personality disorder?

A

personality trait that is so extreme it causes impairment/distress and behavior outside the “norm”.

27
Q

What is cluster A of personality disorders?

A

Odd and Eccentric:
Paranoid
Schizoid
Schizotypal

28
Q

What is schizoid?

A

detached socially with restricted range of emotions in interpersonal settings

29
Q

What is schizotypal?

A

Social and relationship deficits result in discomfort and decrease in close relationships and eccentric behavior.

30
Q

What is cluster B of personality disorders?

A

Dramatic, emtional and erratic:

Histrionic, narcissistic, borderline, antisocial

31
Q

What is cluster C of personality disorders?

A

Anxious or fearful:
Avoidant
Dependent
Obsessive-compulsive

32
Q

What is histrionic personality disorder?

A

excessive emotionality and attention seeking

33
Q

What is narcissistic personality?

A

Grandiosity, need for admiration, and lack of empathy

34
Q

What is borderline personality?

A

unstable relationships, self image, affect, and impulse control

35
Q

What is antisocial personality?

A

disregard for rights of others–>lying, cheating, stealing, neglect

36
Q

What are psychoses and what are they treated with?

A

disturbance in the perception of reality that manifests as hallucination, delusion or thought disorganization–treated with antipsychotics

37
Q

What is schizophrenia?

A

severe chronic psychosis that leads to progressive deterioration in functioning–antipychotics generally help with symptoms (hallucinations/dilusions) but there is still a steady decline in things like affect, anhedonia, intellectual function, memory, bizarre behavior, ect.

38
Q

What is delusional disorder?

A

isolated, NON-bizarre delusion in otherwise functioning person (ex: I think someone put a chip in me)

39
Q

What is somatoform disorder?

A

syndrome of nonspecific physical complaints that can’t be explained medically (could be aware or not–may have secondary gain)

40
Q

What is the CAGE screen for etoh and drugs?

A
  • Tried to cut down?
  • Annoyed when asked
  • Do you feel guilty about your actions?
  • Do you need an eye opener?
41
Q

What is conduct disorder?

A

Disruptive behavior in CHILDREN with primary features of aggression, theft, vandalism, violations of rules and lying.

42
Q

What is the treatment for conduct disorder?

A

Usually supportive but can try ADHD drugs.