PSYC Exam (Weeks 19-21) Flashcards
What is DSM?
- The first standardized diagnostic classification system for mental illness was published by German psychiatrist Emil Kräpelin in 1883.
- The DSM-5 version combines the first three axes and removes the last two, aiming to streamline diagnosis and work with other diagnostic systems.
- Critics argue that the DSM is based on Western clinical and research findings, primarily the United States, and is a medicalized categorical classification system.
- The number of diagnosable disorders has tripled since its publication, increasing the concern of labeling and stigmatizing mentally ill individuals.
What is Etiology?
a branch of knowledge concerned with causes. specifically : a branch of medical science concerned with the causes and origins of diseases.
What is Humorism (or humoralism)?
Ancient Greek and Roman physicians believed that bodily fluid imbalances, including blood, black bile, yellow bile, and phlegm, directly impacted their health and temperament until the 19th century.
What is Hysteria
Ancient Greeks and Egyptians used the term “conversion disorder” to describe a disorder caused by a woman’s uterus wandering and interfering with other organs.
What is Maladaptive?
Disfunction refers to behaviors that cause physical or emotional harm, hinder daily life, and indicate a loss of touch with reality or inability to control thoughts and behavior.
What is Mesmerism?
Franz Anton Mesmer’s 18th-century hypnotism proposed treating hysterical symptoms with animal magnetism, later explained by high suggestibility in individuals.
What is “Traitement moral” (moral treatment?
Philippe Pinel’s therapeutic regimen during the French Revolution, focusing on improved nutrition, living conditions, and rewards for productive behavior, was characterized by compassion and dignity.
What is the Biopsychosocial model?
A model in which the interaction of biological, psychological, and sociocultural factors is seen as influencing the development of the individual.
What is the Cathartic method?
Breuer’s therapeutic procedure, developed by Freud in the late 19th century, involves patients recalling and reliving traumatic events for insight and emotional relief.
What is Somatogenesis?
Developing from physical/bodily origins.
What is Psychogenesis?
Developing from psychological origins.
What is Trephination?
The drilling of a hole in the skull, presumably as a way of treating psychological disorders.
What is Animism?
The belief in a soul for all entities and the connection between mental illness and animistic causes, such as evil spirits, is widely accepted.
What is Anxiety?
A mood state characterized by negative affect, muscle tension, and physical arousal in which a person apprehensively anticipates future danger or misfortune.
What is Generalized anxiety disorder (GAD)?
Excessive worry about everyday things that is at a level that is out of proportion to the specific causes of worry.
What is Obsessive-compulsive disorder (OCD)?
Anxiety disorder involves excessive or compulsive behaviors like cleaning, repeatedly opening and closing doors, hoarding, and obsessing over thoughts to reduce anxiety.
What is a Panic disorder (PD)?
A condition marked by regular strong panic attacks, and which may include significant levels of worry about future attacks.
What is Posttraumatic stress disorder (PTSD)?
A sense of intense fear, triggered by memories of a past traumatic event, that another traumatic event might occur. PTSD may include feelings of isolation and emotional numbing.
What is Social anxiety disorder (SAD)?
A condition marked by acute fear of social situations which lead to worry and diminished day to day functioning.
What is Thought-action fusion?
The tendency to overestimate the relationship between a thought and an action, such that one mistakenly believes a “bad” thought is the equivalent of a “bad” action.
What is SAD performance only?
Social anxiety disorder which is limited to certain situations that the sufferer perceives as requiring some type of performance.
What is Conditioned response?
Classical conditioning involves pairing an automatic response with a neutral stimulus, allowing the neutral stimulus to elicit the same response independently.
What is Reinforced response?
Following the process of operant conditioning, the strengthening of a response following either the delivery of a desired consequence (positive reinforcement) or escape from an aversive consequence.
What is Fight or flight response?
A biological reaction to alarming stressors that prepares the body to resist or escape a threat.
What is External cues?
Stimuli in the outside world that serve as triggers for anxiety or as reminders of past traumatic events.
What is Biological vulnerability?
A specific genetic and neurobiological factor that might predispose someone to develop anxiety disorders.
What is SSRIs/SNRIs?
E.g., Citalopram, Sertraline, Venlafaxine,
* Increase synaptic availability of serotonin and/or
norepinephrine & dopamine (depending on
type/dosage)
* A range of side-effects
* Better for psychological than physical symptoms
What is Agoraphobia?
A sort of anxiety disorder distinguished by feelings that a place is uncomfortable or may be unsafe because it is significantly open or crowded.
What is Specific Phobia
Irrational fear of specific object/situation
* Target poses no real danger/out of proportion to danger
4 major subtypes
1. Animal: snakes, spiders, dogs
* Most common
2. BII: Blood-injury-injection
* E.g. dentist, injections, blood draw
3. Situational: planes, elevators, enclosed spaces
4. Natural environment: heights, storms, water
+ “Other”: everything else’
e.g. Vomiting, choking, dolls
What is Benzodiazepines?
E.g. clonazepam, diazepam, lorazepam
* Act on neurotransmitter GABA, produce feelings of
calmness and may help sleep
* More effective for physiological than psychological
symptoms
* Fast acting, few side effects if used in the short-term
* Long-term side effects
* Impaired memory & cognition, increased anxiety & depression,
increased risk of dementia, hip fractures
* High potential for abuse & addiction
What is Cognitive Behavioural Therapy (CBT)?
Identify & challenge problematic thoughts, beliefs,
behaviours
* Practice applying new approaches to arousing
situations
* Reduce avoidance/escape, which is self-reinforcing
* Exposure exercises
* Longer-lasting results than meds, but meds can
enhance efficacy of CBT
What is Mood Episodes?
Everyone experiences brief periods of sadness, irritability, or euphoria. This is different than having a mood disorder, such as MDD or BD, which are characterized by a constellation of symptoms that causes people significant distress or impairs their everyday functioning.
What is Major Depressive Episode?
A major depressive episode (MDE) is a severe distress or impairment characterized by persistent symptoms lasting at least two weeks, affecting work, school, or relationships.
What are the two required symptoms are need to be an MDE.
what are the rest of them?
How may are needed to be classified as MDE?
Required
1. depressed mood
2. diminished interest or pleasure in almost all activities
Others
3. significant weight loss or gain or an increase or decrease in appetite
4. insomnia or hypersomnia
5. psychomotor agitation or retardation
6. fatigue or loss of energy
7. feeling worthless or excessive or inappropriate guilt
8. diminished ability to concentrate or indecisiveness
9. recurrent thoughts of death, suicidal ideation, or a suicide attempt
required to have 5 or more most of the day; everyday
What are the other symptoms for Unipolar Mood Disorders?
- poor appetite or overeating
- insomnia or hypersomnia
- low energy or fatigue
- low self-esteem
- poor concentration or difficulty making decisions
- feelings of hopelessness
What is Manic or Hypomanic Episode?
Manic or hypomanic episodes are defined by a persistent, euphoric mood and increased goal-directed activity, lasting one week or longer in mania and four days or longer in hypomania.
What are the Symptoms for Manic episodes
and how many are needed?
- inflated self-esteem or grandiosity
- increased goal-directed activity or psychomotor agitation
- reduced need for sleep
- racing thoughts or flight of ideas
- distractibility
- increased talkativeness
- excessive involvement in risky behaviors
Need around 3-4 Symptoms
What is Unipolar Mood Disorders?
- major depressive disorder
- persistent depressive disorder
PDD criteria include frequent, prolonged depression for at least two years, and at least two symptoms of depression.
What is Bipolar Mood Disorders and how many are there?
- Bipolar I Disorder (BD I), also known as manic-depression, is characterized by a single or recurrent manic episode.
- Bipolar II Disorder involves single or recurrent hypomanic and depressive episodes.
- Cyclothymic Disorder is characterized by numerous and alternating periods of hypomania and depression lasting at least two years.
- To qualify, symptoms must cause significant distress or impairment, not meet full diagnostic criteria for an MDE.
What are some Antidepressant Medications for Depressive Disorders?
Monoamine oxidase inhibitors (MAOIs): Early antidepressants targeting neurotransmitters involved in depression.
* Tricyclics: Block the reabsorption of norepinephrine, serotonin, or dopamine at synapses.
* Selective serotonin reuptake inhibitors (SSRIs) and serotonin and norepinephrine reuptake inhibitors (SNRIs): Most commonly prescribed antidepressants.
* SSRIs and SNRIs: Less cardiotoxic, less lethal in overdose, produce fewer cognitive impairments.