PSYC102 - 13 Flashcards

1
Q

How many children with mental disorders receive treatment and what disorder is most commonly treated?

A

50%, ADHD most likely, anxiety least likely

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How were mental illnesses previously treated?

A

Believed to be caused by possession, witchcraft…

Treated by trephining (hole in scull to release spirit), exorcisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Who was Philippe Pinel?

A

Argued for patients to be unchained and talked to in asylums, created La Salpetriere in 1795

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What did Dorethea Dix do?

A

Focused on mental health reforms in 19th century

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What percent of homeless adults in shelters experience mental illness?

A

26%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Psychotherapy vs biomedical therapy

A

Psychotherapy - psychological treatment employing methods to help overcome personal problems
Biomedical - involves medication/medical procedures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Psychodynamic psychotherapy/Psychoanalysis

A

Developed by Freud, takes years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Free association

A

Patient relaxes and says what comes to mind, used in psychoanalysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Define transference

A

Patient transfers +/- emotions with relationships to psychoanalyst

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define Play Theory

A

Used with children to play out their hopes/traumas while using toyes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Non-directive vs Directive play theory

A

Non-directive - children encouraged to play freely

Directive - Therapist provides structure in play session

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define Behaviour theory

A

Change undesirable behaviour by teaching constructive behaviours using operant/classical conditioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define Counterconditioning and its types

A

Client learns new response to stimulus that has previously elicited undersidable behaviour
Aversive conditioning and exposure therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define Aversive conditioning

A

Uses unpleasant stimulus to stop undersirable behaviour

Used to eliminate addictive behaviours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Define exposure therapy

A

Treat fear/anxiety by presenting situation to make patient get used to stimulus
First used in 1925 by Mary Cover Jones with Peter and rabbits
Systemic desensitization and VR exposure therapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Define Systemic desensitization

A

Type of exposure therapy where calm state is gradually associated with increased levels of anxiety inducing stimuli

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Define Applied behaviour analysis

A

Type of operant conditioning in behaviour therapy that uses child specific reinforcers as a reward for autistic children, with punishment such as timeout to discourage behaviours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Define token economy

A

Type of operant conditioning in behaviour therapy using a controlled setting where individuals are reinforced with tokens that can be exchanged for items and privileges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Define Cognitive therapy

A

Focuses on how thoughts lead to feelings of distress, how you think determines how you feel and act
Developed by Aaron Beck in 1960s

20
Q

Define Cognitive Behavioural therapy

A

Rational emotive therapy (RET), ABC model

21
Q

What is RET?

A

Developed by Albert Ellis, examines how thoughts affects behaviour
Change cognitive distortions and self-defeating behaviours

22
Q

Define Cognitive distortions

A

All-or-nothing thinking, overgeneralization, jumping to conclusions

23
Q

What is the ABC model?

A

Actions, Belief (about event), Consequences (of this belief)

24
Q

What is the humanistic theory

A

Help to achieve full potential and accept oneself

Client centered therapy: non-directive therapy

25
What are 3 factors for successful psychotherapy treatment
1. Use of evidence based treatment that is appropriate for issue 2. Clinical expertise of psychologist 3. Own characteristics
26
What are antipsychotics
Developed in the 1950s, used for schizophrenia and thought disorders. Treat auditory/visual hallucinations, delusions, paranoia by blocking dopamine Can lead to tardive dyskinesia, involunary arm/leg movement Haldol, Mellaril, Proloxin, Thorazine
27
Atypical Antipsychotics
Developed in 80s for schizophrenia and thought disorders Treat symptoms of schizophrenia (withdrawal and apathy) by targeting dopamine and serotonin receptors Can increase risk of obesity an diabetes 1. Quetiapine (Seroquel) 2. Olanzapine + SSRI (symbyax) 3. Aripiprazole (abilify)
28
Antidepressants
Alter serotonin and norepinephrine levels Two types: Selective serotonin reuptake inhibitors (SSRIs): Paxil, Prozac, Zoloft Tricyclics: Tofranil, Elavil
29
Anti-anxiety agents
Depress CNS activity Drowsiness, dizziness, headache, fatigue Xanax, Valium, Ativan
30
Mood Stabilizers
``` Treat bipolar disorders Treat depression and mania episodes 1. Lithium - John Cade in 1949, prevents cycling 2. Anticonvulsants 3. Atypical antipsychotics ```
31
Stimulants
Treat ADHD Decrease appetite, difficulty sleeping Adderall, Retalin
32
Addiction
Viewed as chronic disease with 40-60% relapse
33
Treatments of depression
Somatic Treatments: Electrocunvulsive therapy, Transcranial magnetic stimulation Non Pharmacological Treatments: CBT, Sleep deprivation, exercise Pharmacological Treatments: Monoamine oxidase inhibitors, tricyclic antidepressants, selective monamine reuptake inhibitors, atypical antidepressants, omega-3 polyunsaturated fatty acids
34
Neurotransmitters involved in depression
Monoamines: - Catecholamines: Dopamine, Epinephrine, Norepinephrine - Indolamines: Serotonine Neurotransmitters are removed from synapse by deactivating enzymes or reuptake, drugs for depression use reuptake
35
Monamine Oxidase Inhibitors (MAOIs)
Treat depression Iproniazid was first antidepressant (1957) used first for tuberculosis. Increases synaptic levels of monoamines by inhibiting the deactivating enzyme monoamine oxidase (MAO)
36
What is the cheese effect?
Foods with tyramine (cheese, wine) increase BP MAO in liver breaks down tyramine Increase in BP can lead to stroke
37
Tricyclic antidepressants
Imipramine was used first, thought to be anti-schizophrenic Block reuptake of serotonin and norepinephrine Safer that MAOIs
38
Atypical Antidepressants
Bupropion - favourable side effects, dopamine/norepinephrine reuptake inhibitor
39
Omega-3 Polyunsaturated Fatty acids
Used for clinical depression
40
Bipolar Disorder Treatment
Non-pharmacological: CBT for depressive phases, potentially manic as well - Coping strategies: Reality checking, 48 hr rule, avoiding certain types of thinking (all or nothing, catastrophizing/fortune telling, mind reading, overgeneralization) Pharmacological Treatment: Antidepressants (depressive phase), Antipsychotics (mania)
41
Anticonvulsants
Not as effective as lithium 1. Valproate semisodium (epival, depakote) 2. Lamotrigine (lamictal)
42
Treatment of Schizophrenia
Non-pharmacological: CBT, insight therapy and counselling | Pharmacological: Antypsychotics
43
Dopamine Theory
Schizophrenia is caused by too much dopamine receptor activity Brains of parkinson's have decreased dopamine an antipsychotics produce similar symptoms Drugs known to increase dopamine produce similar symptoms of schizophrenia Efficacy of antipsychotics is correlated with the degree it blocks dopamine receptor activity Problems: atypical antipsychotics produce a large variety of changes in the brain and are just as good as traditional antipsychotics, takes 2-3 weeks to work even though its effects on dopamine is immediate, most patients show no change in first antipsychotic
44
Treating Anxiety disorders
``` Non-pharmacological: CBT Pharmacological: 1. Benzodiazepines 2. Antidepressants 3. Buspirone ```
45
Benzodiazapines
Used in 10% of NAs, taken for short period Also for hypnotics and anticonvulsants Side effects: sedation, addiction, withdrawal
46
Buspiron
Increase serotonin receptors, less side effects than benzodiazepines
47
Treating personality disorders
Dialectical Behaviours therapy - Marsha Lineham for acceptance and change Pharmacological: antidepressants, mood stabilizers, antipsychotics