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Prep Study > Psych > Flashcards

Psych Flashcards

1
Q

Cluster A

A

Schizoid
Schizotypal
Paranoid

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2
Q

Cluster B

A

Anti-Social
Borderline
Histrionic
Narcissistic

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3
Q

Cluster C

A

Avoidant
Dependent
OCPD

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4
Q

Schizoid Personality Disorder

A

Prefer to be alone or Isolated

Hermit, Loner, Introverts
prefer to be alone

Male>female

CBT first line
2nd line Short-term low-dose anti-psychs

Cluster A

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5
Q

Schizotypal Personality Disorder

A

Magical thinking
Odd eccentric, bizarre behavior or thinking

DX requires 5 of the criteria
-Ideas of reference (excluding delusions of reference), suspiciousness

-Odd beliefs or magical thinking or speech (eg, belief in clairvoyance, telepathy, superstition, bizarre
fantasies etc.)

-May talk to self in public.

-Unusual perceptual experiences; distorted cognition and reasoning.

-Inappropriate or restricted affect

-Pervasive discomfort with close relationships (increased social anxiety, may have few close friends)

CBT first line
2nd line Short-term low-dose anti-psychs

Cluster A

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6
Q

Paranoid Personality Disorder

A

Distrust, Suspiciousness

Unjust doubts about the loyalty
Taking things the wrong way
holds grudges, Doesn’t forgive
Suspicion of spouse

CBT first line
2nd line Short-term low-dose anti-psychs

Cluster A

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7
Q

Bipolar 1

A

Must have 1 Manic episode
(MDD not required but usual)

Mania must persist for 1 week and affect daily function

Mood, Thinking, Behavior

Lithium is first line
Depakote / carbamazepine for rapid cycling/mixed
2nd gen
CBT

Use of SSRI or Antidepressant may induce mania

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8
Q

Bipolar 2

A

Must have MDD (at least 1 episode)
Must have at least 1 hypomanic episode
Can be anytime in hx

Hypomania: less than a week, does not require hospitalization or impair daily function

Lithium is first line
Depakote / carbamazepine for rapid cycling/mixed
2nd gen
CBT

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9
Q

Cyclothymic disorder

A

Similar to bipolar 2 (less Severe)

Common with borderline personality disorder

at least 2 years of prolonged mild depression
and mild hypomania
(don’t meet bipolar 1/2 criteria)

no symptom free period for longer than 2 months
in the 2 year period

Tx: mood stabilizers like lithium / depakote, 2nd gen anti-psychs

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10
Q

Major Depressive Disorder

A

At least 2 episodes of 5 Symptoms for at least 2 weeks

Symptoms must cause distress or impairment

S/S all the PHQ 9 stuff

CBT
SSRI first line pharm therapy
If no effect in 4 weeks, switch SSRI’s
SNRI, Welbutrin, TCA, MAOI
ECT

Other depression sub-types
(SAD, Atypical, Melancholia, Catatonic)

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11
Q

Generalized Anxiety Disorder

A

Excessive Anxiety or worry most days for at east 6 months
Anxiety out of proportion

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12
Q

Generalized Anxiety Disorder

A

Excessive Anxiety or worry most days for at east 6 months
Anxiety out of proportion
At least 3 symptoms
Not episodic, situational or focal
Cause social impairment

SSRI first line
Buspar as adjunct to SSRI
CBT
Benzos (short term)
BB or TCA

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13
Q

Panic Disorder

A

Recurrent Panic Attacks (at least 2)
May or may not have trigger

Attack after persistent worry for attack, worry about implications, impairment (must occur for 1 month)

Agoraphobia

Over 60% have MDD

Long term SSRI first line (Sertraline, Citalopram, Fluoxetine)
Can use benzos short term and taper
SNRI, TCA
CBT
Benzos for acute attacks

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14
Q

Panic Attack

A

Sudden abrupt intense
Peaks within 10 minutes, rarely lasts longer than 1 hour
Feel anxious for hours after
Must have 4 S/S (impending Doom is hallmark)
tachy, diaphoresis, tremors etc

Benzo is first line

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15
Q

Agoraphobia

A

Fear of situations where escape or help is difficult

Enclosed spaces, going outside, bridges, public trans

last at least 6 months, cause social impairment

CBT and SSRI’s

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16
Q

Social anxiety disorder

A

Public speaking (most common phobia)

Disabling, persistent fear of social performance
Scrutiny, embarrassment
Can cause panic attacks

CBT inital
SSRI
Can use BB for situational uses

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17
Q

Specific Phobias

A

Persistent (at least 6 months)
Heights, flying, snakes, spiders, blood, hospitals, etc

Situation triggers response
Fear out of proportion
Actively avoided
Must impair everyday activities

Exposure and desensitization therapy
Can use short term Benzo or BB

Subtypes:
Animal, Situational, Natural environment, Blood and injection injury

18
Q

Specific Phobia Subtypes

A

Subtypes:

Animal: Spiders, dogs, mice, etc.

Situational: Airplanes, elevators, etc.

Natural environment: Heights, thunder, water, dark, etc.

Blood and injection injury: injury, needles, blood, etc.

19
Q

Conversion Disorder

A

Now is Functional Neurological Symptom disorder

Convert stress into Neuro Symptoms
S/S Not intentionally Produced
Calm and unconcerned by S/S

Paralysis, Blindness, HA, Vision, Hearing, Gait, weakness, tics etc.

Causes impairment

Patient education about illness
CBT

20
Q

Functional Neurological Symptom Disorder

A

Formerly Conversion disorder

Convert stress into Neuro Symptoms
S/S Not intentionally Produced
Calm and unconcerned by S/S

Paralysis, Blindness, HA, Vision, Hearing, Gait, weakness, tics etc.

Causes impairment

Patient education about illness
CBT

21
Q

Somatic

A

Creates symptoms through excessive thoughts and behaviors

Vague symptoms
SOB, Dysmenorrhea, Dysphagia, Amnesia, Vomiting, Pain in extremities, etc.
Must disrupt daily life

Tx: regular visits to Provider
CBT

22
Q

Adjustment disorder

A

within 3 months of stressor
Resolves within 6 months

Distress out of proportion to stressor

Job loss, breakup, illness etc.

Depressed mood, Anxiety, Etc.

CBT

23
Q

PTSD

A

Traumatic event over 1 month ago
S/S last over 1 month

Intrusive thoughts, reliving, avoidance, cognition, mood, hypervigilance, anger etc.

SSRI first line
Trazodone for insomnia
CBT

24
Q

Acute Stress

A

PTSD with event under 1 month ago
S/S last under 1 month

CBT

25
Q

Narcissistic
Cluster B

A

Grandiose thoughts, self importance
Need admiration
lacks empathy

Fragile self esteem (aging, loss of power, depression)
Fantasies of wealth, brilliance, success

CBT

26
Q

Histrionic
Cluster B

A

Hissy Fits
Attention seeking
Inappropriate sexual advances
Seeks reassurance
Hyperinflated relationships

CBT

27
Q

Borderline
Cluster B

A

Unstable, unpredictable mood, affect and self image

Mood swings, Black and white, Blown up reactions, Unstable relationships, fear of abandonment

Reckless behavior, self harm, substance abuse, binge eating, poor self worth, etc.

CBT

28
Q

Narcissistic

A

Grandiose thoughts, self importance
Need admiration
lacks empathy

Fragile self esteem (aging, loss of power, depression)
Fantasies of wealth, brilliance, success

CBT

Cluster B

29
Q

Histrionic

A

Hissy Fits
Attention seeking
Inappropriate sexual advances
Seeks reassurance
Hyperinflated relationships

CBT

Cluster B

30
Q

Borderline

A

Unstable, unpredictable mood, affect and self image

Mood swings, Black and white, Blown up reactions, Unstable relationships, fear of abandonment

Reckless behavior, self harm, substance abuse, binge eating, poor self worth, etc.

CBT

Cluster B

31
Q

Anti-Social

A

Harmful or hostile to society
Criminal Acts
Over 18
Violation of others rights
Drunk driving, assault, lack of remorse, lying, deceit, aggression

CBT (establish limits) Avoid medication

Under 18 is conduct disorder

Cluster B

32
Q

Avoidant

A

Social inhibition
Intense fear of rejection
Timid shy, no confidence

Inferiority complex
preoccupation with rejection

CBR

Cluster C

33
Q

Dependent

A

Codependent
Submissive
fear of being alone or making decisions

Clingy, need taking care of
need approval from others

CBT

Cluster C

34
Q

OCPD

A

Preoccupation with order, details, perfectionism
Without compulsions or obsessions

Don’t think their behaviors are bad or wrong

Stubborn, rigid,

CBT
BB, SSRI

Cluster C

35
Q

Alcohol Withdrawal S/S

A

IV benzos
IV fluids, thiamine, magnesium, multivitamins

CAGE

CBT
Disulfiram
Naltrexone

36
Q

Nicotine Withdrawal S/S

A

Restlessness, anxiety, irritability, HA, depression, Increased appetite, Weight gain, cravings

Chantix increases suicide risk

37
Q

Stimulant Withdrawal S/S

A

Cocaine, meth

Elevated mood, euphoric, psychomotor agitation, pressured speech

NV, seizures

38
Q

Opioid Withdrawal S/S

A

Not life threatening (unpleasant)

Lacrimation, Piloerection, Pupil Dilation (midiasis)
Flu like symptoms
Joint pain, myalgias

Narcan, Clonidine, benzos, Methadone, suboxone

39
Q

Alcohol Withdrawal Time Frame

A

6-36 hours (onset from last drink)
Tremors, anxiety, irritability, palpitations, hypertension, insomnia, NVD,

no seizures, hallucinations or delirium tremens if uncomplicated

Complicated:
Seizures 6-48 hours
Hallucinations: 12-48 hours
Delirium tremens: 2-5 days

40
Q

Nicotine Withdrawal Time Frame

A

Start therapy 1-2 weeks prior to quitting,

Keep therapy 4-6 months after quit date

Avoid abrupt withdrawal

41
Q

Opioid use

A

Drowsiness, sedation, impairment, slurred speech, N/V coma, Euphoria

Pupil constriction (miosis)
Resp depression, AMS
Bradycardia, hypotension
Constipation

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