Psych Flashcards
How is major depression diagnosed?
Need 5 SIGE CAPS for >2 weeks
Sleep disturbances (wake in early AM)
Interest/Libido loss
Guilt
Energy loss
Concentration loss
Appetite loss
Psychomotor agitation
Suicide (hopelessness)
What is autism?
Repetitive movements
Lack of verbal skills and bonding
Sx since birth
What is Asperger’s?
Good communication
Impaired relationships
No mental retardation
What is Rett’s?
Only in girls
Decreased head growth
Lose motor skills
Hand-wringing
Normal until 5 years
What is Childhood Disintegrative Disorder?
Develop normally for first 2 years, then behave autistic
What is Selective Mutism?
Kid talks sometimes
What is Separation Anxiety Disorder?
Kid screams when mom leaves
What is Conduct Disorder?
Aggressive
Disregard for rules
No sense of guilt
Harm animals
Illegal activity “bite”
What is Oppositional Defiant Disorder?
Defiant
Non compliant
Directed at authority “bark”
What is Attention Deficit Hyperactivity Disorder?
Overactivity
Difficulty in school
What is Dysthymia?
Low level sadness >2 yr
What is Cyclothymia?
Dysthymia w/ hypomania
What is Double Depression?
Depression followed by dysthymia
What is Bipolar I?
Depression
Mania (psychosis)
What is Bipolar 2?
Depression
Hypomania (no psychosis)
What are loose associations?
Ideas switch subjects
Incoherent
What is Tangentiality?
Wanders off the point
What is Circumstantiality?
Digresses, but finally gets back to the point
What is Clanging?
Words that sound alike
What is Word Salad?
Unrelated combination of words
What is perseveration?
Keeps repeating the same words
What is Neologisms?
New words
What is Delusion?
False belief
What is Illusion?
Misinterprets stimulus
What is Hallucination?
False sensory perception
EtOH withdrawal
Cocaine intoxication => formication
What is Nihilism?
Thinks the world has stopped
What is Loss of Ego boundaries?
Not knowing where I end and you begin
What are ideas of reference?
Believes the media is monitoring you
What is Thought Blocking?
Stops mid-sentence
What is Thought Broadcasting?
Believes everyone can read his thoughts
What is Thought Insertion?
Believes others are putting thoughts into his head
What is Thought Withdrawal?
Believes others are taking thoughts out of his head
What is Concrete Thinking?
Can’t interpret abstract proverbs, just sees the facts
What is Synesthesia?
Smell colors
What is Cataplexy?
Loss of muscle tone due to strong emotions
What is a Paranoid personality disorder?
Suspicious about everything, use projection
What is Schizotypal personality disorder?
“Magical thinking”
Bizarre behavior
What is Schizoid personality disorder?
“Recluse”
Don’t want to fit in
What is Antisocial personality disorder?
Lie
Steal
Cheat
Destroy property
Impulsive w/o remorse
Illegal activity
What is Conduct Disorder personality disorder?
<15 yo antisocial disorder
What is Histrionic personality disorder?
Theatrical
Sexually provocative
Use repression
What is Borderline personality disorder?
“Perpetual teenager”
Splitting (love/hate)
Projection
Acting out
Self-mutilation
What is Narcissistic personality disorder?
Pompous
No empathy
What is Dependent personality disorder?
Clingy
Submissive
Low self-confidence
Regression
What is Obsessive-Compulsive personality disorder?
Perfectionist
Doesn’t show feelings
Detail-oriented
Uses isolation
What is Avoidant personality disorder?
Socially withdrawn
Afraid of rejection but wants to fit in
What is Kleptomania?
Steals for fun of it
What is Pyromania?
Starts fires
What is Intermittent Explosive Disorder?
Loses self-control without adequate reason
What is Pathological Gambling?
Can’t stop gambling
Affects others
What is Trichotillomania?
Pull out their hair
What is Lewy body dementia?
Stiff, visual hallucinations
What is Normal Pressure Hydrocephalus?
TrIAD
- Incontinence
- Ataxia (“magnetic gait”)
- Dementia
What is Korsakoff psychosis?
Alcoholic thiamine deficiency
What is vascular “multi-infarct” dementia?
Sudden onset
Uneven progression of deficits
“stair-step” decline
What is Huntington’s?
In caudate/putamen
Triplet repeat disorder (CTG)
Choreiform movements
What is Creutzfeldt-Jacob?
Prion induced
Die within 1 year
Post-cornea transplant
What is Pick’s disease?
Frontal lobe atrophy
Disinhibition
What are causes of Alzheimer’s?
Decrease ACh in nucleus basalis of Maynert
Bad ApoE
Amyloid plaques
Tangles of tau
What is Parkinson’s?
In substantia nigra
Bradykinesia
Pill-rolling tremor
Shuffling gait
Lewy bodies
What is Somatization?
Think they have a different illness all the time (affecting at least 4 organ systems)
What is Hypochondriasis?
Think they have the same illness all the time
What is Body Dismorphic Disorder?
Imagined physical defect
What is Pain disorder?
Prolonged pain not explained by physical causes
What is Conversion?
Neuro manifestation of internal conflict, indifferent to disability
What is Malingering?
Fake illness for Monetary gain
Avoids medical treatment
What is Factitious?
Fake illness to get attention
Seeks medical treatment
What is Munchausen?
Need to be caregiver
Mom fakes child’s illness to get attention
What is Munchausen by proxy?
Mom makes child ill for gain
Move a lot
What is Amnesia?
Can’t recall important facts
What is Dissociative Fugue?
No past
Travel to new place
Usually due to trauma
What is Multiple Personality Disorder?
Have 5-10 alters
Usually associated w/ incest
What is Depersonalization Disorder?
“out of body” experiences
Deja vu
What is Sublimation?
Substitute acceptable for unacceptable (boxer vs fighting)
What is Imitation?
Dress like someone else
What is Identification?
Act like someone else
What is Idealization?
Wait for “ideal spouse” while they are beating you up
What is Transference?
Patient views doctor as parent
What is Countertransference?
Doctor views patient as child
What is Displacement?
Act like someone else
What is Acting Out?
Expression of impulse
“tantrums”
What is Regression?
Immature behavior
What is Reaction Formation?
Unconsciously act opposite to how you feel
(ex: tears of a clown)
What is Intellectualization?
Act like a “know-it-all” to avoid feeling emotions
What is Rationalization?
Make excuses for all situations
What is Isolation of Affect?
Isolate feelings to keep on functioning
What is Suppression?
Consciously block memory
What is Repression?
Subconsciously block memory
What is Undoing?
Doing exact opposite of what you used to do to fix a wrong
What is Compensation?
Doing something different of what you used to do
What is Sadism?
Gives pain
What is Masochism?
Receives pain
What is Exhibitionism?
Exposure to others
What is Voyeurism?
Watching other people without their permission
What is Telephone Scatalogia?
phone sex
What is Frotteurism?
Rub penis against fully clothed women
What is a Transvestite?
Dress up as opposite sex
No identity crisis
What is a Transsexual?
Gender identity crisis
“man trapped in a woman’s body”
What is a fetish?
objects (vibrators, dildos, shoes)
What does a pedophile want to have sex with?
Children
(Watching child pornography)
What does a Necrophile want to have sex with?
Corpses
What does a Beastophile want to have sex with?
Animals
Can you die during EtOH withdrawal?
yes
Can you die during opioid withdrawal?
no, just very painful
