Psych Flashcards
What is the therapeutic alliance
patient and providers share beliefs regarding treatment goals and methods
agreement on goals, tasks, and personal bond between provider and patient…LISTEN, show empathy
What is the most recent diagnostic manual
DSM 5- TR (text revision)
What mental health have family link
bipolar, ADHD, substance abuse, schizophrenia, autism
Mental health appearance exam includes
appear older or younger than stated
what are they wearing/appropriate dress
grooming/hygiene
tattoos/scars
What is catatonia
sustained posture, limited movement
what is akathisia
restlessness/inability to sit still
Is a patients mood subjective or objective
patient own words, subjective, document with words verbatim in quotes
what is the interviewers description of patients observed expression through non verbal cues
Affect, interviewers observation
What is a circumstancial thought process
talking about something, go off topic, and then come back
what is tangential thought process
talking about something, go off topic, and do not return
what is flight of ideas
limited connection of thoughts, going everywhere, but some connection
Loose thought process
disorganized thinking, lack of logical connection or coherence, hard to follow
perseveration
no matter what the present topic is, they come back to a different topic they continue to think about
thought blocking
seen in psychosis, interruption in thought to make it hard to stop or start speech
What are delusions? types
firmly held false belief, not part of normal cultural beliefs (plausible or fantastical)
bizarre- could never happen
grandiose- inflation of self worth (type of god)
paranoia/persecutory- anxiety of harm
somatic- physical symptom but thought content off
What is the ASK screening tool
8 years and older, without present of parent for youth
not under 8
4 questions, 20 seconds
What is the difference between hallucination and illusion?
illusion- misperception based on stimuli (calling name in crowd of people)
hallucination: perception of something without external stimuli
What does it mean if a patient has good insight of their mental health?
if a patient has hallucinations, they are aware of the hallucinations/delusions
What is diagnostic criteria according to DSM-IV
indicates symptoms that must be present/duration and symptoms, disorders, and conditions that must be ruled out in order to qualify for particular diagnosis
What is generalized anxiety disorder?
excessive anxiety or worry for AT LEAST 6 MONTHS
difficulty controlling worry
associated with 3 OF THESE
restlessness
being easily fatigued
difficulty concentrating or mind going blank
irritability
muscle tension
sleep disturbance
*not substance or med related
what is panic disorder?
recurrent, unexpected panic attack- abrupt surge of intense fear or discomfort
4 OR MORE SOMATIC SYMPTOMS or fears (i.e., palpitation, shaking, SOB, CP, n/v, n/t,…)
followed by a month of concern or worry of have another attack, or doing behaviors to avoid having another panic attack
*Not substance related, not in relation to fear of social, obsessive, traumatic, separation anxiety
What is agoraphobia
anxiety about and or avoidance of situations where help may not be available or where is may be difficult to leave the situation int he event of developing a panic like symptoms/attack (crowds, shopping malls
may be house bound
What is social anxiety disorder
social phobia, excessive fears of scrutiny, embarrassment and humiliation in social or performance situations that lead to distress
*independent or co-occurance with panic attacks, anxiety, depressive, alcohol dependence, or schizophrenia
What is obsessive compulsive disorder
obsession- obtrusive or unwanted repetitive/persistent thoughts, images, or urges that cause marked distress or anxiety
compulsions- rituals or repetitive behaviors compelled to perform in order to reduce the distress triggered by obsession
