Psych Flashcards
what is the thought process when speaker never gets to the point
tangentiality
what is the thought process when there is delay reaching the point, over-inclusion, and excessive details
circumstantiality
what is the thought process where ideas shift from one subject to another in completely unrelated ways
loose associations
what is the thought process with rapid verbalizations, play on words, where ideas tend to be connected
flight of ideas
what are ruminations
mood-congruent concerns with anxiety/depression
what is depersonalization
feeling one is falling apart/fragmenting
what is agnosia
inability to recognize people/objects
-can be organic
what NT are MC implicated in mood disorders
norepinephrine and serotonin
In depression _____ is decreased. In mania it is increased
dopamine
What differentiates grief from depressive episode
grief has no disturbance on self esteem, guilt, or worthlessness
MC sign of MDD
psychomotor retardation
Symptoms of depression
SIGECAPS+MOOD Sleep disturbances Interests- loss of pleasurable activities Guilty Energy loss Concentration decreased Appetite Psychomotor slowing Suicidal thoughts MOOD depressed
Bipolar I is
manic episodes +/- MD episodes
Symptoms of manic episode
DIGFAST Distractibility Indiscretions (pleasureable activities) Grandiosity Flight of ideas Activity increase Sleep deficit Talkative
Bipolar 1 + MDD episode treatment
Symbyax
Bipolar II is
hypomania + MDD
Rapid cyclers have
> = 4 episodes of mood disturbances in prev 12 months
Mixed episodes of bipolar dx is
criteria for manic and mdd episode met (except duration) met nearly every day during at least a 1 week period
cyclothymic dx
2+ years of hypomania and depression
dysthymic dx
2+ years of depressed mood- “low hum”
Suicide assessment mnemonic
SADPERSONS S: sex M>F to succeed, F more attempts A: age 15-24 highest age group D: depression Inc risk 20x gen population P: prior hx E: EtOH/drug abuse R: rational thinking loss S: support system loss O: organized plan N: no signif other, divorced, widowed S: sickness (terminal, AIDS, CA)
5+ have high risk
Dx Adjustment disorder
emotional response to stressful event
sxs within 3m of stressor- depression/anxiety
once stressor/consequences terminated sxs <6m
NOT bereavement
TOC adjustment disorder
psychotherapy, crisis intervention
excessive worrying about number of events/activities more days than not with fatigue, muscle tension, sleep disturbances, palpitations
Generalized Anxiety Disorder
Tx generalized anxiety disorder
Combo of CBT + meds (likely benzo prn)
Tx generalized anxiety disorder with cognitive symptoms
Buspar
Tx generalized anxiety disorder with muscle tension, irritability, insomnia
Effexor
Tx generalized anxiety disorder with depression
SSRI
DOC panic disorder
Alprazolam (Xanax) and Paroxetine (Paxil)
Discrete period of intense fear with palpitations, SOB, sweating, and fear of losing control
Panic attack
marked fear/anxiety of 2+:
using public transport, being in open spaces, being in closed spaces, standing in line, being in a crowd, being outside of the home
DX Agoraphobia
TOC Agoraphobia
CBT
Paroxetine
acrophobia
heights
agoraphobia
open places
ailurophobia
cats
algophobia
pain
astraphobia
thunderstorms
claustrophobia
enclosed spaces
cynophobia
dogs
monophobia
being alone
mysophobia
contaminations
xenophobia
strangers
zoophobia
animals
TOC specific phobias
exposure therapy/behavior
