Psych Flashcards

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1
Q

what is the thought process when speaker never gets to the point

A

tangentiality

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2
Q

what is the thought process when there is delay reaching the point, over-inclusion, and excessive details

A

circumstantiality

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3
Q

what is the thought process where ideas shift from one subject to another in completely unrelated ways

A

loose associations

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4
Q

what is the thought process with rapid verbalizations, play on words, where ideas tend to be connected

A

flight of ideas

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5
Q

what are ruminations

A

mood-congruent concerns with anxiety/depression

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6
Q

what is depersonalization

A

feeling one is falling apart/fragmenting

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7
Q

what is agnosia

A

inability to recognize people/objects

-can be organic

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8
Q

what NT are MC implicated in mood disorders

A

norepinephrine and serotonin

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9
Q

In depression _____ is decreased. In mania it is increased

A

dopamine

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10
Q

What differentiates grief from depressive episode

A

grief has no disturbance on self esteem, guilt, or worthlessness

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11
Q

MC sign of MDD

A

psychomotor retardation

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12
Q

Symptoms of depression

A
SIGECAPS+MOOD
Sleep disturbances
Interests- loss of pleasurable activities
Guilty
Energy loss
Concentration decreased
Appetite
Psychomotor slowing
Suicidal thoughts
MOOD depressed
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13
Q

Bipolar I is

A

manic episodes +/- MD episodes

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14
Q

Symptoms of manic episode

A
DIGFAST
Distractibility
Indiscretions (pleasureable activities)
Grandiosity
Flight of ideas
Activity increase
Sleep deficit
Talkative
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15
Q

Bipolar 1 + MDD episode treatment

A

Symbyax

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16
Q

Bipolar II is

A

hypomania + MDD

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17
Q

Rapid cyclers have

A

> = 4 episodes of mood disturbances in prev 12 months

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18
Q

Mixed episodes of bipolar dx is

A

criteria for manic and mdd episode met (except duration) met nearly every day during at least a 1 week period

19
Q

cyclothymic dx

A

2+ years of hypomania and depression

20
Q

dysthymic dx

A

2+ years of depressed mood- “low hum”

21
Q

Suicide assessment mnemonic

A
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

22
Q

Dx Adjustment disorder

A

emotional response to stressful event
sxs within 3m of stressor- depression/anxiety
once stressor/consequences terminated sxs <6m
NOT bereavement

23
Q

TOC adjustment disorder

A

psychotherapy, crisis intervention

24
Q

excessive worrying about number of events/activities more days than not with fatigue, muscle tension, sleep disturbances, palpitations

A

Generalized Anxiety Disorder

25
Q

Tx generalized anxiety disorder

A

Combo of CBT + meds (likely benzo prn)

26
Q

Tx generalized anxiety disorder with cognitive symptoms

A

Buspar

27
Q

Tx generalized anxiety disorder with muscle tension, irritability, insomnia

A

Effexor

28
Q

Tx generalized anxiety disorder with depression

A

SSRI

29
Q

DOC panic disorder

A

Alprazolam (Xanax) and Paroxetine (Paxil)

30
Q

Discrete period of intense fear with palpitations, SOB, sweating, and fear of losing control

A

Panic attack

31
Q

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

A

DX Agoraphobia

32
Q

TOC Agoraphobia

A

CBT

Paroxetine

33
Q

acrophobia

A

heights

34
Q

agoraphobia

A

open places

35
Q

ailurophobia

A

cats

36
Q

algophobia

A

pain

37
Q

astraphobia

A

thunderstorms

38
Q

claustrophobia

A

enclosed spaces

39
Q

cynophobia

A

dogs

40
Q

monophobia

A

being alone

41
Q

mysophobia

A

contaminations

42
Q

xenophobia

A

strangers

43
Q

zoophobia

A

animals

44
Q

TOC specific phobias

A

exposure therapy/behavior