psych Flashcards
what happens to a baby who is deprived of affection? :(((((((
FTT
poor language/socialization skills
lack of trust
depression - withdrawn/unresponsive
ADHD?
decreased frontal lobe volume/metabolism
tx: stimulants, CBT
** atomoxetine = alternative to stimulants
tx of Tourette?
low dose high potency antipsychotics
tetrabenazine
clonidine
neurotransmitter change in AD?
decreased ACh
increased glutamate
neurotransmitter change in anxiety?
increased NE
decreased GABA, 5HT
neurotransmitter change in depression?
decreased NE, 5HT, dopa
neurotransmitter change in HD?
decreased GABA, ACh
increased dopa
neurotransmitter change in PD?
decreased dopa
increased ACh
neurotransmitter change in schizophrenia?
increased dopa
what is the order of “loss” in loss of orientation? (person vs place vs time)
1st: time
2nd: place
3rd: person
hypnagogic vs hypnapompic hallucinations?
hypnagogic: when going to sleep
hypnapompic: when waking up
time requirements in psychotic d/os?
brief psychotic do: 1 mos
schizophreniform: 1-6 mos
schizophrenia: > 6 mos
schizoaffective: mood sx > 2 weeks (psychosis present w/o mood sx)
delusional disorder?
lasts > 1 month
functioning cannot be otherwise impaired
time requirements in mania d/os?
manic episode: > 1 week
hypomanic: at least 4 days
cyclothymic do: lasts at least 2 years
sleep changes in depression?
decreased slow wave sleep decreased REM latency increased REM early in sleep cycle increased total REM repeated nighttime awakenings terminal insomnia
tx of atypical depression?
MAOis effective but bad SE profile
CBT and SSRIs first line
tx of postpartum psychosis?
hospitalization and atypical antipsychotic
ECT if insufficient
pathologic grief?
> 6 mos
meets major depressive criteria and/or has psychotic features
tx of OCD?
CBT
SSRIs
clomipramine
tx of PTSD?
CBT
SSRIs
venlafaxine
cluster A personality dos?
paranoid
schizoid
schizotypal
cluster B personality dos?
antisocial
borderline
histrionic
narcissistic
cluster C personality dos?
avoidant
obsessive-compulsive
dependent
electrolyte abnl in refeeding syndrome?
hypophosphatemia
sleep terror disorder?
occurs in slow-wave sleep - no memory of arousal
usually self limited
mechanism of narcolepsy?
decreased hypocretin (orexin) production in lateral hypothalamus strong genetic component
tx of PCP intox?
BZOs
antipsychotic
dronabinol?
pharmaceutical form of marijuana
used as antiemetic and appetite stimulant
when do DTs happen?
peak 2-4 days after last drink
when does alcoholic hallucinosis happen?
12-48 hrs after last drink
