Psych Flashcards
Negative reinforcement
desired behavior removes negative stimulus
Transference
Patient thinks doctor is important formative person
Coubtertransferrnce
Doctor projects feelings of importance onto a patient
Acting out
Immature ego defense. Tantrum
Dissociation
Immature ego defense. Temporary change in personality to avoid conflict. Split personality.
Denial
Immature ego defense. Nothing is wrong!
Displacement
Immature ego defense. Avoided feelings are transferred onto neutral object. Yelling at the dog.
Fixation
Immature ego defense. Partial reversion childish behavior. Sports.
Identification
Immature ego defense. Modeling behavior after superior person in terms of power.
Isolation
Immature ego defense. Separation of feelings from ideas or event.
Projection
Immature ego defense. Unacceptable internal impulse attributed to another source.
Rationalization
Immature ego defense. Claiming logical reason for behavior which is false to avoid conflict.
Reaction formation
Immature ego defense. Acting the opposite way to ward off the unwanted feeling.
Repression
Immature ego defense. Forcing memory out of brain. forgetting a rape
Regression
Immature ego defense. Turn back emotional clock
Splitting
Immature ego defense. Intolerance of ambiguity. Morally black and white.
Classic conditioning
Natural response elicited by learned stimulus
Altruism
Mature ego defense. Do good kid
Humor
Mature ego defense. I didn’t want to be a doctor anyway
Sublimation
Mature ego defense. Redirect energy in a similar thing but positive. Like workout out
Suppression
Mature ego defense. Voluntary ignoring a feeling.
Conduct disorder
Basically doesn’t respect other basic rights. Fights and stealing.
Oppositional defiant disorder
Defying authority figures just cause
Autism
Fixation on objects more than people
Aspergers disorder
Mild autism. Basically obsession over things but no language defects.
Retts disorder
Girls only. Maturation reverses at age four
NT change: anxiety
High norepinephrine
Low GABA serotonin
NT change: depression
Low norepinephrine and serotonin and dopamine
NT change: Alzheimer’s
Low ACh
NT change: Huntingtons
Low GABA and ACh
High dopamine
NT change: schizophrenia
High dopamine
NT change: Parkinson’s
Low dopamine
High serotonin and ACh
Korsakoffs amnesia
Anterograde amnesia due to mammillary body destruction secondary to thiamine deficiency.
Thiamine other name
B1
Manic episode requires
Three of : dig fast Distractability Irresponsiblity Grandiosity Flight of ideas Activity Sleep down Talkativeness
Schizophrenia diagnosis
Two of Delusions Hallucination Disorganized speech Disorganized behavior Negative symp
Depression diagnosis
At least two weeks of Five of SIG E CAPS Sleep disturbance Interest lost Guilt Concentration loss Appetite change Psychomotor Suicide
Atypical depression
Most common depression type. Still feel better with positive stimuli and fixes motor symptoms.
Maternal blues
Most common. Depressed and sad 2-3 days after birth. Resolved itself in two weeks
Postpartum depression
Basically maternal blues that last longer two weeks
Postpartum psychosis
Psychosis two weeks after delivery
malingering
patient fakes something for personal gain
factitious disorder
patient fakes something to assume “sick role”
somatization disorder
patient has physical symptoms which have not attributable cause. not intentional or faked.
conversion disorder
sudden loss of sensation or motor due to acute stressor
hypochondriasis
preoccupying fear of medical illness
munchausen syndrome
chronic fake illnesses
Cluster A personality disorders
odd/eccentric: Paranoid, Schizoid, Schizotypal
Cluster B personality disorders
dramatic/emotional: Antisocial(sociopath), Borderline (unstable), Histrionic (emotional/sexual), Narcissitc
Cluster C personality disorders
Anxious/fearful: Avoidant, Obsessive compulsive, Dependent
schizophrenia time course
6 month: schizophrenia
Alcohol test
serum gama-glutamyltransferase (GGT), AST is 2X vs ALT
opiod effects
euphoria, depressed resp and CNS and gag reflex. pinpoint pupils
opiods
morphine, heroin, methadone
opiod overdose treatment
naloxone, naltrexone
opiod withdrawl symptoms and treatment
sweating, dialted pupils, piloerection (goose bumps), fever, rhinorrhea, nausea.
Rx: methadone, buprenorphine
depressant party drugs
alcohol, opiods, barbiturates, benzodiazepines. they all cause mood elevation, decreased anxiety, sedation, behavior disinhibition, resp depression
Alcohol withdrawl extreme symptom and treatment
Delirium tremens treated with benzodiazepines. Life threatening that peaks 2-5 days after withdraw
barbiturate withdrawal can cause
CV collapse
Benzodiazepines can be counter acted with
flumazenil
Stimulant drugs: names, effects, and withdrawal general
amphetamines, cocaine, caffeine, nicotine. mood elevation, aggitation, insomnia, arrhythmias. withdrawal: crash, weight gain
Amphetamine use symptoms
pupillary dilation, euphoria, hypertension
Cocaine use symptoms
pupillary dilation, impaired judgment, hallucinations, paranoia
cocaine “treatment”
benzodiazepines
nicotine withdrawal treatment
bupropion/varenicline
Cannibus treatment form
dronabinol
PCP “treatment”
benzodiazepine
Heroin (rather than general opiod) addiction treatment
Methadone - long term oral drug for maintenance.
Naloxone + Buprenorphine: partial agonist, bettter than methadone. Naloxone only causes it own withdrawal if injected.
Alchoholism drug
disulfiram (to condition the patient away from alcohol)
wernike-korsakoff syndrome
thiamine def from alcohol causing triad: confusion, opthalmoplegia, ataxia (mammillary body atrophy)
mallory-weiss syndrome
lacerations at gastroesophageal junction due to vomiting from alcohol
