Psych Flashcards
How do you treat neuroleptic malignant syndrome
supportive
dantrolene (Dantrium)
followed by bromocriptine (Parlodel)/ amantadine
Bromocriptine/amantadine possess direct DA receptor agonist effects and may serve to overcome the antipsychotic-induced dopamine receptor blockade.
Dantrolene is a direct muscle relaxant.
what is perphenazine
typical antipsychotic
Factors weighting toward a poor prognosis in
schizophrenia include:
early / insidious onset lack of obvious precipitating stressors poor premorbid functioning neurological signs and symptoms social isolation family history poor support systems negative symptoms.
Catatonia is characterized by
marked psychomotor disturbances including prolonged immobility, posturing, extreme negativism
Name 2 anti-crazy drugs that are injectable
haloperidol and fluphenazine are available in long-acting forms
Schizophrenia affects ____% of the adult population
0.3% to 0.7%
Schizophrenia and water
20% have psychogenic polydipsia
Self-induced water intoxication should always be considered in the ddx of ams and sz in schizophrenic
pts
_________ has, as its main symptom, the visual hallucination of a transparent phantom of one’s own body
Autoscopic psychosis
_______ is a fixed belief that familiar persons have been replaced by identical imposters who behave exactly like the original person
Capgras syndrome (delusion of doubles)
______ is the delusion that the person is a werewolf or other animal
Lycanthropy
______ is the false perception of having lost everything, including money, status, strength, health, and internal organs
Cotard syndrome
________ is a shared psychotic disorder in which one person develops psychotic symptoms similar to the ones a long-term partner has been experiencing.
Folie à deux
Systematic desensitization
behavioral therapy
3 steps: relaxation training; hierarchical construction of
anxiety provoking situations and then desensitization to the stimulus
ex
hierarchical construction: low-anxiety situation, such as just thinking about a flight that is scheduled for 6 months away, and end with a high-anxiety situation, such as actually imagining herself sitting in an airplane while it experiences turbulence
desensitization to the stimulus : proceeding through the list from least anxiety-provoking through most
anxiety-provoking while maintaining oneself in a deeply relaxed state
Transference
refers to the projection of feelings once connected to important figures in the patient’s past onto another important figure (often an authority figure).
Transference causes patients to unconsciously reenact old scripts with new others
___________ is generally the preferred choice in cases where patients are undergoing acute life crises and are feeling overwhelmed
Supportive psychotherapy
psychoanalysis
a system of psychological theory and therapy that aims to treat mental disorders by investigating the interaction of conscious and unconscious elements in the mind and bringing repressed fears and conflicts into the conscious mind by techniques such as dream interpretation and free association
management of a patient with factitious disorder
- Splitting is common, so regular interdisciplinary team meetings are called for to manage these patients.
- A PCP should be appointed gatekeeper of all treatment, medical and psychiatric.
- Empathic, nonconfrontational, and face-saving maneuvers are preferred (vs aggressive / confrontational b/c will cause the patient to flee)
one reason personality disorders are hard to treat
The patients often see the source of their problems in others, not themselves
_________ the awareness that the patient is not alone or unique in his or her suffering and that others share similar symptoms and difficulties, is a powerful healing factor in group therapy
Universalization
___________ is characterized by an emphasis on the nurturing, caring role of the therapist and a focus on current reality
Supportive psychotherapy
Once cognitive distortions (maladaptive automatic thoughts) are recognized , __________ is used to unravel them by testing them, identifying their
maladaptive underlying assumptions, and testing the validity of those assumptions as well.
cognitive therapy
__________ would also use the understanding of the patient and the recreation of the past through clarification, confrontation, and interpretation
Psychoanalysis
patient often comes > once/week,
often patient lies on a couch facing away from the therapist.
A ________ would most likely focus on the
negative worldview of this patient and attempt to restructure those thoughts.
cognitive therapy
A _________ would most likely instruct the patient to change his/her behavior as an antecedent to recovery (such as exercising or another activity).
behavioral therapist
An ________ would focus on developing a supportive and gratifying relationship with the patient to help provide the empathic responsiveness that was hypothesized as absent in the patient’s past
experiential-humanistic therapist
expelling or withholding of an idea or feeling from consciousness.
repression
differs from suppression by affecting conscious inhibition of impulses to the point of losing and not just postponing goals.
n refers to the substitution of an unacceptable feeling or thought with its
opposite
reaction formation
a person who is very angry at his wife brings home flowers for her
achieving of impulse gratification and the retention of goals by altering a socially objectionable aim or object to a socially acceptable one.
Sublimation
mature defense,
also humor, altruism, asceticism, anticipation, and suppression
person who wishes
to be admired by everyone channels this behavior into doing charity work
mature defenses
sublimation, humor, altruism, asceticism, anticipation, and suppression
conversion of psychic derivatives into bodily symptoms and reaction with somatic manifestations rather than psychic ones
Somatization
excessive use of intellectual processes to avoid affective expression or experience.
Intellectualization
person who has gotten into a disagreement with his best friend spends
hours objectively analyzing the conversation to understand what happened
splitting or separation of an idea from the affect that accompanies it but
that is repressed
Isolation of affect
a person told that he has been fired from his long time place of
employment appears unemotional about the fact
internalization of the qualities of an object. When used as a defense, it can obliterate the distinction between the subject and the object
Introjection
perception of and reaction to unacceptable inner impulses and their derivatives as though they were outside the self
projection
a person who is angry at her friend is convinced that the friend is angry at her instead
adoption of characteristics or behavior of the victim’s
aggressor as one’s own.
For example, it is not uncommon for the victim of child abuse to grow up to be an abusive parent
Identification with the aggressor
avoidance of awareness of some painful aspect of reality by negating sensory d
denial
shifting of an emotion or a drive from one object to another (eg, the
shifting of unacceptable aggressive feelings toward one’s parents to the family cat)
displacement
