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THIRD YEAR > Psych > Flashcards

Psych Flashcards

1
Q

distrust and suspiciousness of others such that their motive are perceived as malevolaent
%
when

A

paranoid personlaity disorder
0.1%
early adulthood

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2
Q

pervasive pattern of attachment from social groups and a restrictive range of expressions of emotions in interpersonal settings
%
when

A

schizoid
0.8%
early adulthood onwards

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3
Q

pervasive pattern of disregard for and violation of the rights of others
%
when

A

antosocial
0.6%
15 onwards

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4
Q

borderline PD %
when
treatment

A 
0.7%
early adulthood
CBT, antipsychotics
anger - topirimate
hostility - phenalzine
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5
Q

excessive emotional symp and attention seeking
%
when

A

histrionic PD
1%
early adulthood

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6
Q

social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation
%
when
treatment

A

avoidant
0.8%
early adulthood
social skills training. some evidence for anti depressants

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7
Q

dependant PD
%
when

A

0.1%

early adulthood

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8
Q

pervasive pattern of preoccupation with order lines perfectionism and mental and interpersonal control at the expense of flexibility openness and efficiency
%
when
difference between this and OCD

A

obsessive compulsive
1.9%
early adulthood
OCD is egodystronic

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9
Q 
F32.0
F32.1
F32.2
F32.3
F32.8
F32.9
A

mild depressive episode (2 core and 2 minor)
mod depressive episode (2 core and 3/4 minor)
severe depressive episode without psychotic symptoms (3 core and 5 or more minor)
severe depressive episode with psychotic symptoms
other depressive episodes
depressive episode unspecified

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10
Q

core symptoms of depression

A

episode should last at least 2 weeks
loss of interests or pleasure
decreased energy or increased fatiguability

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11
Q

minor symptoms of depression

A 
loss of confidence or self esteem
self reproach or guilt 
suicide/death thought 
decrease in ability to concentrate 
psychomotor agitation or retardation
sleep disturbance 
change in appetite
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12
Q

mild depression treatment

mod/severe

A

info and support and follow up in 2 weeks

pharmacology and high intensity psychotherapy

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13
Q

pharmacology treatment for depression

A

SSRI usually citalopram

fluoxetine, proexetin, sertaline

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14
Q

how long are people kept on SSRIs for depression

A

trail for 6 weeks unless side effects in first week

wait 4-7 days before starting a new drug with fluoxetine

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15
Q

what is given in under 18s

A

fluexetine

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16
Q

whats given in treatment resistant or recurrent depressive episodes

A

phenolzine

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17
Q

why is there paroxetin discontinuation syndrome

A

long half life

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18
Q

depression and sleep issues

A

mitalezpam

sedative and weight gain

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19
Q

depression and obesity

A

fluexoetine

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20
Q

depression and sexual dysfunction

A

mitazepine, bupropion

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21
Q

follow up with depression

A

6 months

continue for 2 years if risk of relapse

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22
Q

somatic depression treatment

A

ECT or pharma

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23
Q

atypical depression key point
often associated with what
treatment

A

low mod but reactive
anxiety
phenalzine

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24
Q

people are out to kill me
I’m being poisoned for my sins
I’ve got cancer but i deserve it

A

hypochondrical

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25
Q

I’m dead the world around me doesn’t exist

A

nihilistic delsusion
often in elders
cartard syndorme

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26
Q

treatment for psychotic depression

A

ECT first line

amoxapine and olanzapine - dual effect and good for episodic attacks

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27
Q

post stroke depression

A

1/3 of patients

most common neurppsychoatric complication

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28
Q

post MI depression

A

62% have depressive symptoms

15-22% have major depression

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29
Q

type 1 BPD

type 2 BPD

A

mood disturbance and mania

mood disturbance and hypomania and no mania

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30
Q

acute manic episode treatment

A

valproate/oral anti psychotic
lithium if non immediate
BZD for sedan if required

31
Q

acute depressive treatment

treatment should be avoided when

A

SSRI and lithium,/valproate/anti psychotic

avoid in rapid cycling/recent hypomanic episode

32
Q

long term treatment for BPD

A

lithium
olanzapine/questipine
valproate, lamotrigine, carbamazepine
psychotherapy for depressive symptoms

33
Q

hypomanic

A

elected for 4 consecutive days

34
Q

manic

A

elected for 7 consecutive days

35
Q

mania with psychotic symptoms

A

grandiose, self referential, erotic, persecutory content

36
Q

positive symptoms of schiz

A

delusions, hallucinations, though disorders

37
Q

negative symptoms of schiz

A

apathy, lack of social withdrawal, lack of volition, social withdrawal, cognitive impairment

38
Q

first rank symptoms of schiz

A

auditory hallucinations
delusional perceptions
thought abnormalities

39
Q

lifetime risk of schiz

A

1%

40
Q

treatment for schiz

A

risperidone
olanzapine
clozapine

41
Q

what can make schiz sym[toms worse and cause psychotic symptoms

A

stimulant drugs - coke, amphetamines

42
Q

commonest age of presentation of anorexia

A

18

f>m

43
Q

risk assessment for anorexia

A

BMI 17.5-16 low/mod
mod 16-15
high 14.9-13
very high <13

44
Q

severe enduring eating disorders

A

brain shrinkage
disadvantageous reward related decisions
no joy
chronic stress

45
Q

treatment for anorexia

A

psychological
educations
obsessional ideation - fluexetine

46
Q

referring syndrome risk preventions

A

frequent monitering of blood and slow pace of initial refeeding

47
Q

bulimia how many episodes

treatment

A

2 in a week over 3 months

CBT. self help

48
Q

binge eating disorder how often

difference between this and bulimia

A

at least once a week

not associated with inappropriate compensatory behaviour

49
Q

48hour from traumatic event
up to 1m
3m
>3m

A

acute stress reaction
acute stress disorder
PTSD acute
PTSD chronic

50
Q

if trauma mild and present for less than 4 weeks

A

watchful waiting and review

51
Q

acute stress disorder when and how long

treatment

A

within 1m
lasts under 3 days

practical support. brief CBT

52
Q

when does complex PTSD develop

A

after prolonged exposure to trauma

53
Q

when can PTSD occur

A

days/weeks/months/years after event

54
Q

triggers for PTSD

A

visual auditory smell taste kinasthetic

55
Q

for a diagnosis what is the period of time that symptoms need to present

A

within 6 months of event or end of a period of stress

56
Q

treatment for PTSD

A

trauma focused CBT
eye movement and desensitisation therapy
anti depressants - paroxetine
mirtazepam, amitrip, phenalzine
BZDs- bromazapam, clorazapem
gabapentin, prcegablin
atypical antipsychotics, mood stabilisers

57
Q

generalised anxiety diagnosis

A

6 months of worry

4 symptoms of anxiety and at least one from autonomic

58
Q

autonomic anxiety symptoms

A

palpitaions/poudning heart/increased HR
trembling
dry mouth

59
Q

chest and abd symptoms

A

difficulty breathing, choking sensation, chest discomfort, nausea

60
Q

brain and mind symptoms

A

dizzy
derealisation/depersonalisation
fear of losing control
fear of dying

61
Q

general anxiety symptoms

A

hot flushes cold chills

numbness or tingling sensation

62
Q

muscle anxiety symptomsm

A

tension, pains, restlessnesss, on edge, difficulty swallowing

63
Q

general anxiety symptoms

A

exaggerated response to surprises, difficulty concentrating, irratibility, sleep problems

64
Q

treatment for geenrliaed anxiety

A

CBT guided help relaxation
SSRIs - sertaline
SNRIs - vanlafaxine, pregablin

65
Q

health anxiety is what

A

excessive or disproportionate preoccupation with having or acquiring a serious illness

66
Q

panic disorder timing

A

peak with 10mins and last around 30-45mins

67
Q

2/3 patients with panic disorder develop what

A

agoraphobia

68
Q

treatment for panic disorders

A

CBT
SSRI
if contraindicated or no response in 12 weeks then
clomiparine or imipramine offered (TCAs)

69
Q

poor prognosis of OCD

A

male
early onset
tics
multiple symptoms

70
Q

treatment for OCD

A

psychotherapy - exposure and response prevention
CBT
SSRIs, clomipramine, risperidone, lamotrigene

71
Q

physical symptoms of social phobia

A

blushing
fear of nom
urgency or fear of mictiration or defacation

72
Q

treatment of social phobia

A 
CBT
cognitive restructioning 
social skills training 
SNRIs - venlafaxine, phenalzine
BZDs - bromazapam, clonazapam
gabapentin, pregablin
73
Q

agoraphobia treatment

A

SSRIs
CBT graded exposure first line
TCAs - clomipramine, imipramine, venlafaxine
gabapentin, pregablin

74
Q

specific phobia
who
symptoms

A

females
graded exposure
SSRIs

THIRD YEAR (27 decks)

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