psych

Question 1

displacement vs projection

Answer 1

Displacement- redirecting emotions to a neutral person

Projection- attributing an unacceptable impulse to an external displacement (accusing others of cheating bc you want to)

Question 2

fixation vs regression

Answer 2

partially remaining childish

regress- start bed wetting (involuntary)

Question 3

Repression vs suppression

Answer 3

Repression- involuntarily witholding an idea or feeline

Supression- intentially witholiding an idea or feeling

Question 4

reaction formation vs sublimation

Answer 4

RF- replacing a warded off idea or feeling with an emphasis on its opposite ( step mom hates her child so shes super nice to her)

Sublimation- channeling socially unacceptable feelinfs in an action to let it out

Question 5

ALtruisim

Answer 5

Alleviating neg feelings via unsolicilated generosity, providing gratification (a mafia boss making a donation)

Question 6

Humor

Answer 6

lightheartedly expressing uncomfortable feeling to shift the internal focus away from the distress

Question 7

ADHD

Answer 7

onset before 12
>6 months of attn span and/or poor impulse contril
inattention in >2 settings

coesxitst with defiant disorder , give stimulatnt (methylphenidate) and behavioral therapy- atomexatinge, guanfacine, clonidine

Question 8

Conduct disorder

Answer 8

repetitive pervasice behavior violating societal norms or basic right , after 18–> antisocial perosonality disorder

psychotherapy (Cognitive behavioral therapy)

Question 9

diruptive mood dysregulation disorder

Answer 9

onset before age 10, temper tantrums, CBT, stimulants and antipsychotics

Question 10

selective mutism

Answer 10

onset before age 5
anxiety disorder>1 month involving refrainign from speech in certain situations

behavioral family, and play therapy, SSRI

Question 11

Separation anxiety

Answer 11

fear of separation from home or attachment figure >4 weeks, normal in kids 3-4

May lead to factitious physical complaints to avoid CBT

Question 12

Tourette syndrome

Answer 12

onset before age 18
sudden recurrent non rhythmic stereotyped motor and tics

OCD and ADHD
Psychoeducation,
High protency antipsychotics - haloperidol, fluphenazine, tetrabenzine, A2 agoonsits - guafacine, clonitdie

Question 13

Psychosis

Answer 13

distorted perception of reality - delusions, hallucinations, and disorganized thought speech

med illness, psychiatric illcenns,

Question 14

Dellusions

Answer 14

pt believes that others are reading his thoughts

Question 15

Disorganized thought

Answer 15

speech may be incoherent (word salad, tangential, or derailed (loose associations)

Question 16

Schizophrenia

Answer 16

altered dopaminergic, serotnergic, and decreased dendrtitic branching

Pos- hallucinations, delusions, unusual thought process, disorganized speech, bizarre behavior
NEgative- flat blunted affect, apathy, anhedonia, alogia, social withdrawal
Cognitive- reduced ability to understand or make plans, diminished working memory, inattention

Diagnosis- >2 active symptoms at least one from the first 3
Delusions, Hallucinastion, disorganized speech, disorganized or catatonic behviot, negative symptoms, >1 month of active symptoms past , over the past 6 months

Ventriculomegaly on brain imagine, , increases suicide risk

treat with atypical antipsychotics (risperiddone, 1st line
Negatime symptoms can stay

Breif psychodic- 1 positive symptom for under a month
Schizophreniform- >2 symptoms lasting 1-6 months

Question 17

Schizoaffective disorder

Answer 17

> 2 weeks of psychotic symtpoms without a manic or depressed episode

you get psychotic even when you arent depressed

Question 18

Delusional disorder

Answer 18

> 1 delusions lasting >1 month but without a mood disorder or other psychotic symptoms,

Question 19

Schizotypal personality disorder

Answer 19

cluster a personality disorder, brief psychotic episodes, Delusions, that are less frequent and sever than in schiziphrenia- weirdo wizards

Question 20

manic epidose

Answer 20

increased mood > 1 week

hospitalization or functional impairement with >3 of DIG FAST

Distractibility
Imupulsivity indiscretion 
Grandiosity
Flight of ideas
goal directed Activity
Agitation
Dec need for sleep
Talkativeness or pressured speech 

Hypomani- not as severe

Question 21

Bipolar disorder

Answer 21

Bipolar 1 >1 manic episode  (can be with hypomania, depressed)
Bipolar 2 (- hypomania and depressive episode)

Use of antidepressants destabilize, high suicide, mood stabilizers (lithium, valproic acid, carbamazepine, lamotrigine), atypical antipsychotics

Cyclothymic disorder- fluctuatind between mild depression and hypomania, >2 years with symptoms present at least half of the time

Question 22

adjustment disorder

Answer 22

within 3 months of a stressor lasting<6 months–> GAD

CBT first line

Question 23

PTSD

Answer 23

> 1 month after the disteress

acute stress disorder- 3 days to 1 months, with CBT