Psych/Behavioral Health #1 Flashcards
A woman who leaves an abusive partner has a ____ greater risk of being killed by the abuser compared to staying
70%
What are some clues to intimate partner abuse/violence?
Contusions to breast, chest, abdomen, face MSK injuries "accidental injuries" Multiple injuries in stages of healing Fatigue, headache, nonspecific symptoms
What are the most common ages of sexual abuse?
Between 9-12 years old
Perpetrators of sexual abuse are commonly
males and most are relatives to the child or known by the child
What are some clues for sexual abuse of a child?
- Children that exhibit sexual knowledge
- Initiate sex acts with peers
- Bruises, pain, or pruritus in the genital or anal area
- Evidence of an STI
Signs of physical abuse
- Cigarette burns
- Burns in a stocking or glove pattern
- Healed fractures on radiographs
- Subdural hematoma
- Retinal hemorrhages
What are two common exam findings if you are suspecting shaken baby syndrome?
Hyphema or retinal hemorrhages
A panic attack usually peaks within ____ and lasts less than ______
Peaks within 10 minutes and rarely lasts longer than 1 hour (most end between 20-30 minutes)
A panic attack is characterized by at least four of the following symptoms of _______ and which symptom is hallmark?
Sympathetic system overdrive
Hallmark: Sense of impending doom or dread
-Other symptoms: dizziness, trembling, choking, sweating, shortness of breath, fear of dying, palpitations, nausea, depersonalization (detached from oneself), chills, hot flashes
What is the first line medical management of a panic attack?
Benzodiazepines (Alprazolam, Lorazepam, Diazepam)
What must you do first in a patient you suspect having a panic attack?
Rule out a life threatening condition (heart attack, thyrotoxicosis, etc.)
Risk factors for panic disorder
- Females
- Major depression history
- 1st degree relative also affected
- 20’s in age
What is agoraphobia?
Anxiety about being in places where escape may be difficult (open spaces, enclosed spaces, public transportation, etc.)
What is a panic disorder?
Recurrent, unexpected panic attacks (at least 2), with persistent concern about future attacks or maladaptive behavior related to the attacks
Management of panic disorder
SSRI’s
-May initiate with SSRI + Benzo and then taper off benzodiazepines
What is a treatment option for panic disorder if SSRI’s are not effective?
TCA’s (Amitriptyline, Notriptyline, Desipramine)
MOST effective treatment for panic disorder
Pharmacotherapy + CBT most effective
For acute panic attacks, the treatment is
Benzodiazepines (Alprazolam, Clonazepam)
Treatment for agoraphobia
SSRI + CBT
For agoraphobia, how long must the symptoms be present
For at least 6 months, cause social or occupational dysfunction, and not better explained by another disorder
Pharm therapy for generalized anxiety disorder
- SSRI’s are first line
- Buspirone can be used as adjunct to SSRI (does not cause sedation)
Buspirone is a partial ______ receptor agonist and ______ receptor antagonist
Serotonin agonist and dopamine antagonist
What are two facts about buspirone that make it a great adjunct therapy to SSRI
- Does not cause sedation
- Almost negligible abuse or addiction potential
Most common type of phobia
Social anxiety disorder (Social Phobia)
