Psych Exam 1 Flashcards
Neurotransmitter - comes from tryptophan
Serotonin
Neurotransmitter - inhibitory & excitatory
Acetylcholine
Neurotransmitter in schizophrenia
> dopamine, possible serotonin
Therapy that involves pt’s interaction w/ one another to practice relationship skills, give feedback on behavior, and work cooperatively
Milieu Therapy
Neurotransmitter - sexual behavior, emotions, regulation of temp, food intake, pain control, sleep/wake
Serotonin
Professional who assists pt’s w/ job seeking or retention skills and completing educational goals
Vocational Rehab Therapist
The ability of pts, families, & groups to meet the emotional, behavioral, & social demands of life
Psychosocial Integrity
Professional who diagnoses the disorder & prescribes medical treatment
Psychiatrist
Professional who helps pts find constructive activities for their leisure time
Recreation Therapist
Neurotransmitters in Alzheimer’s
< Acetylcholine
Neurotransmitters in depression
< Serotonin & norepi
Neurotransmitters in anxiety
<GABA; possibly epi, norepi, serotonin
Allows person to function well, controls action & perception, develop muually satisfying relationships, mediate ID & superego
Ego
Neurotransmitter - sleep/wake, signal muscles to be active, attention, memory
Acetylcholine
Neurotransmitter - interrupts electrical impulse @ synaptic cleft producting a slowing of body activity
> GABA
Neurotransmitter - increased in anxiety & epilepsy
< GABA
Neurotransmitter - connected to delusions, hallucinations, withdrawn behavior
Serotonin
Neurotransmitter - pleasure, motivation, cognition, complex movement, emotional responses
Dopamine
Neurotransmitter - synthesized from tyrosine
Dopamine
Neurotransmitter - invovled in Schizophrenia & Parkinson’s
Dopamine
Neurotransmitter - attention, learning, memory, sleep/wake, anxiety, mood
Norepinephrine
Neurotransmitter - gastric acid & cardiac stimulation, alterness, allergic reactions
Histamine
Most common neurotransmitter
Norepinephrine
Unconscious cognitive distortions that help a person to maintiain their self-esteem, sense of control, & coping with stress
Defense Mechanisms
Seeks instant gratification, no regard for rules, unorganized reservoir of energy
ID
Based on pt’s unconscious thoughts and memories as the basis of mental illness to protect the pt from harful memories or forbidden desires
Psychoanalytic Theory (Freud)
Neurotransmitter - excitatory amino acid
Glutamate
Professional who assists w/ discharge planning and community referrals, psychotherapy;
works w/ families/significant others
Social Worker
Moral & ethical, follows rules & regulations
Superego
Inhibitory amino acid
GABA
Health conditions characterized by alterations in thinking, mood, or behavior which include some type of distress and/or impaired functioning
Mental Illness
Professional that focuses on ways to improve the functional ability of pts using creatve activities in the tx or rehab of disabled people
Occupational Therapist
Axis I
Major Mental Disorders
Group not run by a professional - all members struggling w/ the same problem
Self-Help Group
Provide connections & empathy
accepts & reinforces strengths while decreasing anxiety
Support Group
Avoid doing harm to pts
Non-maleficence
Pt goes off topic and does not give info requested
Tangential Thinking
Pt’s general pervasive and sustained emotional state
Mood
Use of TV, newspapers, & magazines to help with cognitive defects
Education Group
Mood stabilizer that functions at the intracellular level, NOT the synapse
Lithium (Antimanic)
Group that helps pts analyze and enhance their interpersonal functioning
Psychotherapy Group
Med - blocks dopamine receptors in certain areas of the brain; many side effects
Typical Antipsychotics
Pt gives excessive and unnecessary details before getting to the point
Circumstantial Thinking
Making up words
Neologism
Meds that treat psychotic symptoms - hallucinations, delusions, illusions, paranoid thinking, poor reality
Antipsychotics/Neurolyptics
The ability to understand the situation correctly and accept responsibility for it
Insight
False sensory perceptions that the person is experiencing w/o actual stimuli
Hallucinations
Pt may be fearful and not want to interact
Suspicious Attitude
The belief that the person has a special power or abilities
Grandiose Delusion
The belief that the person’s body is diesased, abnormal, or changed
Somatic Delusion
A noticeable speeding up of movement that is usually puposeless, repetitive, non-productive, and associated w/ an inner tension
Psychomotor Agitation
Faithfulness and keeping promises
Fidelity
Fair & equitable tx
Justice
Doing or promoting good
Beneficence
Affect - expression does not fit the situation
Inappropriate Affect
Antidepressant - blocks the reake of everal neurotransmitters including norepi & serotonin
TCA’s
Pt’s outward expression of the mood
Affect
The opportunity to express feelings
Catharsis
5 types of antidepressants
SSRI SNRI NDRI MAOI TCA
Meds used to treat symptoms of dysphoria, anhedonia, < energy, change in appetite/sleep, suicidal thoughts
Antidepressants
Focus on personal interactions and issues of daily living
Therapeutic Group
Meds - block dopamine receptors in limbic system & affect serotonin receptors, apathy, blunted affect;
< side effects
Atypical Antipsychotics
Falsification of experience through the construction of logical or socially approved explanations of behavior
Rationalization
Disorganized thoughts that move from topic to topic without connection
Loose Associations
Independence and the ability to be self directed
Autonomy
Nearly continusous flow of accelerated speech w/ abrupt & frequent changes in topic that are usually connected
Flight of Ideas
Occurs when a person is unable to decipher what is real and when isn’t
Psychosis
The belief that someone is attempting to harm them, follow them, & persecute them or others around them
Paranoid/Persecutory Delusions
The practice of telling the truth
Veracity
A person interacts in a bright cheery way that discounts or minimizes their problems
Superficial Behavior
The manner or disposition of the pt to the interviewer
Attitude
Handling emotional conflicts or stressors by temporary alteration of consciousness or identity
Dissociation
Person believes that insignificant remarks, statements, or events refer directly to them w/ /special meaning
Delusion of Reference
Unacceptable feelings disguised by repression of the real feeling & by reinforcement of the opposite feeling
Reaction Formation
Anxiolytic - > effect of GABA to treat anxiety in alcohol withdrawal, pre-op sedation, seizures, mania, muscle relaxant, & agitation
Benzodiazepines
Axis II
Personality Disorders/Mental Retardation
Speech stuck on one topic
Perservate speech
Axis III
Medical Conditions/Surgeries
Anxiolytic - works on serotonin receptor & helps to < anxiety
Non-benzodiazepine (Busiprone)
Axis IV
Psychosocial & Environmental Stressors
Axis V
Global Assessment of Functioning
Speech not decreased in intensity or pace, continues w/o pauses, usually loud & emphatic
Pressured Speech
Speech - repeating the same words or movements
Perservation of Speech
Tx of schizophrenia, mood disorders, cognitive impairment, rage, aggressive behavior, intractable vomiting, hiccoughs, & vertigo
Antipsychotics
Brief survey assessing symptoms of last 2 weeks on 13 domains
DSM Level I
Discharging pent up feelings on people less dangerous than those responsible for the emotion
Displacement
Acceptance of another’s values & opinions as one’s own
Introjection
Rise out & help someone else
Altruism
Meds - treat expansive emotional states, extreme excitement, flight of ideas, > psychomotor activites
Mood Stabilizers
Med - poorly understood;
normalize reuptake of dopamine, norepi, & serotonin
Antimanic - Lithium
Empower pts to self management, provide useful info on stress management
Education Groups
36 item measure to assess disability among 6 domains
WHO Disability Assessment
16 questions emphasizing 4 domains
Cultural Formulation Interview
Mood stabilizer - poorly understood, inhibit kindling activity & stimulating GABA - calming effect
Anticonvulsants
Meds - cause a release of dopamine & other agents like it so regions of the brain are stimulated
Psychostimulants
Meds - > attention & concentration
< distractibility, hyperactivity, impulsivity;
tx of ADHD
Psychostimulants
Meds - < anxiety & insomnia, slow CNS, enhance effects of GABA
Sedative Hypnotics
Separating an emotion from a thought or idea because the emotional reaction is too painful
Intellectualization
All antidepressants but NDRI’s treat:
Anxiety
SNRI & TCA interact with these neurotransmitters:
Serotonin & Norepi
MAOI’s interact with these neurotransmitters
Norepi, Serotonin, Dopamine
Antidepressant group that also treats ADD & nicotine dependence
NDRI
Antidepressant group that can reverse sexual dysfunction induced by SSRI or SNRI
NDRI
Sexual dysfunction can be caused by these antidepressant groups:
SSRI, SNRI, & MAOI
This antidepressant group may cause weight loss
NDRI
This antidepressant group can also treat pains - chronic, fibro, migraine
TCA
The side effects of this antidepressant group:
arrhythmias, anticholinergics, Alpha I adrenergics, histamine
TCA
Type of TCA side effects - dry mouth, constipation, blurry vision, urinary retention, confusion
Anticholinergic Effects
Type of TCA side effect - causes orthostatic hypotension
Alpha I Side Effects
Side effects of this antidepressant group:
hypotension, palpitations, headach
MAOI
This antidepressant group may cause seizures
NDRI
This antidepressant group may cause cardiac toxicity
TCA
This antidepressant group may cause hypertensive crisis
MAOI
The 6 SSRI meds (pzpcll)
Prozac Zoloft Paxill Celexa Lexapro Luvox
The 3 SNRI meds (pec)
Pristiq
Effexor
Cymbalta
The 2 NDRI meds (wz)
Wellbutrin
Zyban
The 5 TCA meds (teana)
Tofranil Elavil Aventyl Nopramin Anafranil
The 4 MAOI meds (m-pen)
Marplan
Emsam
Parnate
Nardil
Neurotransmitter - influences how we interact with the world
Dopamine
The only antidepressant that does not treat anxiety
NDRI
Neurotransmitter - mediates mood & anxiety
Norepinephrine