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Spring Round II Exams > psych exam 2 > Flashcards

psych exam 2 Flashcards

1
Q

suicidal plan

A

with means, has access to materials

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2
Q

higher rates of suicide

A 
Native american
Alaskan
Non hispanic whites
Veterans
Sexual minority youth
Survivor mass casualty
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3
Q

Highest risk for change in tx relating to suicide

A

in 3 days

then within 30 dys

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4
Q

SAFE-T

A 
Suicide
Assessment
Five step
Eval
Triage
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5
Q

Columbia suicide severity rating scale

A

minimum 6 questions

Risk and Protective factor checklist

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6
Q

What chemical mainly associated with Anxiety

A

Seretonin

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7
Q

What is very effective for Anxiety

A

CBT

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8
Q

Gen Anxiety DSM5

A

at least 6 mo

THREE of following: restless, easty fatigue, poor conc, irritable, poor concentration, sleep disturbance

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9
Q

Tx for Mild Gen Anxiety

A

CBT

10-15 sessions

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10
Q

Tx for Mod/Severe Gen Anxiety

A

SSRI/SNRI

If conc about substance abuse: Buspirone or Hydroxyzine

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11
Q

Social anxiety disorder onset

A

late childhood/
early teen
6 mo or more

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12
Q

Tx for Social Anxiety

A

1st line: CBT

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13
Q

Tx ofr Performance Anxiety

A

Beta blockers

short term: Benzo

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14
Q

Strong Genetic component

A

Panic disorder

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15
Q

Higher in Native American

A

Panic disorder

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16
Q

Panic disorder

A

Onset early 20s

Period of intense fear/discomfort with FOUR of following, reach peak within 10 minutes

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17
Q

Panic disorder episode is followed by

A

at least 1 MONTH or more of: concern about future attack, implication of attack, maladaptive behavior

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18
Q

Tx for Panic disorder

A

CBT, SSRI, SNRI, or

Benzo (Clonazepam)

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19
Q

Onset for Phobia

A

7-10 YO (younger)

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20
Q

Tx for Phobias

A

CBT
Sig improvement in 1-5 sessions!

does not take as long, therapy can be super specific

21
Q

OCD onset

A

early in life 11-20 YO

prog gets worse as age increases

22
Q

Hoarding disorder (a subtype of OCD)

A

Male = Female
50% hereditary
50% have SI

23
Q

Tx for OCD

A

TCA: Anafranil (Clomipramine)

+ SSRI, SNRI,

24
Q

Adjustment disorder

A

Sx w/in 3 mo of stressor, Resolve w/in 6 mo

25
Q

Tx for Adjustment disorder

A

Group therapy

26
Q

Length of inpatient tx for Eating disorder

A

30-60 days

27
Q

Length of Intensive outpatient tx for Eating disorder

A

1-3 months

28
Q

Tx for Bulimia disorder (puke)

P for Puke

A

Prozac

29
Q

Tx for Binge eating disorder

A

Vyvanse

30
Q

SE of meds that can be concerning when treating Eating Disorders

A

Atypical Antipsychotic: Weight gain

Benzo: Habit forming

ADHD: decreased app, weight loss, heart problems

Anticonvulsant: underweight, purging

31
Q

Time length when it goes from Acute stress to PTSD

A

1 month

32
Q

Common areas disrupted by trauma

A 
Safety
Trust
Power/control
Esteem 
Intimacy
33
Q

Hippocampus

A

Learns fear environment/ context

34
Q

LC

A

NE release

35
Q

Insula/Anterior Cingulate Cortex

A

Visceral/autonomic

“gut feeling” assoc w/fear

36
Q

Pre-frontal cortex

A

Emotional regulation
Controls amygdala

(young ppl @ higher risk bc not developed)

37
Q

DREAMS acronym relating to PTSD

A 
Detachment
Re-experiencing
Emotional effects
Avoidance
Month long
Systemic hyperactive
38
Q

Common clinical comorbidities assoc w PTSD

A 
Heart dz
Auto-immune
Hyperlipid
Cystitis
Dementia
Fibromyalgia
Chronic pain
39
Q

Meds for PTSD

A

Sertraline

Paroxetine

40
Q

Do NOT use these two meds for PTSD

A

Benzos

Antipsychotics

41
Q

DO NOT do active Trauma therapy if:

A

Primary active substance abuse
Cognitive impairment
Psychosis not under control

42
Q

CARE-MD approach to SSD

A 
Consult
Assessment
Regular visit
Empathy
Medical-psychiatric interface
Do no harm
43
Q

Tx for SSD

A

CBT and Mindfulness

44
Q

Tx usually only last days-weeks and remit spontaneously

A

Conversion disorder

neural complaints

45
Q

Illness Anxiety disorder tx

A

Assurance
Regular visits
Indiv or Group therapy

46
Q

1 comorbid associated with Body Dysmorphic Disorder

A

Depression

47
Q

Components of CBT for treating Somatic disorders

A

12 sessions
Symptom focused
Incorporate journaling

48
Q

Factitious disorder

On SELF or OTHERS

A

Internal reward
attention seeking

poor sense of identity
hard to treat

49
Q

Malingering

external benefit

A

Secondary gain

no DSM5 criteria

Tx: Remove the incentive

Spring Round II Exams (10 decks)

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