Psych III Flashcards
social anxiety phobia
fear social situation
tx - CBT, SSRIs
agoraphobia
fear of open or closed spaces, public transportation, line in crowd, leaving home alone
tx - CBT, SSRI, MAOI
GAD
anxiety longer than 6 months
tx - CBT, SSRI, SNRI
buspirone, TCA, benzo - second line
adjustment disorder
emotional sx
impairment following identifiable psychosocial stressor
less than 6 months
OCD
obsessions relieve by compulsions
association - tourette
tx - CBT, SSRI, clomipramine - first line
body dysmorphic disorder
peroccupation with minor/imagined defect in appearance
PTSD
longer than 1 month
impair social occupational function
tx - CBT, SSRI, venlafaxine
acute stress disorder
3 days to 1 month
tx - CBT
malingering
consciously fake disorder
for secondary gain
factitious disorder
consciously fake disorder
for primary internal gain
munchausen syndrome
chronic factitious disorder
-predominant physical signs sx
multiple hospitalization and undergo procedures
by proxy - mom who pretends child is sick
somatic disorder
physical sx - no identifiable physical cause
unconscious drive
MC in women
conversion disorder
loss sensory or motor fxn
following acute stressor
aware but sometime indifferent - la belle
hypochondriasis
preoccupation/fear of having illness
somatic sx disorder
complaint one or more organ sx months to years
excessive, persistent though, anxiety about disorder
with medical illness
personality trait
repetitive pattern of perceive world around you
personality disorder
maladaptive pattern behavior
impaired functioning
present early adulthood
cluster A PD
weird - odd or eccentric
paranoid
schizoid
schizotypial
paranoid
distrust or suspciousnss
major defense mechanism - projection
schizoid
social withdrawal
-content with isolation
schizotypial
odd and magical thinking
cluster B PD
wild
antisocial
borderline
histrionic
narcissistic
antisocial PD
disregard rights of others
often with conduct disorder less than 18yo
borderline PD
unstable mood and interpersonal relationships
impulsivity
self mutilation
sense of emptiness
defense mechanism - splitting
histrionic PD
excessive emotional and excitability
attention
sex provocative
concerned with appearance
narcissistic PD
grandiosity sense of entitlement empathy excess admiration demand best and react to criticism with rage
cluster C PD
avoidant
obsessive compulsive
dependent
avoidant PD
social inhibited and timid
desired relationship with others
obsessive-compulsive PD
preoccupation with perfection and control
egosyntonic
dependent PD
submissive and clingy
need to be taken care of
low self confidence
anorexia nervosa
diet and purge
fear gaining weight and body image
BMI less than 18.5
decreased bone density
weight loss
amenorrhea
tx - psychotherapy and rehab, refeeding
bulimia nervosa
binge eating and compensatory behavior
weekly for at least 3 weeks
dorsal hand callus - russel sign - from inducing vomit
transseuxalism
desire to live as opposite sex
transvestism
paraphilia
cross dressing
sleep terror disorder
during slow wave sleep
during non-REM sleep
nightmares - during REM sleep - memory of scary dream
