Psych path 5

Question 1

Keeping schizo-straight

Answer 1

Schizoid < schizotypal (schizoid + odd thinking)
< Schizophrenic (greater odd thinking than schizotypal)
< Schizoaffective (schizophrenic psychotic symptoms + bipolar or depressive mood disorder)

Question 2

Schizophrenia time course

Answer 2

6 month: schizophrenia

Question 3

Eating disorder:

Anorexia nervosa

Answer 3

Excessive dieting +/- purging
Body weight <85% of ideal weight
Associated with low bone density
Metatarsal stress fracture, amenorrhea, anemia, electrolyte

Seen in adolescent girls

Commonly coexists with depression

Question 4

Eating disorder:

Bulimia nervosa

Answer 4

Binge eating +/- purging
Often followed by self-induced vomiting or laxatives, diuretics, or emetics.

Body weight often maintained within normal range.

Associated with parotitis, enamel erosion, electrolyte, alkalkosis, dorsal hand calluses from vomiting (Russell’s sign)

Seen in adolescent girls

Question 5

Gender identity disorder

Answer 5

Strong, persistent, cross gender identification

Characterized by persistent discomfort with one’s sex, causes significant distress and impaired function

Transsexualism: wants to live as the opposite sex
Transvestism: paraphilia, wearing clothes of the opposite sex (cross-dressing)

Question 6

Substance dependence

Answer 6

3 or more of the following in 1 year

Tolerance
Withdrawal
Substance taken in large amount, or over long time
Persistent desire or unsuccessful attempt to cut down
Significant energy spent obtaining, using, recovering
Important social, occupational activities reduced due to use
Continued use in spite of knowing its problems

Question 7

Substance abuse

Answer 7

Maladpative pattern leading to clinically significant impairment or distress

Recurrent use resulting in failure to fulfill major obligation

Recurrent use in physically hazardous situation

Recurrent substance related legal problems

Continued use in spite of persistent problems due to use