Psychiatric disorder vs physical illness Flashcards
a diagnosable psychiatric condition can not be what?
caused by a physical ailment
what is an axis I evaluation?
clinical disorders and other conditions that may be the focus of clinical attention
what is an axis II eval?
personality disorders and mental retardation: considered more long standing
what is an axis III eval?
general medical conditions: it may be causative, the result of a mental disorder or unrelated
what is an axis IV eval?
psychosocial stressors and environmental stressors: contribute to development or exacerbation of the disorder
what is an axis V eval?
global assessment of functioning scale: includes occupational, social and psychological functioning
what is freud’s “eros” drive?
creative
sex
what is freud’s “thanatos” drive?
destructive
aggression
what are freud’s psychosexual phases?
oral -1yr anal -3yr phallic -6yr latency -12yr genital -death
what is the crisis of the oral stage?
weaning
what is the crisis of the anal stage?
toilet training (become anal expulsive-messy, or anal-retentive-clean)
what is the crisis of the phallic stage?
castration anxiety causes them to focus their attention on women other than their mother
what is the crisis of the latency stage?
developing defense mechanisms
what is the crisis of the genital stage?
reaching full sexual development
which part of the mind is responsible for “keeping the peace” between the ID and the SUPEREGO?
ego
which part of the mind dominates in ppl who are impulsive?
the id
which part of the mind dominates in ppl who are overly controlled?
superego
what is a defense mechanism?
unconcious strategies the mind uses to protect itself from anxiety by denying and distorting reality in some way
what is the problem with personality disorders?
they are unwilling to part with their defense mechanisms (because they have worked)-use these mechanisms to extremes
what is repression?
putting feelings out of conscious awarenesss
what is reaction formation?
going to the polar opposite of doing what you intend to do-being homosexual in a conservative setting someone could become anti-gay
what is projection?
what is inside of you is projected onto other ppl. what you see in other ppl is what you don’t like inside yourself
what is displacement?
placing anxieties on other ppl
what are potential adverse side effects of tricyclics?
change in blood pressure
urinary retention
erectile dysfunction
what are potential adverse side effects of MAOI’s?
change in blood pressure
what are the potential adverse side effects of antipsychotics?
urinary retention
erectile dysfunction
what GAF score is considered symptomless?
81-100
what GAF score is considered a danger to oneself or others?
0-20
which scale is used for tracking social progress?
SOFAS
which scale is used to evaluate defense mechanisms?
DFS
which scale is used to measure symptoms?
Brief Psychicatric Rating Scale
which scale is used to rate severity of depression?
Hamilton Rating Scale HAM-D or HAM-A
Beck Depression Inventory (BDI)-good reliablity
which scale is used in schizophrenic patients?
Scales for the Assessment of Pos and Neg Sxs (SAPS, SANS)
on the Beck scale, which score indicates depression?
scores over 17-20
on the Beck anxiety scale, which score indicates strong anxiety?
36-63
which scale gives good personality inventory?
MN multiphasic personality inventory (good reliability and validity)
