Psychiatric Disorders Flashcards
In generalized anxiety disorder, what factors in the DSM can not be contributing to the anxiety for a diagnosis?
substance use, developmental disorders, medical conditions
symptoms of GAD
feeling restless/keyed up/on edge easily fatigued difficulty concentrating/mind blanking irritability sleep disturbances ALL FOR OVER 6 MONTHS
2 key elements of OC anxiety disorder
Obsessions & compulsions
What is an obsession?
Intrusive and persistent thoughts (idea)
What is a compulsion?
Behaviours performed repeatedly (antidote)
Treatment for OC anxiety disorder?
CBT, ERT, medication
What is social phobia/social anxiety disorder?
fear of social/performance situations, exposure to this = anxiety
What is panic disorder?
Fear of/presence of recurrent and unexpected panic attacks
Tx of choice for specific phobias?
ERT
What is agoraphobia?
Fear of leaving house, crowds
3 facets of PTSD
hyper arousal, re-experiencing trauma, numbing with substances
What is the priority for caring for those with PTSD?
SAFETY RISK ASSESSMENT (suicide, impulsivity)
What is the most common mental health problem and its rate?
Anxiety disorders (2.6-6.5 %)
First line of pharmacologic therapy for anxiety disorders? What anxiety disorder would we not use these for?
SSRIs and NSSRIs
Specific phobias
What is the LAST RESORT therapy for anxiety disorders? Why?
Benzos
short acting, not treating underlying S problem, habit forming, addictive
Nursing intervention during panic?
Clear sentences to pt
Get breathing under control
Get pt to seated position
Reassure pt they are safe and in a temporary state
Which group of psychiatric disorders have insight? Which do not?
Anxiety disorders
Personality Disorders
Main etiologic factor for personality disorders?
Trauma/abuse in childhood
What are some main defining factors in Cluster A PDs?
odd, eccentric, distorted thinking
3 Cluster A PDs
Schizotypal
Paranoid
Schizoid
Defining factors of Cluster B PDs
dramatic, erratic, abusive behaviours, black & white thinking
4 Cluster B PDs
Histrionic
Narcissistic
Antisocial
Borderline Personality
Cluster C defining factors
anxious/fearful, passive-aggressive
3 Cluster C PDs
Obsessive Compulsive
Dependent
Avoidant
6 Defining factors of BPD
Affective Instability Identity disturbances Unstable IP relationships Cognitive Dysfunctions Impulsivity Parasuicide
What is the main fear those with BPD have?
Rejection and abandonment
What is main treatment for BPD?
DBT (mindfulness), low dose atypical antipsychotics
Main characteristics of ASD (antisocial personality disorder)
Interpersonally irresponsible (blame you for way they act)
Lack empathy
Aggressive
Manipulative, charming
What disorder is related to history of conduct disorders (before 15 y.o.)?
ASD
Characteristic of HPD (histrionic)
attention seeking
Need approval
Inappropriate/sexually provocative
3 characteristics of NPA (narcissistic)
entitled
grandiose
abusers
4 characteristics of AVPD (avoidant)
fear of social rejection
shy
lonely
low self esteem
Which PD is characterized by difficulty making decisions without reassurance and submissiveness?
Dependent Personality Disorder
What is the difference between OCPD and OC anxiety disorder?
OCAD = obsessions/compulsions underlying anxiety OCPD = perfectionism, need for control
5 Characteristics of OCPD
Perfectionism High structure Productivity Difficulty Discarding worthless objects Inflexibility
3 characteristics paranoid PD
mistrust in others
suspicious
pathological jealousy
Describe characteristics of schizoid PD
reclusive, aloof, hermit
no desire/capability for relationships
indifferent to criticism/praise
restricted emotional range
Describe characteristics of schizotypal PD
do not form friendships moos = restricted/inappropriate eccentric ideas of reference magical thinking
What are ideas of reference?
thinking that benign ideas/concepts are speaking directly to them
