Psychiatry Flashcards

Question

Selective Mutism

Answer 1

Common in infancy and childhood. Consistent failure to speak in specific social situations in which speech is expected (e.g., at school), not due to lack of language skills.

Answer 2

Common in infancy and childhood. Developmentally excessive fear or anxiety concerning separation, at least 3... fear/anxiety when leaving home refusal to leave home excessive fear of being away (sleepover refusal) nightmares of separation repeated complaints of physical symptoms

Answer 3

Caused by patterns of enduring, inflexible, and maladaptive personality traits. Usually established by adolescence and associated with violence, depression, psychotic episodes, and suicide. Note – patient must be \> 18 years old to be diagnosed with a personality disorder.

Answer 4

**WEIRD**, Odd, Eccentric Paranoid - accusatory Schizoid - aloof Schizotypal - awkward note - may overlap with psychotic disorders

Answer 5

**WILD**, Bad Borderline Antisocial Narcissistic Histrionic note - increased rates of mood disorders and substance abuse

Answer 6

**WORRIED, **Anxious Avoidant Dependent OCPD

Answer 7

**Accusatory** pervasive distrust of others

Answer 8

**Aloof** voluntary social withdrawal no desire for relationships flattened affect

Answer 9

**Awkward** behavior that is odd, eccentric, or peculiar magical thinking, paranoid ideation, ideas of reference

Answer 10

Paranoid and schizoid can be differentiated from paranoid schizophrenia because they do not have fixed delusions and are not psychotic. Schizotypal can be differentiated from paranoid schizophrenia by lack of gross psychosis.

Answer 11

Schi**zoids** **avoid** reality, and may daydream or be cold and introverted. Schizo**typals** are odd, eccentric, magical **types**.

Answer 12

begins as childhood conduct disorder disregard for rights of others & lack remorse deceitful, aggressive, impulsive note - always consider substance abuse treatment - limited due to self-serving motivation

Answer 13

intense unstable relationships, idealization/devaluation fear of abandonment feeling of emptiness or boredom unstable sense of self suicidal gestures, self-injury history of physical/sexual abuse? history of childhood abuse or neglect? **PRAISE** Paranoid Ideas Relationship Instability Abandonment Fears, Angry Outbursts Impulsiveness Suicidal Gestures Emptiness

Answer 14

exaggerated sense of self-worth and entitlement willing to exploit others for personal gain (for status and attention, not material gain as in antisocial PD) lack of empathy for others

Answer 15

need to be the center of attention inappropriately seductive, flirtatious use physical appearance to attract attention assume intimacy, consider relationships to be more meaningful than they are but are unable to maintain intimate relationships think Scarlett O'Hara! or Julia Thead!

Answer 16

**Cowardly** social inhibition due to a fear of humilitation, feelings of inadequacy, and hypersensitivity to negative evaluation

Answer 17

**Clingy** excessive need to be taken care of that leads to submissive and clingy behaviors + fears of separation note -may tolerate abusive partners

Answer 18

**Compulsive** **ego-syntonic! **preoccupation with orderliness, perfectionism, and mental and interpersonal control at the expense of flexibility, openness, and efficiency