Psychology Flashcards - Sheet1
MCAT Kaplan Psychology
What is the difference beteen biomedical and biopsychosocial approaches?
The biomedical approach sees psychological disorders in the lens of biomedical causes and solutions. This narrower view does not take into account the psychological, sociological, and environmental factors that cause psychological disorders. The biopsychosocial approach also looks at direct and indirect solutions to treatment.
What is the one year prevalence of psychological disorders and the 3 most common psychological disorders?
Any mental disorder - 26.2%; Specific phobia - 8.7%; Social anxiety disorder - 6.8%; Major depressive episode - 6.7%
What is schizophrenia? What do you need for a diagnosis?
Schizophrenia is a psychotic disorder. You must have at least 2 symptoms for 6 months, one of which is delusions, hallucinations, and disorganized speech.
What are the positive symptoms of schizophrenia?
Positive symptoms include delusions (reference, grandeur, persecution, thought broadcasting, and thought insertion), hallucinations (auditory most common), and disorganized thought/actions (word salad/neologisms; catatonia/echolalia/echophraxia).
What are the negative symptoms of schizophrenia?
Negative symptoms include disturbance of affect (blunting - loss of expressitivity; flat affect - no signs of emotional expression; inappropriate affect - discordant with the content of the individual’s speech) and avolition (decreased engagement in purposeful, goal-directed actions).
What is the prodromal phase?
Clear evidence of deterioration, social withdrawal, role functioning impairment, peculiar behaviour, inappropriate affect, and unusual experiences. This phase is followed by the active phase of symptomatic behavior. Slow onset»_space; poor prognosis. Fast onsnet»_space; good prognosis.
What is a major depressive disorder?
Mood disorder characterized by at least one major depressive episode (5 symptoms within a 2 week span, one of which is depressed mood or ahnedonia).
What does S+SIGECAPS stand for?
Major depressive disorder symptoms - Sadness+Anhedonia + Loss of sleep, Loss of interest, feelings of guilt and worthlessness, low energy, lack of concentration, loss of appetite, psychomotor functions affected, suicidal thoughts.
What is persistent depressive disorder?
Given to individuals who suffer from dysthymia (depressive mood that isn’t sever enough to meet the criteria of a major depressive episode most of the time for at least two years).
What is seasonal affective disorder?
Major depressive disorder with seasonal onset. Related to abnormal melatonin metabolism. Treatment is with bright light therapy.
What is the most common first line treatment for depression?
Selective Serotonin Reuptake Inhibitors (SSRIs). Blocks the reuptake of serotonin by the presynaptic neuron resulting in higher levels of serotonin in the synapse and relief of symptoms. INCREASE SEROTONIN.
What is bipolar disorder; I, II, and cyclothymic?
Major type of mood disorder characterized by both depression and mania. Bipolar Disorder I - manic episodes with or without major depressive episodes. Bipolar Disorder II - hypomania with major depressive episodes. Cyclothymic Disorder - hypomania with dysthymia.
What are manic episodes and how are they diagnosed?
Individual must exhibit an abnormal and persistently elevated mood lasting at least one week with at least three of the following DIGFAST symptoms.
What does DIGFAST stand for?
Manic episodes must consist of an abnormal and persistently elevated mood for at least a week with 3 of the following symptoms: Highly distracted, Insomnia, Grandiosity, Flights of idea (racing thoughts), Agitation, Pressure speech, and thoughtlesness (risky ideas).
What is hypomania?
Unimpaired functions nor are there psychotic features but individual may be more energetic or optimistic.
What is the monoamine or catecholamine theory of depression?
Depressive and manic episodes are two sides of the same coin. In depression, it is the low levels of norepinephrine and serotonin that cause the symptoms so treatment aims to increase these levels. In manic episodes, it is high levels of these neurotransmitters that cause the symptoms.
Are anxiety disorders more common in men or women?
Women
What is generalized anxiety disorder? Duration?
Disproportionate and persistent worry about many different things for at least six months. Physical symptoms include fatigue, muscle tension, and sleep problems.
What is specfic phobia disorder?
An irrational fear of something that results in a compelling desire to avoid it. Often caused by a specific object or situation.
What must clinicians rule out for all anxiety disorders?
Hyperthyroidism - excessive levels of thyroid hormones triiodothryonine and thyroxine increases the whole body’s metabolic rate creating anxiety-like symptoms.
What is social anxiety disorder?
Anxiety due to social situations. Individuals have fears when exposed to social situations like making a speech or using a public restroom.
What is agoraphobia?
Fear of being in places or situations where it might be hard for the individual to escape. These individualsl tend to be uncomfortable leaving their homes for fear of a panic attack or exacerbation of another mental illness.
What is panic disorder?
Consists of repeated panic attacks (fear and apprehension, trembling, sweating, hyperventilation, and sense of unreality. Individuals struck with sense of impending doom and may be convinced they are about to lose their mind. Accompanied by agoraphobia because of the pervasive fear of having a panic attack in a public location.
What is obsessive-compulsive disorder?
Characterized by obsessives (persistent thought and impulses) that raise tension, which is released by compulsions (repetitive tasks). For example, obsession about dirt leads to washing hands.