Psychopath lecture 1

Question 1

What is Axis 1?

Answer 1

-All psychological diagnostic categories except mental retardation and personality disorder

Question 2

What is Axis 2?

Answer 2

-Personality disorders and mental retardation

Question 3

What is Axis 3?

Answer 3

• General medical condition: acute medical conditions and physical disorders

Question 4

What is Axis IV?

Answer 4

-psychosocial and environmental factors contributing to the disorder (stress)

Question 5

What is Axis V?

Answer 5

-Global assessment of functioning or Children’s global assessment scale for children and teens under the age of 18

Question 6

What are common Axis 1 disorders?

Answer 6

-Depression
-Anxiety disorders
- Bipolar disorder
–ADHD
-Autism spectrum disorders
-Anorexia nervosa
-Bulima nervosa
-Shizophrenia
-Drug dependence

Question 7

What are common axis III disorders?

Answer 7

-Brain injuries and other medical/physical disorders (Alzheimer’s)

Question 8

When you are doing a mental status examination you look at someone’s mood, what are you looking at?

Answer 8

-Type, extreme fluctuations

Question 9

When you are doing a mental status examination you look at someone’s affect what are you looking at?

Answer 9

• The expression of mood,

- appearances

Question 10

When you are doing a mental status examination you pay attention to someone’s thought process, what are you looking for?

Answer 10

• Their organization of thoughts
• Consistent
• Sequential thoughts that build on each other

Question 11

When you are doing a mental status examination you pay attention to someone’s though content, what are you looking for?

Answer 11

• Relevant

- Insightful

Question 12

When you are doing a mental status examination you pay attention to the perception of the patient, what are you looking for? -

Answer 12

If they understand and interpret what you say

Question 13

When you are doing a mental status examination you pay attention to the appearance of people what are you looking for?

Answer 13

• The relevance of what they are dressed for
• Hygiene
• Indicate awareness of their environment

Question 14

When you are doing a mental status examination you pay attention to the cognitive function of individuals, how do you define that?

Answer 14

• Information processing
• Decision making
• Planning/implementation (these are executive skills)

Question 15

When you are doing a mental status examination you pay attention to the cognitive function and the cause of it whether it is organic vs inorganic, why do you pay attention to that?

Answer 15

-To see if you can treat the problem

Question 16

When you are doing a mental status examination you pay attention to the cognitive function and you do look and assess the individual, what are you looking for?

Answer 16

• Orientation
• Concentration
• Memory
• Fund of knowledge
• Abstraction
• Judgement
• Insight

Question 17

T/F For many people living with mental illness, dental health may be a low priority

Answer 17

True

Question 18

What are the largest barriers to dental care with individuals with mental illness?

Answer 18

-Cost and fear

Question 19

What are some brain imaging test used to diagnose mental illnesses?

Answer 19

• CT
• MRI
• PET

Question 20

What are types of tests used to diagnose mental illness?

Answer 20

• EEG (electroencephalogram) (see in the pre-frontal cortex or the sensory cortex)
• Brain imaging

Question 21

T/F Psychotic disorders have degrees of severity

Answer 21

True

Question 22

Is psychosis a diagnoses or a symptom?

Answer 22

Symptom

Question 23

What can cause Psychotic behavior?

Answer 23

• Trauma
• Stress
• PTSD
• Severe illness
• Drug abuse

Question 24

T/F Schizophrenia can have psychosis as a symptom

Answer 24

True

Question 25

What is the most common psychotic disorder?

Answer 25

-Schizophrenia

Question 26

What population do you see Schizophrenia in more often?

Answer 26

-Poor urban areas

Question 27

What are the symptoms of Schizophrenia?

Answer 27

- Go through episodes - Incoherent - Anhedonic (no pleasure) - Personal appearance - Flat affect (not a lot of emotion on their face) - Pre pulse inhibition (do not accommodate/adjust well) - They don't yawn

Question 28

When does the 1st episode of schizophrenia occur in males?

Answer 28

teens or early adulthood

Question 29

When does the 1st episode of schizophrenia occur in females?

Answer 29

-20s or early 30s

Question 30

What are the DSM V criteria requirements to be diagnosed with schizophrenia?

Answer 30

- Symptoms last longer than 6 months - Have active psychosis - Axis I

Question 31

What are the subtypes of Schizophrenia?

Answer 31

- Disorganized type - Catatonic type - Paranoid type - Residual type

Question 32

What does a disorganized type of schizophrenia appear as?

Answer 32

- Blunted affect - No delusions - Bizarre behaviors

Question 33

What are the feature of a catatonic type schizophrenic?

Answer 33

- Rigid - Don't tend to change positions if you move them - Strange and bizarre postures

Question 34

What are the features of a paranoid type schizophrenic?

Answer 34

- Positive symptoms - Very reactive (interpret things in a threatening way) - Aggressive

Question 35

What are the features of a residual type schizophrenic?

Answer 35

- Negative symptoms (Don't communicate, withdrawn) - Occur later on in life - Most difficult to treat

Question 36

What is the prognosis of schizophrenia?

Answer 36

- Chronic - No cure - Becomes residual with time - Life expectancy shortened by about 20 years

Question 37

What is the best prognosis of a schizophrenic?

Answer 37

- Want it to be a rapid onset with an underlying explanation - Prefer positive symptoms - Happen in an older individual - Happen in a female - Not have a genetic connection