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Human disease and therapeutics 2020 > Psychopath lecture 1 > Flashcards

Psychopath lecture 1 Flashcards

1
Q

What is Axis 1?

A

-All psychological diagnostic categories except mental retardation and personality disorder

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2
Q

What is Axis 2?

A

-Personality disorders and mental retardation

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3
Q

What is Axis 3?

A
  • General medical condition: acute medical conditions and physical disorders
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4
Q

What is Axis IV?

A

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

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5
Q

What is Axis V?

A

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

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6
Q

What are common Axis 1 disorders?

A

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

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7
Q

What are common axis III disorders?

A

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

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8
Q

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

A

-Type, extreme fluctuations

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9
Q

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

A
  • The expression of mood,

- appearances

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10
Q

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

A
  • Their organization of thoughts
  • Consistent
  • Sequential thoughts that build on each other
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11
Q

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

A
  • Relevant

- Insightful

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12
Q

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

A

If they understand and interpret what you say

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13
Q

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

A
  • The relevance of what they are dressed for
  • Hygiene
  • Indicate awareness of their environment
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14
Q

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

A
  • Information processing
  • Decision making
  • Planning/implementation (these are executive skills)
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15
Q

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?

A

-To see if you can treat the problem

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16
Q

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?

A
  • Orientation
  • Concentration
  • Memory
  • Fund of knowledge
  • Abstraction
  • Judgement
  • Insight
17
Q

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

A

True

18
Q

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

A

-Cost and fear

19
Q

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

A
  • CT
  • MRI
  • PET
20
Q

What are types of tests used to diagnose mental illness?

A
  • EEG (electroencephalogram) (see in the pre-frontal cortex or the sensory cortex)
  • Brain imaging
21
Q

T/F Psychotic disorders have degrees of severity

A

True

22
Q

Is psychosis a diagnoses or a symptom?

A

Symptom

23
Q

What can cause Psychotic behavior?

A
  • Trauma
  • Stress
  • PTSD
  • Severe illness
  • Drug abuse
24
Q

T/F Schizophrenia can have psychosis as a symptom

A

True

25
Q

What is the most common psychotic disorder?

A

-Schizophrenia

26
Q

What population do you see Schizophrenia in more often?

A

-Poor urban areas

27
Q

What are the symptoms of Schizophrenia?

A
  • 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
28
Q

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

A

teens or early adulthood

29
Q

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

A

-20s or early 30s

30
Q

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

A
  • Symptoms last longer than 6 months
  • Have active psychosis
  • Axis I
31
Q

What are the subtypes of Schizophrenia?

A
  • Disorganized type
  • Catatonic type
  • Paranoid type
  • Residual type
32
Q

What does a disorganized type of schizophrenia appear as?

A
  • Blunted affect
  • No delusions
  • Bizarre behaviors
33
Q

What are the feature of a catatonic type schizophrenic?

A
  • Rigid
  • Don’t tend to change positions if you move them
  • Strange and bizarre postures
34
Q

What are the features of a paranoid type schizophrenic?

A
  • Positive symptoms
  • Very reactive (interpret things in a threatening way)
  • Aggressive
35
Q

What are the features of a residual type schizophrenic?

A
  • Negative symptoms (Don’t communicate, withdrawn)
  • Occur later on in life
  • Most difficult to treat
36
Q

What is the prognosis of schizophrenia?

A
  • Chronic
  • No cure
  • Becomes residual with time
  • Life expectancy shortened by about 20 years
37
Q

What is the best prognosis of a schizophrenic?

A
  • 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

Human disease and therapeutics 2020 (60 decks)

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