Psychopathology Flashcards
which disorder involves severe and recurrent temper outbursts that are verbal and/or behavioral, are grossly out of proportion to the situation or provocation, and occur three or more times each week; and (b) a persistently irritable or angry mood that is observable to others most of the day and nearly every day between outbursts.
disruptive mood dysregulation disorder
Oppositional Defiant Disorder requires a recurrent pattern of an ____ mood, _____ behavior, and/or ____,as evidenced by at least # of symptoms with at least one person who is ____
angry/irritable
argumentative/defiant
vindictiveness
4
not a sibling
as opposed to a manic episode that needs to last at least ____, hypomanic episodes last ___
1 week; 4 days
This disorder involves recurrent and intense sexual arousal for at least six months related to fantasies, urges, and/or behaviors involving sexual activity with a child or children 13 years of age or younger.
Pedophilic
In the early stages of frontotemporal NCD, what are not usually affected
learning and memory or perceptual-motor functioning
Who’s theory and which theory describes depression as the result of a low rate of response-contingent reinforcement for social behaviors due to a lack of reinforcement in the environment and/or poor social skills.
Lewinsohn’s social reinforcement theory
how do they describe bipolar that is characterized by a low likelihood of mixed mood state and rapid cycling, long periods of recovery between episodes, and an onset between 15-19
classic bipolar disorder
When do symptoms of antisocial PD usually remit or become less severe
fourth decade
Which stage of Alzheimer’s (and length):
short-term memory loss
long-term memory loss
labile mood
irritability
disorientation,
delusions and hallucinations, wandering and pacing,
perseveration (repetitive speech and actions),
loss of impulse control,
impaired speech,
disrupted sleep patterns,
problems with normal daily activities (e.g., bathing, grooming, dressing),
sundowning (increased confusion, agitation, and restlessness in the late afternoon or evening).
Middle stage (2-10 years)
What medical condition is bidirectional with depression
myocardial infarction
Which category of neurocognitive disorder involves interference with the person’s independent in everyday activities
major neurocognitive disorder (as opposed to minor)
Behavioral treatments for paraphilic disorders invlude
classical conditioning: covert sensitization and orgasmic (masturbatory) reconditioning
What herb has shown similar therapeutic effects as SSRI for mild or moderate depressoin
St John’s wort
What type of dyslexia is most common
dysphonic (difficulty connecting sounds to letters)
a paraphilic disorder involveswhat
causes distress/impairment OR has entailed personal harm or risk of harm to others
What treatment is recommended for older adults with depression
either group CBT or IPT with a secondgen antidepressant
what is one of the strongest risk factors for depression among older adults
chronic medical illness, espcially when it’s debilitating or isolating
What medication assists with the core symptoms of autism
none :(
Which neurodevelopmental disorder is at greatest risk of developing early-onset Alzheimer’s
Down syndrome (because of extra APP gene)
disorderinvolves cross-dressing for the purpose of sexual arousal for at least six months as manifested in fantasies, urges, and/or behaviors that cause
Transvestic
What temperament is more likely to develop GAD
behavioral inhibition
neuroticism
harm avoidance
What NCD involves a prominent decline in language that involves deficits in speech production, word finding, object naming, grammar, or word comprehension
Frontotemporal, language variant (aka Primary progressive aphasia)
disorder involves recurrent and intense sexual arousal for at least six months from exposing one’s genitals to an unsuspecting person as manifested by fantasies, urges, or behaviors
Exhibitionistic
How much more common is BED in women than men
2-3 times more common
a sense of unreality, detachment, or being an outside observer of one’s thoughts, actions,
depersonalization
Bipolar 1 episodes
at least one manic
may/may not be preceded/followed by depressive or hypomanic
what type of delusional disorder involves believing your spouse/partner is unfaithful
jealous
who is most likely to:
doesn’t desire or enjoy close relationships, almost always chooses solitary activities, has little or no interest in sexual relationships, takes pleasure in few activities, lacks close friends or confidents other than first-degree relatives, appears to be indifferent to praise or criticism, is emotionally cold or detached or has flat affect.
Schizoid PD
In addition to binge eating, how many other symptoms are required for BED?
eating more rapidly than usual; eating until uncomfortably full; eating large amounts when not feeling hungry; feeling alone due to embarrassment about one’s binge eating; feeling disgusted, depressed, or very guilty about one’s binge eating
3
Which NCD involves plaques and tangles
Alzheimer’s
generally, how far below the population mean are individuals with ID
2 or more SD’s
What medications are conditionally recommended for PTSD
fluoxetine, paroxetine, sertraline
venlafaxine
What is the recommended treatment for elementary and middle-school aged kids and adol w/ ADHD
combo of behavioral and medication
How old must someone be for Intermittent Explosive Disorder
at least 6 (or the equivalent developmental level)
How long do specific learning disorder symptoms need to last
6 months, despite use of interventions
exhibits ideas of reference, has odd beliefs or magical thinking that influence behavior, has bodily illusions and other unusual perceptions, exhibits odd thinking and speech, is suspicious or has paranoid ideation, has inappropriate or constricted affect, has peculiarities in behavior and appearance, lacks close friends or confidents other than first-degree relatives, has excessive social anxiety that doesn’t diminish with familiarity.
Schizotypal PD
What is usually the first symptom of Alzheimer’s
short-term memory loss
Onset and progression pace of NCD w/ Lewy Bodies
insidious; gradual
how long ago must a death have been for prolonged grief disorder (adults, children)
12 months, 6 months
What are the 3 subtypes of conduct disorder
childhood-onset (at least 1 symptom before 10)
adolescent-onset (no symptoms before 10)
unspecified onset
What treatment has a higher response and remission rate for depression and faster time to remission
ECT (80 AND 70%)
In addition to SSRIs, which tricyclic is often used to treat OCD
clomipramine
a sense of unreality or detachment with regard to one’s surrounding
derealization
How long must you have an active phase of symptoms to be diagnosed with schizophrenia; how long must you have continuous signs of the disorder
At least a month; At least 6 months (can include prodromal and residual phases)
What NCD is the most common cause of early-onset NCD
Frontotemporal
Bipolar 2 episodes
at least one hypomanic and one major depressive
What is it called when someone responds to a substance use lapse with negative emotions, guilt, and a sense of personal failure?
abstinence violation effect
Can someone be diagnosed with Alzheimer’s if there NCD is mild
yes (or major)
How long do symptoms need to occur for a diagnosis of separation anxiety disorder?
at least 4 weeks in children/teens; 6 months in an adult
To be diagnosed with a specific learning disorder, when must issues onset; what must be said of their academic skills
school-age years; substantially below those expected for their age
What percentage of folks with BPD no longer meet full criteria by 40
up to 75%
What percentage of folks w/ OCD have comorbid disorders
90%
What is the mean age of onset for specific phobia
10
Who has better response to treatment of the eating disorders
binge eating
Which substance, and why these symptoms:
tachycardia or bradycardia, pupillary dilation, elevated or lowered blood pressure, perspiration or chills, nausea or vomiting, weight loss, psychomotor agitation or retardation, respiratory depression or cardiac arrhythmia, seizures or coma
Stimulant Intoxication
This disorder involves recurrent and intense sexual arousal for at least six months from touching or rubbing against a nonconsenting adult as manifested in fantasies, urges, and/or behaviors.
Frotteuristic
Which NCD is characterized by the buildup of an abnormal protein
Lewy bodies
When do severity of withdrawal symptoms typically peak for tobacco?
48-72 hours
Minimum number of days for acute stress disorder
3
How quickly does someone ejaculate with premature ejaculation
within one minute and before desired
What area of the brain is stimulated in rTMS
left dorsolateral pfc
When does BPD typically onset; when most severe
late adolescence; early adulthood
What is the baseline symptom of Delirium
a disturbance in attention and awareness that develops over a short period of time, is a change from baseline and fluctuates in severity over the course of the day
what is the most prevalent diagnosed disorder among youth aged 3-17
adhd
Which disorder involves (a) a persistent pattern of inhibited and emotionally withdrawn behavior toward adult caregivers as demonstrated by a lack of seeking or responding to comfort when distressed and (b) persistent social and emotional disturbances
Reactive Attachment Disorder
What type of psychoactive med could be used with delirium
antipsychotic like haloperidol (if agitated/psychotic)
Which NCD shows prominent early cognitive symptoms of deficits in complex attention and visuospatial and executive functions while, in the latter, the prominent early cognitive symptoms are deficits in learning and memory
NCD w/ Lewy Bodies
NCD d/t Alzheimer’s disease
What type of exposure is used for people who faint with blood-injection-injury phobia?
applied tension
What is the severity specifier for intellectual disability based on and what are the levels
adaptive functioning in conceptual, social, and practical domains
mild, moderate, severe, profound
Cyclothymic disorder episodes
numerous periods of hypomanic symptoms that don’t meet criteria for hypomanic episode and numerous periods of depressive symptoms that don’t meet criteria for major depressive
How long do symptoms of cyclothymic disorder need to last for adults? Children?
2 years; 1 year
What is the most effective antipsychotic medication for treatment-resistant schizophrenia
clozapine (2ndgen)
How much more often is autism diagnosed in males than females
3-4 x
With the exception of antisocial, when can personality disorders be diagnosed and how long must they have lasted
adolescence; 1 year
is preoccupied with details, rules, and schedules so the major point of an activity is lost;
shows perfectionism that interferes with task completion;
is excessively devoted to work and productivity to the exclusion of leisure activities and friendships;
is overly conscientious, scrupulous, and inflexible about morality, ethics, or values;
is unable to discard worn-out or worthless objects even when they don’t have sentimental value;
is reluctant to delegate work to others unless they’ll do it his/her way;
adopts a miserly spending style toward self and others;
shows rigidity and stubbornness.
OCPD
For pedophilic disorder, how old does the person have to be and how much older than the child
16; 5
what percentage of women experience baby blues?
80%
Severity of symptoms of childhood-onset fluency disorder at what age is predictive of recovery
8
What substance, and why the symptoms?
- autonomic hyperactivity
- hand tremor
- insomnia
- nausea or vomiting
- transient hallucinations or illusions
- anxiety
- psychomotor agitation
- generalized tonic-clonic seizures
Alcohol Withdrawal
Can someone deny history of exhibitionistic disorder and still be diagnosed with it
yes, if there’s objective evidence to the contrary
What lasts longer than withdrawal symptoms for tobacco and is the primary reason for early and late relapses
cravings
Who is more likely to have a specific phobia, girls or boys, and how much more likely
girls, twice
What type of amnesia: an inability to recall some events that occurred during a circumscribed period of time
selective
typical age of onsetof tics
4-6
What term describes a depression that has prominent cognitive symptoms?
pseudodementia
Parent-Focused Intervention for conduct disorder, such as parent management training, work to change what
an escalating cycle of coercive interactions between children and their parents
Tourette’s requires what number of vocal and what number of motor tics, persisting for how long, and beginning by what age
one; multiple
1year
18 y/o
What are the characteristics of Cluster A disorders and which are included
odd or eccentric behaviors
- paranoid
- schizoid
- schizotypal
Which gender has a higher rate of Alzheimer’s
women (but maybe because they live longer)
Which treatment for substance use describes addiction as a learned habit pattern and views lapses as being precipitated by a high-risk situation?
Marlatt’s Relapse Prevention Therapy