Second Flashcards
Cotards syndrome
Nihilistic delusional belief associated with psychotic depression and schizophrenia.
Folie a deux
Shared delusion of one person influenced by another in which the treatment is to separate the two parties.
Post partum depression time frame
Within 4 weeks of delivery
Sexual masochism
Characterized by arousal caused by psychological or physical punishment to self by others.
Sexual sadism
Arousal caused by giving punishment.
What condition is commonly comorbid with microvascular ischemia such as CVA
Depression
Time frame for GAD
6 months
Lifetime prevalence of GAD
33%
What do insufficient serotonin levels lead to in GAD
Insufficient Inhibition of the hypothalamic pituitary axis (HPA) (body’s stress response)
Methylmalonic acid blood test is more sensitive to
Vitamin B12 deficiency
Homocysteine blood test more sensitive to
Folic acid deficiency
Homocysteine is an amino acid that your body naturally breaks down into other substances with the help of vitamin B6, B12, and folic acid.
Adonis complex
Perceive muscles are inadequate
Circumstantial speech
Overly inclusive and includes a lot of unnecessary detail and digressions** but eventually reaches the point.
Tangential Speech
Speech pattern with lots of unecessary details and digressions and never reaches the point
Flight of ideas
Erratic direction changes with an identifiable connection between thoughts
Loosening of Associations
An illogical connection between thoughts, digressing in multiple directions, but sentence structure remains intact.
Somatization disorder
Characterized by multiple complaints not from specific disease states or organs. Symptoms are numerous, unrelated and difficult to measure.
Conversion disorder
sudden onset of single neurological symptom after a significant stress.
when patient presents with anxious/panic cardiac type symptoms, what must be ruled out first and why
Cocaine induced mood disorder b/c it may lead to MI and if you give a BB to reduce anxiety, in the setting of MI due to unopposed alpha beta effects on heart and potential worsening of myocardial ischemia.
What does interpersonal therapy focus on
personal relationships and how they contribute to depression
Supportive psychotherapy
Focuses on strengthening defense mechanisms to restore function and is usually reserved for those with more primitive coping mechanisms.
Koro
A korean delusion that their penis is shrinking into their abdomen
Zar
belief that spirit is posessed (North African & Middle East)
Taijin Kyofusho
Japanese - belief their body is offensive to others