Streyffeler Flashcards
1
Q
Oppositional defiant disorder
A
- pattern of negativistic, hostile and defiant behaviro lasting at least 6 months
- criteria are amixture of feelings (touchy or easily annoyed) and behaviors (delberately annoys people)
- usually first diagnosed in infancy, childhood, adolescence
2
Q
Conduct disorder
A
- Repeated pattern of vioalting the basic rights of others or violating age appropriate societal norms (serious physical aggression, destruction of property, theft)
- no mention of anger in criteria
- usually first diangosed in infancy, childhood or adolescence
3
Q
Intermittent explosive disorder
A
- repeated seriously assultive acts (striking someone or verbally threatening assault) or intentional destruction of property
- degree of aggressiveness GROSSLY disproportionate to triggered event
- diagnosed in adulthood generally
4
Q
Amok (culture-bound syndrome)
A
- Traditionally found in southeast asia
- Single episode of acute, unrestrained violence
- individual does not remember the episode
5
Q
Disruptive mood dysregulation disorder
A
- characterized by severe, recurrent temper outbursts occuring 3 or more times a week
- between temper outbursts, mood for most of the day, nearly every day is angry or irritibale
- diagnosis should not be made for the first time before age 6 or after age 18; onset of criteria should occur by age 10
6
Q
Type I: Dependent clingers
A
- view self as needy and physician as inexhaustible source for help and support
- dependent, unreasonably demanding
- inspires a desire to aoid
- requires firm, tactful limits
7
Q
Type II: entitled demanders
A
- also needly, but use intimidation and guilt rather than flattery to acquire care
- controlling, dmeanding, may threaten litigation
- physician becomes fearful and wants to retaliate
- strategy is to accept anger, then re-channel the entitlement into way to obtain the good medical care they deserve
8
Q
Manipulative Help-Rejectives
A
- Also have enormous need for care; however, believe that nothing can help
- typically no tx is effective, but patient keeps returning
- creates guilt, depression and self-doubt int he physician
- manage by explicity stating that tx may not be curative, but regular follow-ups will be needed to maintain whatever gains are possible
- Be consistent, firm, and set approrpriate limits
9
Q
Self-destructive deniers
A
- Engage in behavior that is clearly and imminently destructive (continueing to drink heavily despite esophageal varices)
- inspires malice in the clinician
- recognize without shame or self-blame that the extreme form of this patient inspires a wish that they would die and get it over with
- tx depression if possible; recognize one’s own limits and provide tx as the other terminal illnesses
10
Q
Somatic symptom disorder
A
- One or more somatic symptoms that are distresssing or result in significant disruption of daily life
- excessive thoughts, feelings or behaviors related to the symptoms
- symptoms are vague, but may be dramatic and severe
11
Q
illness anxiety disorder
A
- preoccupation with health to the exclusion of everything else
- somatic symtpoms are either not present or are mild
- high level of anxiety about health resulting in excessive health related behaviors
- Intense sensitivity to bodily sensation
12
Q
conversion disorder
A
- One or more symptoms of altered voluntary motor or sensory function
- shows incompatibility between the symptom and recognized neurlogical or medical conditions
- exexplicable fainting, paralysis, seizures, blindness etc
13
Q
Factitious disorder
A
- Intentional production of symptoms
- presents self to others as ill or injured to assume the sick role
14
Q
Malingering
A
- NOT A PSYCHIATRIC DISORDER
- lying –> reporting symptoms taht the patient is not actually experiencing
- obtain some other desired benefit or outcome, not the sick role itself
