Test 2a Flashcards
cachetic
severely underweight with muscle wasting
anergia
lack of energy
anhedonia
an inability to find meaning or pleasure in existence
The Stress-Diathesis Model of Depression
life events may influence the development and recurrence of depression through the psychological and biological experience of stress in some people, which results in changes in the connections among nerve cells in the breain
Beck’s cognitive triad
Negative thoughts that are responsible for the dev of depression 1. negative, self-depreciating view of self 2. pessimistic view of the world 3. belief that negative reinforcement will continue
Goal of CBT for Depression
to change the way a pt thinks, which will in turn help relieve the depressive syndrome
psychosis
total inability to recognize reality
delusions
profoundly believing in ideas with no basis in facts
halluciniations
experiencing sensory perceptions that are not based in reality (i.e. hearing voices)
concrete thinking
overemphasis on specific details and impairment in the ability to use abstract concepts
assoicative looseness
thinking becomes haphazard, illogical, and confused
neologisms
made-up words that have special meaning for the person
echolalia
pathological repeating of another’s words by imitation (seen w/ catatonia)
echopraxia
mimicking the movements of another (seen in catatonia)
clang association
meaningless rhyming of words
waxy flexibility
excessive maintenance of posture (seen in catatonia)
stupor
state in which the catatonic pt is motionless for long periods and may even appear to be in a coma
avolution
lack of motivation
catatonia
extreme abnormal motor behavior
ideas of reference
interprets messages of others or gives private meaning to the communications of others
neuroleptic malignant syndrome (NMS)
occurs in les than 1% of pts who have taken antipsychotic agents. Characterized by dec LOC, increased muscle tone, hyperpyrexia, labile hypertension, tachycardia, tachypnoea, diaphoresis, and drooling
postvention
interventions for the family and friends of a person who has committed suicide. It should be initiated w/n 24-48 hours after the death
SSRIs
Citalopram (celexa) Excitalopram (lexapro) Fluoxetine (prozac) Fluvoxamine (luvox) Paroxitine (Paxil) Sertraline (zoloft)
Atypical Antidepressants
Mirtazapine (Rameron)
Bupropion (Wellbutrin)
Nefazodone (Serzone)
Buspirone (BuSpar)
