Term
|
Definition
| Feeling of apprehension caused by anticipation of danger, which may be internal or external |
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Term
|
Definition
| Abrupt interruption in train of thinking before a thought or idea is finished; after a brief pause, the person indicates no recall of what was being said or was going to be said (also known as thought deprivation or increased thought latency). Common in schizophrenia and severe anxiety. |
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Term
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Definition
| Disturbance of affect manifested by a severe reduction in the intensity of externalized feeling tone; one of the fundamental symptoms of schizophrenia, as outlined by Eugen Bleuler. |
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Term
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Definition
| Disturbance in the associative thought and speech processes in which a patient digresses into unnecessary details and inappropriate thoughts before communicating the central idea. Observed in schizophrenia, obsessional disturbances, and certain cases of dementia. See also tangentiality. |
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Term
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Definition
| Pathological need to act on an impulse that, if resisted, produces anxiety; repetitive behavior in response to an obsession or preformed according to certain rules, with no true end in itself other than to prevent something from occurring in the future |
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Term
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Definition
| Reduction in intensity of feeling tone that is less severe than that of blunted affect. |
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Term
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Definition
| False belief, based on incorrect inference about external reality, that is firmly held despite objective and obvious contradictory proof or evidence and despite the fact that other members of the culture do not share the belief. |
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Term
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Definition
| False belief that a person's will, thoughts, or feelings are being controlled by external factors. |
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Term
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Definition
| Exaggerated conception of one's importance, power, or identity |
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Term
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Definition
| False belief of being harassed or persecuted; often found in litigious patients who have a pathological tendency to take legal action because of imagined mistreatment. Most common delusion. |
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Term
|
Definition
| False belief that the behavior of others refers to oneself or that events, objects, or other people have a particular and unusual significance, usually of a negative nature; derived from idea of reference, in which persons falsely feel that others are talking about them. |
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Term
| Delusion of self-accusation |
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Definition
| False feeling of remorse and guilt. Seen in depression with psychotic features. |
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Term
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Definition
| Sensation of unreality concerning oneself, parts of oneself, or one's environment that occurs under extreme stress or fatigue. Seen in schizophrenia, depersonalization disorder, and schizotypal personality disorder. |
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Term
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Definition
| Psychopathological repeating of words or phrases of one person by another; tends to be repetitive and persistent. Seen in certain kinds of schizophrenia, particularly the catatonic types. |
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Term
|
Definition
| Absence or near absence of any signs of affective expression. |
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Term
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Definition
| Rapid succession of fragmentary thoughts or speech in which content changes abruptly and speech may be incoherent. Seen in mania. |
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Term
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Definition
| False sensory perception occurring in the absence of any relevant external stimulation of the sensory modality involved. |
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Term
|
Definition
| beliefs about another person or force controlling some aspect of ones behavior |
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Term
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Definition
| Misinterpretation of incidents and events in the outside world as having direct personal reference to oneself; occasionally observed in normal persons, but frequently seen in paranoid patients. If present with sufficient frequency or intensity or if organized and systematized, they constitute delusions of reference. |
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Term
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Definition
| Conscious recognition of one's own condition. In psychiatry, it refers to the conscious awareness and understanding of one's own psychodynamics and symptoms of maladaptive behavior; highly important in effecting changes in the personality and behavior of a person. |
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Term
|
Definition
| Mental act of comparing or evaluating choices within the framework of a given set of values for the purpose of electing a course of action. If the course of action chosen is consonant with reality or with mature adult standards of behavior, judgment is said to be intact or normal; judgment is said to be impaired if the chosen course of action is frankly maladaptive, results from impulsive decisions based on the need for immediate gratification, or is otherwise not consistent with reality as measured by mature adult standards. |
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Term
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Definition
| Affective expression characterized by rapid and abrupt changes, unrelated to external stimuli. |
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Term
| Loosening of associations |
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Definition
| Characteristic schizophrenic thinking or speech disturbance involving a disorder in the logical progression of thoughts, manifested as a failure to communicate verbally adequately; unrelated and unconnected ideas shift from one subject to another. See also tangentiality. |
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Term
|
Definition
| New word or phrase whose derivation cannot be understood; often seen in schizophrenia. It has also been used to mean a word that has been incorrectly constructed but whose origins are nonetheless understandable (e.g., headshoe to mean hat), but such constructions are more properly referred to as word approximations. |
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Term
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Definition
| Persistent and recurrent idea, thought, or impulse that cannot be eliminated from consciousness by logic or reasoning; involuntary and ego-dystonic. See also compulsion. |
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Term
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Definition
| Includes persecutory delusions and delusions of reference, control, and grandeur. |
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Term
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Definition
| (1) Pathological repetition of the same response to different stimuli, as in a repetition of the same verbal response to different questions. (2) Persistent repetition of specific words or concepts in the process of speaking. Seen in cognitive disorders, schizophrenia, and other mental illness. See also verbigeration. |
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Term
|
Definition
| Persistent, pathological, unrealistic, intense fear of an object or situation; the person may realize that the fear is irrational but, nonetheless, cannot dispel it. |
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Term
|
Definition
| Reduction in intensity of feeling tone, which is less severe than in blunted affect, but clearly reduced. See also constricted affect. |
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Term
|
Definition
| (1) State of decreased reactivity to stimuli and less than full awareness of one's surroundings; as a disturbance of consciousness, it indicates a condition of partial coma or semicoma. (2) In psychiatry, used synonymously with mutism and does not necessarily imply a disturbance of consciousness; in catatonic stupor, patients are ordinarily aware of their surroundings. |
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Term
|
Definition
| Oblique, digressive, or even irrelevant manner of speech in which the central idea is not communicated. |
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Term
| Axis I ― Clinical Disorders: |
|
Definition
delirium,dementia & cognitive disorders
Axis? |
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Term
| Axis I ― Clinical Disorders: |
|
Definition
mental disorder due to general medical condition
Axis? |
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Term
| Axis I ― Clinical Disorders: |
|
Definition
substance related disorders
Axis? |
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Term
| Axis I ― Clinical Disorders: |
|
Definition
schizophrenia & other psychotic disorders
Axis? |
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Term
| Axis I ― Clinical Disorders: |
|
Definition
mood disorders
Depressive disorders: major depressive disorder, postartum depression, season affective disorder
Bipolar disorders
Axis? |
|
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Term
| Axis I ― Clinical Disorders: |
|
Definition
|
|
Term
Axis I ― Clinical Disorders:
Somatoform disorder (also known as Briquet's syndrome) is a mental disorder characterized by physical symptoms that mimic physical disease or injury for which there is no identifiable physical cause[1]. The symptoms that result from a somatoform disorder are due to mental factors. In people who have Somatoform disorder, medical test results are either normal or don't explain the person's symptoms. |
|
Definition
somatoform disorders
Axis? |
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Term
Axis I ― Clinical Disorders:
Factitious disorders are conditions in which a person acts as if he or she has a physical or mental illness when he or she is not really sick. ... |
|
Definition
factitious disorders
Axis? |
|
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Term
| Axis I ― Clinical Disorders: |
|
Definition
dissociative disorders
Axis? |
|
|
Term
| Axis I ― Clinical Disorders: |
|
Definition
sexual & gender identity disorders
Axis? |
|
|
Term
| Axis I ― Clinical Disorders: |
|
Definition
|
|
Term
| Axis I ― Clinical Disorders: |
|
Definition
|
|
Term
| Axis I ― Clinical Disorders: |
|
Definition
impulse control disorders
Axis? |
|
|
Term
| Axis I ― Clinical Disorders: |
|
Definition
adjustment disorders
Axis? |
|
|
Term
Axis I ― Clinical Disorders:
|
|
Definition
other conditions that may be a focus of clinical attention
axis? |
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Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
Axis II ― Personality Disorders & MR:
Histrionic personality disorder (HPD) is characterized by a pattern of excessive emotionality and attention-seeking, including an excessive need for approval and inappropriate seductiveness, usually beginning in early adulthood. These individuals are lively, dramatic, enthusiastic, and flirtatious. |
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Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
Axis II ― Personality Disorders & MR:
Dependent personality disorder (DPD), formerly known as asthenic personality disorder, is a personality disorder that is characterized by a pervasive psychological dependence on other people. The difference between a 'dependent personality' and a 'dependent personality disorder' is somewhat subjective, which makes diagnosis sensitive to cultural influences such as gender role expectations. |
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Definition
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
Obsessive-Compulsive
Axis? |
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
Personality Disorder NOS
Axis? |
|
|
Term
| Axis II ― Personality Disorders & MR: |
|
Definition
|
|
Term
| Axis III ― Medical Conditions: |
|
Definition
*Phys condition could be causative—cirrhosis that leads to delirium.
Axis? |
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Term
| Axis III ― Medical Conditions: |
|
Definition
*Phys condition as a result of a mental disorder—gastritis 2ndary to ETOH abuse
Axis? |
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Term
| Axis III ― Medical Conditions: |
|
Definition
*Any phys condition unrelated to Ment disordr
Axis? |
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Term
| Axis III ― Medical Conditions: |
|
Definition
| *Mental disordr due to general dcondition from Axis I, and med condition is listed on axis ______ |
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Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Problems with primary support group
Axis? |
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Problems related to social environment
Axis? |
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|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Abuse that doesn’t meet PTSD criteria
Axis? |
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Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Educational problems
Axis? |
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Occupational problems
Axis? |
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Problems with access to health care services
Axis? |
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Problems related to interaction with legal system
Axis? |
|
|
Term
| Axis IV ― Psychosocial & Environmntl Probs: |
|
Definition
Other psychosocial and environmental problems
Axis? |
|
|
Term
| Axis V ― Global Assessment of Functioning |
|
Definition
Does not include impairment of function due to phys or envirnmntl limitations.
Axis? |
|
|
Term
| Axis V ― Global Assessment of Functioning |
|
Definition
| Rates overall functioning on a 0-100 scale: Axis? |
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Term
|
Definition
| transient, min symptoms on GAS? (## - ##) |
|
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Term
|
Definition
| is moderate on GAS (## - ##) |
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Term
|
Definition
|
|
Term
Hope: Trust vs. Mistrust development
“Good enough” mother vs. helicopter parent |
|
Definition
|
|
Term
Will: Autonomy vs. Shame & Doubt
Potty training, positive reinforcement. Embarrassment and shame (due to potty training transition) |
|
Definition
|
|
Term
Purpose: Initiative vs. Guilt
Initiative (purpose), mastery of locomotion and language skills |
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Definition
|
|
Term
Competence: Industry vs. Inferiority
About confidence, reassurance |
|
Definition
|
|
Term
Fidelity: Identity vs. Role Confusion
Puberty
Formation of cliques → identity development, community development
“fidelity ”, honor partnerships, social (cliques) and physiological changes. |
|
Definition
~ 13yrs
Adolescents, 13-19yrs |
|
|
Term
Love: Intimacy vs. Isolation
Loyalty and fidelity…connection to other human beings
“to love and to work ” |
|
Definition
~20's
Young Adults, 20-34yrs |
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|
Term
Care: Generativity vs. Stagnation
Giving back to the next generation; How can we make it better for others
“care ”concern for guiding the next generation |
|
Definition
~40's
Middle Adulthood, 35-60yrs |
|
|
Term
Wisdom: Integrity vs. Despair
‘Old and wise’ caricature
Being at peace with the finality of life
Correlation between the infant:
Infant…basis to not fear life
Old…not regretting life, fearing death |
|
Definition
~60's
Seniors, 65 yrs onwards |
|
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Term
| o Psychiatric Pertinent Review of Symptoms (positive and negative findings) |
|
Definition
The following are part of what?
- Mood
- Anxiety
- Psychosis
- Substance Abuse
- Physical, emotional, sexual abuse
o Sexual abuse is always in the HPI
- Eating disorder
- Safety/ suicidal or homicidal ideation**** |
|
|
Term
- Current and prior diagnoses and treatments
o Medications, therapy, duration, what worked, s/e
- Suicide attempts (total, first, most recent, lethality)****IN HPI
- Violence associated with Illness (number, severity, legal actions)****IN HPI
- Hospitalizations
o Voluntary, involuntary
o How may, first, most recent
o List as most recent to most distant in H&P write up |
|
Definition
| What you need to ask about in the Psych Hx |
|
|
Term
o 1st degree relative = ↑ risk
o Suicide attempts, substance abuse, what meds worked for them
o Medical issues―HTN, CA, etc
o Psychiatric illness, hospitalizations, treatment, alcohol or substance abuse, antisocial behavior |
|
Definition
| What you need to know in the Psych FH |
|
|
Term
o Problems during pregnancy or birth
o Developmental delays
o Home life from childhood through adolescence―parents, siblings, key role models
o School performance, conduct, legal
o Peer relationships, dating
o History of trauma/abuse
o EtOH, drugs, tobacco |
|
Definition
| What you need to know in the Developmental Hx |
|
|
Term
General―ALWAYS IN THE HPI
HEENT, skin, neck/nodes, respiratory, CV, GI, GU/reproductive, musculoskeletal/back/extremities, endocrine, neuro, hematologic |
|
Definition
|
|
Term
|
Definition
The following are examples of abnormal _____________. compulsions
delusions
feelings of depersonalization
hallucinations
obsessions
phobias
suicidal and homicidal ideation |
|
|
Term
thought process
**Also part of speech abnormalities** |
|
Definition
the following are examples of abnormal __________________
blocking
loosening of associations
flight of ideas
neologism
echolalia
preservation |
|
|
Term
• Remote: birthdays, jobs held, past historical events (are pt’s “history”, PMH reliable, consistent, rational)
• Recent: events of the day
• Immediate Recall or New learning ability: give the pt 3-4 words and ask them to repeat after 3-5 minutes (Red, table, broadway) |
|
Definition
| 3 parts of recall (memory) |
|
|
Term
Serial 7s
Say “WORLD” and spell it forward and backwards |
|
Definition
| How do you test Attention / Concentration? |
|
|
Term
• Time: time of day, day of week, month, season, date and year
• Place: home, name of hospital, city and state
• Person: patient’s own name, names of relatives
• Purpose: does the patient know why they are here |
|
Definition
| Components of "Orientation" (4) |
|
|
Term
o Lethargy: drowsy, desire to sleep
o Confusion: disoriented in relation to time, place, or person
o Stupor: lack of reaction to surroundings. (1) State of decreased reactivity to stimuli and less than full awareness of one's surroundings; as a disturbance of consciousness, it indicates a condition of partial coma or semicoma. (2) In psychiatry, used synonymously with mutism and does not necessarily imply a disturbance of consciousness; in catatonic stupor, patients are ordinarily aware of their surroundings.
o Comatose: profound unconsciousness |
|
Definition
|
|
Term
|
Definition
The following are abnormalities of ___________.
constricted
blunted
flat
inappropriate
liable
incongruent
restricted |
|
|
Term
Appearance
Attitude toward examiner
Speech Characteristics
Overt behavior and psychomotor activity |
|
Definition
| components of the general description (MSE) |
|
|
Term
1.) General Description: Appearance, attitude toward examiner, speech characteristics, overt behavior and psychomotor activity
2.) Mood and Affect
3.) Alertness
4.) Orientation
5.) Attention/Concentration
6.) Calculations
7.) Recall (memory)
8.) Thought process
9.) Thought content
10.) Abstract thought
11.) Insight and judgment
12.) Impulsivity
13.) Reliability |
|
Definition
| Components of the MSE (13!) |
|
|
Term
• Desire―libido; cx by sexual fantasies; reflects one’s motivations, drives, and personality
• Excitement―arousal; brought on my psychological or physical stimulation
• Orgasm―peaking sexual pleasure
• Resolution―post-orgasm |
|
Definition
| DSM IV stages of sexual response |
|
|
Term
• Excitement―arousal; brought on my psychological or physical stimulation
• Plateau―moments just before orgasm (premature ejaculation)
• Orgasm―peaking sexual pleasure
• Resolution―post-orgasm |
|
Definition
| Masters and Johnson stages of sexual response cycle |
|
|
Term
SSRI (libido, ED, ∅ orgasm/ejaculation)
beta-blockers & alpha-blockers (ED, libido)
anti-ACH (dryness) |
|
Definition
| Drugs that cause ED, decreased libido |
|
|
Term
• Pedophilia―most common, desire for pre-pubescent <16yrs + 5 yrs age difference
o 90% are heterosexual (male)
• Exhibitionism―genital exposure, mainly female(girl) victims
• Fetishism―arousal from object
• Frotturism―non sexual touching or rubbing someone
• Masochism―humiliation, beater, suffer
• Sadism―derivation of watching pain or inflicting it on others
• Voyeurism―watching people disrobe
• Transcestic fetishism―arousal from x-dressing, distress to individual |
|
Definition
Paraphilias
most common?
_____ = genital exposure
_____ = arousal from object
_____ = non-sexual touching or rubbing on somone
_____ = enjoying humiliating, beating, or suffering
____= derivation of watching pain or inflicting it on others
____= watching people disrobe
____= arousal from x-dressing |
|
|
Term
o Bi-gender: identity encompasses both male and female
o Queer: identity is neither male or female
o Transgender: gender identity/expression/behavior is different from those associated with assigned sex at birth (transsexuals, cross-dressers, androgynous people, genderqueers, non-conforming)
o Intersex: hermaphrodite
• Turner’s syndrome: __X, female body
• Klinefelter’s syndrome: XXY, male body, ↓androgens |
|
Definition
Define:
Bi-gender =
Queer =
Transgender =
Intersex =
Turner's sundrome =
Klinefelter's syndrome = |
|
|
Term
| Axis I ― Clinical Disorders: |
|
Definition
depression, anxiety disorders, bipolar disorder, ADHD, autism, phbias, schizophrenia
Axis? |
|
|
Term
Axis II
paranoid personality disorder
schizoid personality disorder
schizotypal personality disorder
borderline personality disorder
antisocial personality disorder
narcissistic personality disorder
histrionic personality disorder
acoidant personality disorder
dependent personality disorder
obsesive-compulsive personality disorder |
|
Definition
paranoid
schizoid
schizotypal
borderline
antisocial
narcissistic
histrionic
acoidant
dependent
obsesive-compulsive
Axis? |
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|
