Term
- physiological needs
- safety and security
- love and belongingness
- self esteem and actualization
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|
Definition
| What are Maslow's Hierarchy of Needs |
|
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Term
- realism
- acceptance
- autonomy
- Intimacy
- Creativity
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Definition
| Those who have achieved self actualization have these 5 qualities |
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Term
|
Definition
| What can Autonomy promote? |
|
|
Term
- anxiety
- mood
- schitzophrenia
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Definition
| What are the 3 main categories of psych disorders? |
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Term
|
Definition
| These disorders are characterized by a Feeling of fear experienced on a recurring basis usually in response to a typical life situations |
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Term
|
Definition
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Term
|
Definition
| fear while being observed by others |
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Term
|
Definition
| Recurrent unwanted thoughts or impulses usually about improbable fears |
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Term
|
Definition
| repetitive, difficult to resist actions |
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Term
|
Definition
| THoughts of past events produce terror |
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Term
|
Definition
| Most common mood disrober with feelings of sadness and helplessness |
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Term
|
Definition
Mood disorder with restlessness, high energy, need for little sleep and often non-stop thinking;
These people are often very euphoric and happy |
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Term
|
Definition
| THis disorder may alternate between mania and depression |
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Term
|
Definition
The following are characteristics of what psych disorder
- disorganized thoughts
- inappropriate emotions
- delusions (firmly held false beliefs)
- auditory hallucinations
- deteriorating social and work functions
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|
Term
- hallucinations
- Delusions
- Affective disturbances
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Definition
| What are the 3 classic symptoms of mental disorders? |
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Term
|
Definition
| A disorder of logical thinking |
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Term
|
Definition
| False sensory experiences (visual and auditory) |
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|
Term
Inappropriately strong/absent emotional response
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|
Definition
| What is Affective disturbance? |
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Term
|
Definition
| Inflexible pattern of inner experience and outward behavior which deviates markedly from ones culture |
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Term
|
Definition
| Personality disorder that shows a pervasive pattern of disregard for and violation of other peoples rights |
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Term
| Rorschach Test: Ink Blot Test |
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Definition
| Psychoanalysis test that uncovers things that you have repressed (from inner core) |
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Term
| Thematic Appreciation Test |
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Definition
| Test that evaluates a persons attitudes, emotional responses, and observational capacity using ambiguous material |
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Term
|
Definition
| What axis involves mood, anxiety, and psychotic disorders, substance-related disorders |
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Term
|
Definition
| What axis involves personality disorders and mental retardation |
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Term
|
Definition
What axis involves general medical conditions
(closed head trauma) |
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Term
|
Definition
| What axis involves problems with pyschosocial functioning and environemnt |
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Term
|
Definition
| What axis involves a global assessment of functioning to assess current level of functioning |
|
|
Term
- Associations
- Affect
- Autism
- Ambivalence
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|
Definition
| What are the four A's associated with Schizophrenia coined in the earlier years |
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Term
|
Definition
| Type of behavior therapy that exposes the pt to vast amounts of feared stimulus |
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Term
|
Definition
| Type of behavior therapy that observes a pts behaviors, antecedents, and consequences and formulates an intervention |
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Term
| Systematic Desensitization |
|
Definition
| Type of behavioral therapy that teaches the pt relaxation skills in order to control their fear and anxiety response |
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Term
|
Definition
|
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Term
|
Definition
| Manifested by the formation and content of thoughts |
|
|
Term
|
Definition
| Is Psychosis an illness or a sx? |
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|
Term
- hallucinations
- delusions
- thought disorder
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|
Definition
| What are 3 sx involved with psychosis? |
|
|
Term
- delusions
- hallucinations
- behavioral dyscontrol
- thought disorder
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|
Definition
| What are the 4 positive sx of Schizophrenia? |
|
|
Term
- affective flattening
- Alogia
- Avolition
- Anhendona
- Attentional impairment
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|
Definition
| What are the 5 negative sx of schizophrenia? |
|
|
Term
|
Definition
| Negative sx of schizophrenia characterized by no response |
|
|
Term
|
Definition
Negative sx of schizophrenia characterized by lack of speech
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|
|
Term
|
Definition
Negative sx of schizophrenia characterized by loss of initiation/motivation
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|
|
Term
|
Definition
Negative sx of schizophrenia characterized by loss of ability to express emotions
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|
|
Term
|
Definition
Negative sx of schizophrenia characterized by no eye contact; non-listeners
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|
|
Term
|
Definition
What type of bipolar disorder is characterized by:
- alternation of full manic and depressive episodes
- avg onset 18 yo
- high risk for suicide
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|
|
Term
|
Definition
What type of bipolar disorder is characterized by:
- alternation of major depression with hypomania
- avg onset 22 yo
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|
|
Term
|
Definition
DMS criteria of what disorder?
- Two or more psychotic sx for 1 mo
- impairment in social or occupational functioning
- not due to medical, neurological, or substance induced dis
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|
|
Term
|
Definition
| A preoccupation with specific ideas or thoughts and unable to resist repeated behaviors |
|
|
Term
| before adulthood and more common in women |
|
Definition
| When does OCD begin and who is it more prevalent in? |
|
|
Term
Exposure and response prevention therapy
and
serotonin related drugs |
|
Definition
| What are 2 therapies that are helpful in OCD? |
|
|
Term
|
Definition
| This cluster appears odd and eccentric |
|
|
Term
|
Definition
| This cluster appears dramatic |
|
|
Term
|
Definition
| This cluster appears anxious and fearful |
|
|
Term
|
Definition
The following disorders belong in what cluser
- paranoid
- schizoid
- schitzotypal
|
|
|
Term
|
Definition
| Distressful and suspicious of others |
|
|
Term
|
Definition
| Detached from social relationships |
|
|
Term
|
Definition
| Discomfort with close relationships but will still venture into relationships; eccentric behavior |
|
|
Term
|
Definition
The following disorders are classified under what cluster
- antisocial
- borderline
- histrionic
- Narsisistic
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|
|
Term
|
Definition
| Disregard for other peoples rights |
|
|
Term
|
Definition
| Instability of relationships, self image, or control over immpulses |
|
|
Term
|
Definition
| Excessive emotionality and attention seeking |
|
|
Term
|
Definition
| Need for admiration; lack of empathy; ego |
|
|
Term
|
Definition
The following disorders fall under what cluster:
|
|
|
Term
|
Definition
| Social inhibition and feelings of inadequacy |
|
|
Term
|
Definition
| Excessive need to be taken care of; clingy |
|
|
Term
|
Definition
| Preoccupied with orderliness and perfection |
|
|
Term
|
Definition
| A new word, meaning, or usage |
|
|
Term
|
Definition
| Responding to questions in an irrelevant manner |
|
|
Term
| Derailment (loosening of associations) |
|
Definition
| Shifting from one topic to another (word salad) |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Thought disorder that just doesn't connect |
|
|
Term
|
Definition
| Delusion that one is capable of putting thoughts into others minds, or that other's can perceive them |
|
|
Term
|
Definition
| Delusion that thoughts are being inserted into one's mind by someone else |
|
|
Term
|
Definition
| Larger than life feelings of superiority; sent here for a special mission |
|
|
Term
|
Definition
| Delusion that something is physically wrong with the individual |
|
|
Term
|
Definition
| Irrational delusions that an individual's significant other has been unfaithful |
|
|
Term
|
Definition
| Involves a loss of nerve cells within the brain due to amyloid plaque formation and neurofibrillary tangles |
|
|
Term
|
Definition
| This dz involves a reduced activity of the neurotransmitter acetylcholine (ACh) and subsequent atrophy of the brain |
|
|
Term
| Chlorpromazine (Thorazine) |
|
Definition
| Antipsychotics meds started in the 1950's with what drug? |
|
|
Term
|
Definition
| What type of sx did the older drug Chlorpromazine treat? |
|
|
Term
| Dopamine receptor antagonists |
|
Definition
| What type of drug is Chlorpromazine? |
|
|
Term
|
Definition
| Typical (older) antipsychotics treated what type of sx? |
|
|
Term
| both positive and negative |
|
Definition
| What type of sx do newer atypical antipsychotics treat? |
|
|
Term
- Riserpirdone
- Olanzapine
- Quetiapine
- Clozapine
- Aripiprazole
- Zipraasidone
|
|
Definition
| What are the 6 antipsychotic drugs we mentioned in class? |
|
|
Term
|
Definition
The following are what type of neuroleptic SE:
- Parkinsonian
- Acute dystonia
- Acute akathasia
|
|
|
Term
|
Definition
| A delayed neuroleptic side effect characterized by involuntary movements of the face, tongue, lips, trunk and extremities. |
|
|
Term
| Neuroleptic Malignant Sydrome |
|
Definition
| An emergent neuroleptic side effect characterized by hypothermia, rigidity and autonomic instability |
|
|
Term
| cerebral cortex and hippocampus |
|
Definition
| Alzheimer's dz involves a progressive deterioration of the _______ and ________ leading to difficulty in concentration and memory loss. |
|
|
Term
|
Definition
| What % of old age dementia does Alzheimer's represent? |
|
|
Term
|
Definition
| Is Alzheimer's more common in men or women? |
|
|
Term
|
Definition
| What kind of dementia is Alzheimer's categorized as? |
|
|
Term
| DSM-IV criteria for Alzheimer's? |
|
Definition
- multiple cognitive deficits that develop gradually and steadily
- sx more pronounced at thes end of the day
|
|
|
Term
|
Definition
A clouded (disturbed) state of consciousness involving
- acute onset, fluctuating, reversible disturbance
- difficulty in concentration
- disruption of the sleep-waking cycle
- incoherent speech
- memory impairment for recent events, perceptual disturbances
- mood/activity swings
- disorganized thoughts.
|
|
|
Term
|
Definition
| What is the mortality rate of delirium? |
|
|
Term
|
Definition
| Delirium is most common in what type of pt? |
|
|
Term
| problematic, persistent, and pervasive |
|
Definition
| Not a personality disorder unless the behavior is _______, _________, and ________. |
|
|
Term
|
Definition
| A personality behavior that is defined as causing a significant amount of distress or problems for self and other; may be difficulties in work, social, life, work or law |
|
|
Term
|
Definition
| A personality behavior that is defined as being stable and long-standing; present since early a childhood or adolescence and continues to adulthood |
|
|
Term
|
Definition
| A behavior of personality disorders that is defined as a pattern that is inflexible; present in a broad range of personal or social situaitons |
|
|
Term
| Histrionic Personality Disorder |
|
Definition
Personality disorder that is categorized by
- discontent when not the center of attention
- inappropriate sexually seductive or provocative
- exaggerated expressions
- easily influenced by others and circumstances
|
|
|
Term
| Antisocial Personality disorder |
|
Definition
Personality disorder characterized by
- unlawful behavior
- deceitfulness
- impulsiveness
- recklessness
- lack of remorse
|
|
|
Term
|
Definition
| To be diagnosed as having an Antisocial Personality Disorder, the individual has to be atleast ____ yo with a hx of conduct disorder before ____ yo |
|
|
Term
| Narcissistic Personality Disorder |
|
Definition
Personality disorder characterized by
- grandiose sense of self importance
- preoccupations with fantasies of success, wealth, power
- belief of being unique, but only understood by other unique people
- requires excessive admiration
- sense of entitlement
- lack of empathy
- envious of others, arrogant behavior
|
|
|
Term
| Borderline Personality Disorder |
|
Definition
Personality Disorder Characterized by
- unstable, intense relationships; extremes of idealization and devaluation
- unstable self image
- self-damaging impulsivity
- recurrent suicidal threats
- difficulty controlling anger
|
|
|
Term
| Borderline Personality Disorder |
|
Definition
| What is one of the most difficult disorders to treat and yet the one of the most common personality disorder seen by adult mental health services |
|
|
Term
| Borderline Personality Disorder |
|
Definition
| When dealing with this personality disorder treatment compliance is low and the clinician often becomes demoralized: "nothing seems to wok" |
|
|
Term
- Aphasia
- apraxia
- agnosia
- difficulty planning, organizing,, or abstracting info; loss of executive function
|
|
Definition
| What are examples of cognitive deficits? |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Failure to recognize objects |
|
|
Term
| slow during the early and late stages but rapid during the middle stages |
|
Definition
| Describe the development of Alzheimer's Dz |
|
|
Term
|
Definition
| What is the average survival time of Alzheimer's |
|
|
Term
|
Definition
| Usual onset of Alzheimer's Dz |
|
|
Term
| poorly educated persons and women |
|
Definition
| Prevalence of Alzheimer's is greater in who |
|
|
Term
- beta amyloid plaques
- neurofibrillary tangles
- loss of ACh
- loss of glutamate
|
|
Definition
| What pathological changes are seen in Alzheimer's |
|
|
Term
|
Definition
| What two neurotransmitters are lost in Alzheimer's |
|
|
Term
| inhibits glutamate neurotransmitter system |
|
Definition
| What is the MOA of Memantine |
|
|
Term
- Cholinesterase Inhibitors: (Aricept, Exelon, Reminyl)
and
|
|
Definition
What medications improve sx of Alzheimer's |
|
|
Term
- Cholinesterase inhibitors (Aricpet, Exelon, Reminyl)
- Antioxidants (Vitamin E)
- Anti-inflammatory drugs (Viox)
|
|
Definition
| What medications delay the onset of Alzhemier's |
|
|
Term
|
Definition
| Dementia common among boxers |
|
|
Term
| trauma: concussion or contussion |
|
Definition
| What is a possible etiology of AD? |
|
|
Term
|
Definition
Symptoms of this disorder include:
- depressed or irritable mood
- Prescience of 2 of the following
- appetite disturbance
- sleep disturbance
- fatigue
- poor concentration
- hoplessness
|
|
|
Term
2 years in adults
1 year in kids and adolescence |
|
Definition
| To be diagnosed with Dysthymic Disorder how long must symptoms present for? In adults? adolescence and children? |
|
|
Term
|
Definition
| Does Dysthymic Disorder present with manic or hypomanic episodes? or a Major Depressive Episodes within the first 2 years? |
|
|
Term
|
Definition
| Does Cyclothymia present with manic or hypomanic episodes? or depressive sx? |
|
|
Term
| presence of numerous hypomanic episodes and numerous periods with depressed mood or loss of interest |
|
Definition
| To be diagnosed with Cylcothymia what sx must be present for 2 years? |
|
|
Term
|
Definition
| This disorder, within a 2 year period (1 year kids), is never without hypomanic or depressive sx for more than two months at a time |
|
|
Term
|
Definition
| Does Cyclothymia present with evidence of MDD or Manic episode during the first two years of disturbance? |
|
|
Term
|
Definition
| How long does a brief psychotic disorder last? |
|
|
Term
positive sx
(hallucinations, delusions, disorganization) |
|
Definition
| Does a brief psychotic disorder present with positive or negative sx of schizophrenia? |
|
|
Term
|
Definition
| Does Schizophreniform present with positive or negative sx? |
|
|
Term
| longer than 1 month and less than 6 months |
|
Definition
| Schizophreniform lasts longer than _____ but less than _______ |
|
|
Term
|
Definition
| This disorder meets criteria for major depressive or manic episode and psychotic sx of schizophrenia |
|
|
Term
|
Definition
| This disorder presents with 2 weeks of psychotic sx in absence of mood sx. |
|
|
Term
| Generalized Anxiety Disorder |
|
Definition
| Excessive anxiety and worry occurring more days than not for atleast 6 mo about a number of events or activities (school, work) |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Treatment of choice in phobic disroders |
|
|
Term
|
Definition
| Are phobias more common in females or males? |
|
|
Term
|
Definition
| Involves anxiety provoked by exposure to a specifically feared object or situation (flying, snakes, etc), often leading to avoidance of behavior |
|
|
Term
- electrolytes
- glucose
- liver, thyroid, kidney function
- Vit B12, folate
- CBC
- ESR
- VDLR, HIV
|
|
Definition
| Name the 11 blood tests ordered for a dementia pt |
|
|
Term
|
Definition
| How do we assess functional brain activity? |
|
|
Term
|
Definition
| What are two anatomical brain scans ordered for a dementia pt |
|
|
Term
| detects elevated Tau and decreased amyloid |
|
Definition
| What does analysis of CSF detect in a dementia pt? |
|
|
Term
|
Definition
| What chromosome contains a gene allele that contains the likelihood of developing Alheimer's with a 50-90% chance |
|
|
Term
|
Definition
| What are the three primary lipoproteins in Alzheimer's |
|
|
Term
|
Definition
| What lipoprotein may play a protective role in AD? |
|
|
Term
|
Definition
| Which lipoprotein plays a major role in late onset AD |
|
|
Term
- DDx: tumor, stroke, hematoma
- confirmation of atrophy
- estimation of severity of atrophy
- MRI shows little white matter changes
- Helps family visualize the problems
|
|
Definition
| What are some justifications for brain scan in dementia cases? |
|
|
Term
- depressed mood
- pleasure or interest loss
|
|
Definition
| What 2 sx must Major Depressive Disorder include almost every day for the first 2 weeks? |
|
|
Term
|
Definition
| What type of MDD has absence of hypomania or mania? |
|
|
Term
|
Definition
| What type of MDD has 2 major depression episodes, separated by atleast a 2 month period with more or less normal function/mood? |
|
|
Term
|
Definition
| Memory impairment not due to delirium or dementia that is physiologic or substance induced |
|
|
Term
|
Definition
| Amnesic disorder lasting less than 1 month |
|
|
Term
|
Definition
| Amnesic disorder lasting more than 1 month |
|
|
Term
|
Definition
| This typically occurs following a nap on an airplane after taking a short acting hypnotic such as alprazolam, thiazolam, or zolpidem. |
|
|
Term
|
Definition
| Caused by a neuronal damage that results from thiamine deficiency in association with chronic alcohol abuse |
|
|
Term
|
Definition
| Enduring pattern of inner experiences and behavior that deviates markedly from the expectations of the individual's culture. |
|
|
Term
|
Definition
| Periodic, discrete bouts of panic that occur abruptly and peak within 10 minutes |
|
|
Term
|
Definition
| Heart palpitations, SOB, CP, choking sensation, faintness, dizziness are sx of what disorder? |
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|
