Study sets matching "psychiatry"

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Study sets matching "psychiatry"

29 terms
PSYCHIATRY
MAOI
TCA
SSRI
SNRI
Inhibits breakdown of NE, DA and 5-HT
Inhibits reuptake of NE + 5-HT (with marked side effects)
Selectively blocks SERT, increasing 5-HT
Selectively blocks reuptake of 5-HT and NE
MAOI
Inhibits breakdown of NE, DA and 5-HT
TCA
Inhibits reuptake of NE + 5-HT (with marked side effects)
10 terms
Psychiatry
social worker
suitable
unable
history
appropriate
not able
antecedents
social worker
suitable
appropriate
20 terms
Psychiatry
neurotransmitter affected in Schizophr…
neurotransmitter affected in Depression
neurotransmitter affected in Dementia
Sigmond freud
increased Dopamine
Decreased serotonin
Decreased Acetylcholine
founder of psychoanalysis
neurotransmitter affected in Schizophr…
increased Dopamine
neurotransmitter affected in Depression
Decreased serotonin
221 terms
Psychiatry
An 18 year old boy hears voices discus…
Not a classical 4 'As' of Bleuler in s…
Not a feature of schizophrenia:... a. An…
Neologism is a characteristic feature…
...
...
...
...
An 18 year old boy hears voices discus…
...
Not a classical 4 'As' of Bleuler in s…
...
Psychiatry
Classical Conditioning
Operant Conditioning
Transference and Countertransference
Ego defenses
Classical Conditioning
Operant Conditioning
22 terms
Psychiatry
anxi/o
aut/o
hallucin/o
hypn/o
uneasy, anxious, distressed
self
hallucination, to wander in the mind
sleep
anxi/o
uneasy, anxious, distressed
aut/o
self
358 terms
Psychiatry
What are different ways to measure Int…
Stanford Binet IQ Test
Wechler Adult Intelligence Scale (WAIS…
Wechsler Intelligence Scale for Children
Stanford Binet IQ Test, Wechlser Adult Intelligence Scale (WA…
Calculates IQ as mental age/ chronoligical age X100
Uses 14 subtests (7 verbal, 7 performance). Can quantify inte…
Used for children between ages 6-16
What are different ways to measure Int…
Stanford Binet IQ Test, Wechlser Adult Intelligence Scale (WA…
Stanford Binet IQ Test
Calculates IQ as mental age/ chronoligical age X100
208 terms
Psychiatry
anorexia nervosa
norepinephrine
dopamine
serotonin
syndrome characterized by persistent energy intake restrictio…
neurotransmitter that controls alertness, concentration, & en…
neurotransmitter that controls reward & motivation
neurotransmitter that controls obsession, compulsion & memory
anorexia nervosa
syndrome characterized by persistent energy intake restrictio…
norepinephrine
neurotransmitter that controls alertness, concentration, & en…
35 terms
Psychiatry
Features suggesting a medical cause fo…
Indications for admission with psychosis
Seasonal affective disorder
Depression with peripartum onset (Post…
(1) History substance abuse/medical disorder requiring Rx... (2)…
1st psychotic break... suicidal... homicidal... grossly debilitated... mo…
MDE in fall/winter for 2 or more consecutive years;
onset of mood symptoms occurs during pregnancy or in the 4 we…
Features suggesting a medical cause fo…
(1) History substance abuse/medical disorder requiring Rx... (2)…
Indications for admission with psychosis
1st psychotic break... suicidal... homicidal... grossly debilitated... mo…
Psychiatry
mental retardation more common in boys…
how long must symptoms be present for…
requirement for diagnosis of ADHD
first line tx: ADHD (2)
boys
>6 months
symptoms must be present in at least 2 areas
1. methylphenidate... 2. dextroamphetamine
mental retardation more common in boys…
boys
how long must symptoms be present for…
>6 months
204 terms
Psychiatry
Classical conditioning
Operant conditioning
Positive reinforcement
Negative reinforcement
Learning in which a natural response (salivation) is elicited…
Learning in which a particular action is elicited b/c it prod…
Desired reward produces action (mouse presses button to get f…
Target behavior (response) is followed by removal of aversive…
Classical conditioning
Learning in which a natural response (salivation) is elicited…
Operant conditioning
Learning in which a particular action is elicited b/c it prod…
145 terms
Psychiatry
What type of responses does Classical…
Operant conditioning
Extinction in conditioning
Transferance
Involuntary responses
Learning in which a particular action is elicited because it…
Discontinutation of reinforcement (+ or -) eventually elimina…
Patient projects feelings about formative or other important…
What type of responses does Classical…
Involuntary responses
Operant conditioning
Learning in which a particular action is elicited because it…
29 terms
Psychiatry
Limbic System
Thalamus
Hypothalamus
Hippocampus
Consists of the limbic lobe, thalamus, hypothalamus and sever…
Relays sensory information to the cerebrum where it is analyz…
During times of fear or anger, sends nerve impulses to the sy…
Stores long-term memories and helps compare present and past…
Limbic System
Consists of the limbic lobe, thalamus, hypothalamus and sever…
Thalamus
Relays sensory information to the cerebrum where it is analyz…
102 terms
Psychiatry
Lithium side effect... what do you monit…
Lithium is excreted by the
carbamazepine side effect
citalopram
hypothyroidism... nephrogenic diabetes insipidus (ADH nonrespon…
kidneys
aplastic anemia... monitor blood counts ... (esp those with heredi…
selective serotonin reuptake inhibitor
Lithium side effect... what do you monit…
hypothyroidism... nephrogenic diabetes insipidus (ADH nonrespon…
Lithium is excreted by the
kidneys
379 terms
Psychiatry
6 , 3
Benzodiazepines
SSRI (GAD)
SSRI (OCD)
Generalized anxiety disorder requires anxiety to be present t…
This class of drugs are used as a short term therapy for GAD…
Group of medications that is considered first line for genera…
First line medication for OCD.
6 , 3
Generalized anxiety disorder requires anxiety to be present t…
Benzodiazepines
This class of drugs are used as a short term therapy for GAD…
166 terms
Psychiatry
ADHD
Methyphenidate
Dextroamphetamine
Atomoxetine
Condition in which there is hyperactivity and poor impulse co…
CNS stimulant that stimulates release of presynaptic catechol…
CNS stimulant that stimulates presynaptic release of catechol…
Norepinephrine reuptake inhibitor used to treat ADHD
ADHD
Condition in which there is hyperactivity and poor impulse co…
Methyphenidate
CNS stimulant that stimulates release of presynaptic catechol…
200 terms
Psychiatry
classical vs operant conditioning
transference
countertransference
acting out
classical: natural response elicited by conditioned stimulus…
pt projects feelings onto physician... ie sees psychiatrist as p…
doctor projects feelings onto pt... ie pt reminds dr of younger…
immature defense... expressing unacceptable feelings and thought…
classical vs operant conditioning
classical: natural response elicited by conditioned stimulus…
transference
pt projects feelings onto physician... ie sees psychiatrist as p…
227 terms
Psychiatry
Schizophrenia... time duration and Brain…
Schizophrenia symptoms - needed for di…
Most common type of schizophrenia
Most treatable type of schizophrenia
Chronic mental disorder with periods of psychosis, disturbed…
Diagnosis requires 2 or more of the following... (first 4 in thi…
Paranoid type
Paranoid type
Schizophrenia... time duration and Brain…
Chronic mental disorder with periods of psychosis, disturbed…
Schizophrenia symptoms - needed for di…
Diagnosis requires 2 or more of the following... (first 4 in thi…
218 terms
Psychiatry
What should be considered in the diagn…
Tic disorder - what is possible treatm…
What drug could you give a man if he w…
Patient on haloperidol starts experien…
DEMENTIA
recurrent rapid, involuntary movements of multiple muscles; >…
Paroxetine (SSRI)... can cause anorgasmia - beneficial in prema…
ONLY approved antipsychotic that reduces dopaminergic neurotr…
What should be considered in the diagn…
DEMENTIA
Tic disorder - what is possible treatm…
recurrent rapid, involuntary movements of multiple muscles; >…
208 terms
psychiatry
the expression of psychological distre…
In order to diagnose anything in the D…
DSM axis 1
List DSM axis 1-5
somatization
1.) The condition must not be caused by direct effects of any…
All mental disorders, including substance abuse and developme…
1: Clinical disorders... 2: Personality disorders and mental ret…
the expression of psychological distre…
somatization
In order to diagnose anything in the D…
1.) The condition must not be caused by direct effects of any…
345 terms
Psychiatry
Autism Spectrum Disorder
Neurotransmitter change, ASD
Treatment, ASD
Child Abuse
Characterized by: ... -Deficits in social communication and soci…
Elevated serum serotonin levels
Increasing social and communication skills... Improving self ca…
Several forms: ... -Neglect (most common form)... -Physical abuse... -…
Autism Spectrum Disorder
Characterized by: ... -Deficits in social communication and soci…
Neurotransmitter change, ASD
Elevated serum serotonin levels
31 terms
Psychiatry
Define dysthymia
Time frame of MDD?
Define Type I Bipolar Disorder
Define Type II Bipolar Disorder
Less severe form of depression with simliar criteria... Lasting…
Two weeks
one manaic episode with or w/o depression
one hypmanaic episode with MDD
Define dysthymia
Less severe form of depression with simliar criteria... Lasting…
Time frame of MDD?
Two weeks
262 terms
Psychiatry
Classical conditioning
Operant conditioning
Positive reinforcement
Negative reinforcement
Learning in which a natural response (salivation) is elicited…
Learning in which a particular action is elicited because it…
Desired reward produces action (mouse presses button to get f…
Target behavior (response) is followed by removal of aversive…
Classical conditioning
Learning in which a natural response (salivation) is elicited…
Operant conditioning
Learning in which a particular action is elicited because it…
60 terms
Psychiatry
What are 5 things involved in the psyc…
What are the 8 aspects of the MSE?
What should be assessed under 'appeara…
What should be assessed under 'speech'…
Full psychiatric history... MSE... Physical examination... Investigati…
Appearance and behaviour... Speech... Mood... Affect... Thoughts - includ…
Attire, grooming, behaviour, rapport
Spontaneity... Volume and rate... Coherence
What are 5 things involved in the psyc…
Full psychiatric history... MSE... Physical examination... Investigati…
What are the 8 aspects of the MSE?
Appearance and behaviour... Speech... Mood... Affect... Thoughts - includ…
PSYCHIATRY
NAME 4 GATEWAY DRUGS
WHAT SUBSTANCE OF ABUSE AND DEPENDENCE…
WHAT SUBSTANCE OF ABUSE PTS EXPERIENCE…
WHAT RX IS USED IN EMERGENCY SITUATION…
1) ETOH ... 2) INHALANTS ... 3)NICOTINE... 4)MARIJUANA
COCAINE
HALLUCINOGENS
NARCAN /NALOXONE
NAME 4 GATEWAY DRUGS
1) ETOH ... 2) INHALANTS ... 3)NICOTINE... 4)MARIJUANA
WHAT SUBSTANCE OF ABUSE AND DEPENDENCE…
COCAINE
20 terms
Psychiatry
neurotransmitter affected in Schizophr…
neurotransmitter affected in Depression
neurotransmitter affected in Dementia
Sigmond freud
increased Dopamine
Decreased serotonin
Decreased Acetylcholine
founder of psychoanalysis
neurotransmitter affected in Schizophr…
increased Dopamine
neurotransmitter affected in Depression
Decreased serotonin
40 terms
Psychiatry
Early history
Middle ages
14th century
Hospital of st. Mary of bethlehem
Time wherein insanity was associated with sin and demonic pos…
Time wherein people who were not cared for within their famil…
Time wherein hosp of St. Mary of bethlehem, the first mental…
The first mental asylum
Early history
Time wherein insanity was associated with sin and demonic pos…
Middle ages
Time wherein people who were not cared for within their famil…
114 terms
Psychiatry :(
Eirkson Stage of Development
Maslows' Hierarchy of needs
Cognitive Behavioral Therapy
Psychoanalysis
1. Infant-18 months-Basic trust vs. mistrust... 2. Toddler-Auton…
1. Physiological needs-breathing, water, food, sex etc. ... 2. S…
Principle-Direct connection between thoughts and emotions (TH…
Analysis of dreams, thoughts and associations as well as verb…
Eirkson Stage of Development
1. Infant-18 months-Basic trust vs. mistrust... 2. Toddler-Auton…
Maslows' Hierarchy of needs
1. Physiological needs-breathing, water, food, sex etc. ... 2. S…
61 terms
Psychiatry
Salinas v. Texas
Interrogation versus questioning
Berghuis v. Thompkins
Dickerson v. US
A person's silence in response to a police question prior to…
When questioning shifts from investigatory to accusatory func…
Suspects must explicitly assert their right to silence; waive…
Miranda warning is established law; required before custodial…
Salinas v. Texas
A person's silence in response to a police question prior to…
Interrogation versus questioning
When questioning shifts from investigatory to accusatory func…
20 terms
Psychiatry
Mood
Affect
Blunted affect
Flat affect
How you feel. Internal state. Facial expressions
Presentstion of the patients emotions. Emotional responsiveness
Affect less thN normal
Emotionless face
Mood
How you feel. Internal state. Facial expressions
Affect
Presentstion of the patients emotions. Emotional responsiveness
107 terms
Psychiatry
Schizophrenia Criteria
Typical Antipsychotics Mechanism
Dopamine Pathways
Typical Antipsychotic Members
3 phases: ... 1) Prodromal: decline in functioning tha precedes…
- Antagonize dopamine D2 receptors in mesolimbic pathway... - wo…
Mesolimbic: ... Nigrostriatal: ... Tuberoinfundibular:... Mesocortical:
HIGH POTENCY... - Haloperidol... - Fluphenazine... MID POTENCY... - Perp…
Schizophrenia Criteria
3 phases: ... 1) Prodromal: decline in functioning tha precedes…
Typical Antipsychotics Mechanism
- Antagonize dopamine D2 receptors in mesolimbic pathway... - wo…
32 terms
Psychiatry
Affect
Delusion
Diagnosis of Schizophrenia
Paranoid Schizophrenia
Assessment of how the patient's mood appears including the am…
Fixed, false belief that is not shared by the person's cultur…
- Two or more of the following for 1 month:... Delusions, Halluc…
Highest functioning type, older age of onset. Preoccupation w…
Affect
Assessment of how the patient's mood appears including the am…
Delusion
Fixed, false belief that is not shared by the person's cultur…
Psychiatry
Major Depression
Agoraphobia
Psychoanlysis
Euphoria
Involves episodes of severe sadness, worry and discouragement
the fear of being in open, crowded, public places from which…
the patient freely relates her or his thoughts and associatio…
exaggerated feeling of well being
Major Depression
Involves episodes of severe sadness, worry and discouragement
Agoraphobia
the fear of being in open, crowded, public places from which…
Psychiatry
Agitated Patient
visual hallucinations vs. auditory
when using antipsychotics for chemicla…
P and P ... Talk to the prehospital pers…
...
auditory is usually psych etio.... cr*A*zy...AAA*zy...*A*uditory ... visio…
benztropine or diphehydramine to protect against EPS
...
Agitated Patient
...
visual hallucinations vs. auditory
auditory is usually psych etio.... cr*A*zy...AAA*zy...*A*uditory ... visio…
Psychiatry
Somatic symptoms disorders
illness
disease
somatization
mismatch between illness and disease which produces significa…
the response of an individual or his or her family to symptoms
pathophysiological process associated with documentable physi…
the tendency to experience and communicate psychological or e…
Somatic symptoms disorders
mismatch between illness and disease which produces significa…
illness
the response of an individual or his or her family to symptoms
39 terms
Psychiatry
Delusions of control
Schizophrenia
Three phases of schizophrenia
Catatonic type schizophrenia
Thought broadcasting: People can hear my thoughts... Thought ins…
2+ (Delusions, hallucinations, disorganized speech, catatonic…
Prodromal: Decline in function before the first psychotic epi…
Must meet 2+ of motor immobility, excessive purposeless movem…
Delusions of control
Thought broadcasting: People can hear my thoughts... Thought ins…
Schizophrenia
2+ (Delusions, hallucinations, disorganized speech, catatonic…
152 terms
Psychiatry
a normal mood in which the range of em…
individuals may be unable to describe…
an unpleasant mood, such as sadness, a…
an apprehensive anticipation of future…
Euthymic
Alexithymic
Dysphoric
Anxious
a normal mood in which the range of em…
Euthymic
individuals may be unable to describe…
Alexithymic
Psychiatry
Paranoid
Schizoid
Schizotypal
Antisocial
Suspicious, distrustful, hypervigilant
prefers to be a loner, detached, unemotional
eccentric, odd thoughts and perceptions and behaviors
disregard and violation of rights of others, lacks empathy
Paranoid
Suspicious, distrustful, hypervigilant
Schizoid
prefers to be a loner, detached, unemotional
Psychiatry
Psychiatrist
Psychologists
Mind
Limb/o
Can give meds
Can't give meds
Ment/o... Psych/o... Phren/o
Edge;border
Psychiatrist
Can give meds
Psychologists
Can't give meds
236 terms
Psychiatry
Major Depressive Disorder definition
subtypes of depression
persistent depressive disorder
double depression
persistent low mood, lack of positive affect, and loss of int…
persistent depressive disorder... double depression... minor depres…
consolidation of dysthymia and chronic major depressive disor…
major depression superimposed on underlying persistent depres…
Major Depressive Disorder definition
persistent low mood, lack of positive affect, and loss of int…
subtypes of depression
persistent depressive disorder... double depression... minor depres…
28 terms
Psychiatry
affect
anxiety
concrete thinking
euphoria
Emotional feeling or mood
a normal or pathological reaction for danger
loss of ability to understand abstractions
A sustained and unwarranted cheerfulness... A feeling of great h…
affect
Emotional feeling or mood
anxiety
a normal or pathological reaction for danger
34 terms
Psychiatry
Aetiologies of Delirium
Standard investigations for delirium
Indications for CT head in Delirium
early onset alzheimer's
Infectious... Withdrawal... Acute metabolic insult... Trauma... CNS lesio…
CBC + Diff, Lytes, Ca Mg, PO4, Glucose, ESR, LFTs, Cr, BUN, T…
focal neurological deficits, acute change in status, anticoag…
onset <65 yo
Aetiologies of Delirium
Infectious... Withdrawal... Acute metabolic insult... Trauma... CNS lesio…
Standard investigations for delirium
CBC + Diff, Lytes, Ca Mg, PO4, Glucose, ESR, LFTs, Cr, BUN, T…
6 terms
psychiatry
conduct disorder
opositional defiant disorder
Rett syndrome
Manic episode
violates basic rights of others (physical aggression, destruc…
hostile, defiant behavior toward authority figures. no seriou…
- x linked disorder... - mostly girls (males die in utero or sh…
must require hospitilization or requires 3 of the following c…
conduct disorder
violates basic rights of others (physical aggression, destruc…
opositional defiant disorder
hostile, defiant behavior toward authority figures. no seriou…
Psychiatry
Ideas of reference
Thought broadcasting
Brief Psychotic Disorder
Schizophreniform Disorder
False belief that something in the external environment (TV,…
Feeling like their thoughts are heard by everyone around them
<1 month... Self resolving... Tx: hosp + supportive care
1-6 mos... Tx: 3-6 mos of antipsychotics
Ideas of reference
False belief that something in the external environment (TV,…
Thought broadcasting
Feeling like their thoughts are heard by everyone around them
28 terms
psychiatry
what are the components of the mental…
SIDECAPS
components of the appearance and behav…
component of the speech and language o…
Appearance and Behavior, Speech and Language, Mood and Affect…
mneumonic used for diagnosis of depression/depressive disorde…
level of consciousness, posture and motor behavior, facial ex…
test for aphasia-- word comprehension, repetition, naming, re…
what are the components of the mental…
Appearance and Behavior, Speech and Language, Mood and Affect…
SIDECAPS
mneumonic used for diagnosis of depression/depressive disorde…
Psychiatry
3 drugs for treating alcohol abuse
how does Disulfiram (aversion therapy)…
how does Acamprosate treat alcohol abu…
how does Naltrexone treat alcohol abuse?
Disulfiram (aversion therapy)... Acamprosate... Naltrexone
Blocks acetaldehyde dehydrogenase → acetaldehyde (toxic inter…
Enhances maintenance, may be synergistic w/ naltrexone
Dampens craving of alcohol by blocking endogenous opioid rele…
3 drugs for treating alcohol abuse
Disulfiram (aversion therapy)... Acamprosate... Naltrexone
how does Disulfiram (aversion therapy)…
Blocks acetaldehyde dehydrogenase → acetaldehyde (toxic inter…
20 terms
Psychiatry
Difference bn PTSD and acute stress di…
What are the first line treatments for…
How long must symps persist to be clas…
What is the treatment for GAD?
Acute stress disorder-- 2 days to 1 mo... PTSD > 1 mo
paroxetine and sertraline... prazosin for nightmares
6 mo
-SSRI's... -Venlafaxine and buspirone (5-HT1A partial agonist) a…
Difference bn PTSD and acute stress di…
Acute stress disorder-- 2 days to 1 mo... PTSD > 1 mo
What are the first line treatments for…
paroxetine and sertraline... prazosin for nightmares
33 terms
Psychiatry
anxi/0
aut/0
hallucin/0
hypn/0
uneasy,... anxious,... distressed
self
hallucination,... to wander in the mind
sleep
anxi/0
uneasy,... anxious,... distressed
aut/0
self
188 terms
Psychiatry
What is Learning in which a natural re…
What is Learning in which a particular…
Desired reward produces action (mouse…
Target behavior (response) is followed…
Classical conditioning
Operant conditioning
Positive reinforcement
Negative reinforcemen
What is Learning in which a natural re…
Classical conditioning
What is Learning in which a particular…
Operant conditioning
459 terms
Psychiatry
Denial
Repression
Intellectualization
Projection
Common defense mechanism... Avoiding the awareness of some painf…
Common defense mechanism... Involuntarily withholding an idea or…
Common defense mechanism... an event or memory is re-conceptuali…
Common defense mechanism... attributing an unacceptable internal…
Denial
Common defense mechanism... Avoiding the awareness of some painf…
Repression
Common defense mechanism... Involuntarily withholding an idea or…
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