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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)
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…
...
170 terms
Psychiatry
Classical Conditioning
Operant Conditioning
Transference and Countertransference
Ego defenses
Classical Conditioning
Operant Conditioning
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
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
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…
136 terms
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
57 terms
Psychiatry
DSM-V Diagnostic criteria for schizoph…
Pharmacological agents which can cause…
Medical disorders which can cause psyc…
MAD FOCUS to differentiate organic fro…
(A) Two (or more) of the following, each present for a signif…
Antianxiety Agents... • Benzodiazepines... • Librium... Antibiotics... •…
Metabolic... • ↑ Ca... • ↑ CO2... • ↓ glucose... • ↓ Na... • ↓ O2... Inflammat…
DSM-V Diagnostic criteria for schizoph…
(A) Two (or more) of the following, each present for a signif…
Pharmacological agents which can cause…
Antianxiety Agents... • Benzodiazepines... • Librium... Antibiotics... •…
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…
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…
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…
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…
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
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…
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…
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…
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; >…
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…
159 terms
Psychiatry
Which hormone has Aversive + Defensive…
Which hormones have Appetitive and App…
What is the treatment for Malignant Ne…
What are Schneider's 1st Rank Symptoms…
Serotonin
Dopamine
Bromocriptine (dopamine agonist)
1. Auditory Hallucinations... 2. Thought Disorders (insertion, w…
Which hormone has Aversive + Defensive…
Serotonin
Which hormones have Appetitive and App…
Dopamine
10 terms
Psychiatry
social worker
suitable
unable
history
appropriate
not able
antecedents
social worker
suitable
appropriate
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…
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
163 terms
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
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…
69 terms
Psychiatry
affect
generalized anxiety disorder
obsessive compulsive disorder
obsession
state of mind; outward facial display
"What if" issues- prediction of fear
constant, persistent, uncontrollable thoughts, repetitive act…
beseiged by thoughts
affect
state of mind; outward facial display
generalized anxiety disorder
"What if" issues- prediction of fear
143 terms
Psychiatry
Cognitive Behavioral Therapy
Bipolar I
Bipolar II
Bipolar I/II Treatment
- Combines a group of behavioral techniques with cognitive re…
1. Only one manic episode lasting 1 week of DIG FAST Sxs.... 2.…
1. Never had a manic episode.... 2. Depressive and 1 hypomanic e…
1. Lithium: causes nephrogenic diabetes insipidus.... 2. AEDs: v…
Cognitive Behavioral Therapy
- Combines a group of behavioral techniques with cognitive re…
Bipolar I
1. Only one manic episode lasting 1 week of DIG FAST Sxs.... 2.…
35 terms
Psychiatry
Visual vs. auditory hallucination etio…
Group a/w highest risk for committing…
Silent suicide
Occult suicide
Visual hallucinations a/w medical etiology... Auditory hallucin…
Elderly white male
slowly killing oneself by nonviolent means (i.e. starvation)
self-destructive acts disguised as accidents
Visual vs. auditory hallucination etio…
Visual hallucinations a/w medical etiology... Auditory hallucin…
Group a/w highest risk for committing…
Elderly white male
81 terms
Psychiatry
Psychosis
Schizophrenia
Positive symptoms
Negative symptoms
Loss of contact with reality
A brain disorder that distorts ... the way a person thinks, acts…
• Hallucinations... • Disorganized Speech... • Bizarre/catatonic be…
• Alogia ... • Affective blunting... • Avolition... • Anhedonia
Psychosis
Loss of contact with reality
Schizophrenia
A brain disorder that distorts ... the way a person thinks, acts…
11 terms
Psychiatry
breaking bad news 6 steps
anorexia nervosa manage2tx3
5neuroimaging findings in psychiatric…
hyperthermia, auto instability, muscul…
SPIKES: Set up situation, assess family's Perception, obtain…
hospitalize when unstable vitals/bradycardia/electrolyte imba…
schizophrenia (enlarged lateral ventricles), PTSD (decreased…
NMS
breaking bad news 6 steps
SPIKES: Set up situation, assess family's Perception, obtain…
anorexia nervosa manage2tx3
hospitalize when unstable vitals/bradycardia/electrolyte imba…
211 terms
Psychiatry
Wernicke-Korsakoff Syndrome
Delirium Tremens... - Definition:... - Sig…
Acute Stress Disorder vs PTSD
Anterior Cord Syndrome
Wernicke Encephalopathy: triad of ophthalmoplegia, ataxia &…
Def: most serious form of EtOH withdrawal, usually begins 4…
Both develop after exposure to life threatening events & char…
Seen w/ burst fracture of vertebral bodies.... Loss of motor (l…
Wernicke-Korsakoff Syndrome
Wernicke Encephalopathy: triad of ophthalmoplegia, ataxia &…
Delirium Tremens... - Definition:... - Sig…
Def: most serious form of EtOH withdrawal, usually begins 4…
140 terms
Psychiatry
factitious disorder
alprazolam half-life
triazolam half-life
antipsychotic drugs
Condition in which a person acts as if he or she has a physic…
12 h
3 h
dopamine receptor antagonist: haloperidol, chlopromazine, thi…
factitious disorder
Condition in which a person acts as if he or she has a physic…
alprazolam half-life
12 h
89 terms
Psychiatry
Dx of Major Depressive Episode
Dx of Major Depression
Psychosis in depression
Depression Epidemiology
5 or more symptoms present over 2-week period nearly every da…
2 or more major depressive episodes that occurred at least 2…
possible to have delucions, AH, VH particularly in older adul…
twice as common in women across all age groups ... incidence pea…
Dx of Major Depressive Episode
5 or more symptoms present over 2-week period nearly every da…
Dx of Major Depression
2 or more major depressive episodes that occurred at least 2…
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…
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
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…
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…
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
Psychiatry
Somaticism
non-epileptic attack
chronic fatigue
fibromyalgia
recurrent unexplainable symptoms and insists on recurrent tests
childhood trauma... co-ordinated movements in seizure
extreme tiredness with no organic cause
tender bony points, non-specific joint pain
Somaticism
recurrent unexplainable symptoms and insists on recurrent tests
non-epileptic attack
childhood trauma... co-ordinated movements in seizure
23 terms
Psychiatry
psychiatry
mental illness
etiology
psychiatrist
psychiatrie
psychické nemoci
původ (nemoci)
psychiatr
psychiatry
psychiatrie
mental illness
psychické nemoci
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…
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…
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
30 terms
Psychiatry
meds
Chlorprom/azine... Chlordiazepoxide... Carba…
Typical Antipsychotics: 4 drugs... "My c…
Atypical Antipsychotics: 6 drugs... "CO…
1. Antipsychotics... 2. Antidepressants: SSRI... 3. Antidepressants…
-antipsychotic... -anxiolytic... -mood stabiliser
Haloperidol (Haldol)... "...P.F. Changs":... Per/phenazine (Trila…
1. Clozapine (Clozaril) ... 2. Olanzapine (Zyprexa) ... 3. Ziprasid…
meds
1. Antipsychotics... 2. Antidepressants: SSRI... 3. Antidepressants…
Chlorprom/azine... Chlordiazepoxide... Carba…
-antipsychotic... -anxiolytic... -mood stabiliser
25 terms
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…
9 terms
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…
61 terms
Psychiatry
cognitive assessment
delirium
delirium specifiers
dementia/major neurocognitive disorder
mini mental state exam - 30 marks, <24 abnormal... frontal lobe…
A) disturbance in attention and awareness... B) over hours to da…
substance intoxication/withdrawal, medication induced, due to…
A) cognitive decline in one or more of (attention, executive…
cognitive assessment
mini mental state exam - 30 marks, <24 abnormal... frontal lobe…
delirium
A) disturbance in attention and awareness... B) over hours to da…
34 terms
Psychiatry
prevail
comprehend
obtain
unwarrant
przeważać, dominować
zrozumieć, pojąć
uzyskać otrzymać
bezpodstawny, nie uzasadniony
prevail
przeważać, dominować
comprehend
zrozumieć, pojąć
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…
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