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43 Cards in this Set
- Front
- Back
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DSM
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Diagnostid and Statistical Manuals of Mental Health
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Volumes
DSM1 DSM2 DSM3 DSM4 |
1&2 reliability with Diag, very bd ,
3 research based and empirical 4 biological approach |
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DSM classifies ?
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disorders NOT people
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5 axis classification system DSM 4
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1 clinical disorders
2Personality disorders, retardation 3 General Medical 4 Psychosocial/ environmenta; 5 global assesment of functioning |
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Axis 1 Clinical syndromes, are considered illness (late adolescense or adulthood
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schizophrenia, bipolar, panic,PTS. alcohol abuse,Major depression
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Axis 2, personality disorders and retardarion (traits included)
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note maladaptive personality traits
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Axxis 3 Medical conditions
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Asthma, aids,cirrhosis,
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Axis 4 Psychosocial stressors within previous 12 months
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developement of new, reoccurance of old, exacerbations of ongoing
(persoanl problems) |
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Axis 5 Global level, assessment of Global Assessment of Functionong (GAF)
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0-100 scale,values each episode and assigns value,
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Psychological assessment=
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integration of ALL sources of data including testing
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"Projective tests"
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individually admin. test used to obtain underlying traits, emotions, attitudes and internal conflicts
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Projective tests are =
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Rorschach,Thematic apperception(TAT),
Childs thematic Apperception(CAT) Draw a person test Sentence completion |
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Non-projective tests are self reporting
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Weschler Adult intelligence "Scale" (WAIS)
Minnesota Mulitphasic Personality inventory. WISC (children) Beck Depression INventory |
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Neurophysiological testing
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behavioral measures used to asses brain functioning
NOT invasive No physical risk |
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Organc brain lesions, first signs=
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cognitive dysfunction
mood disturbances Psychotic manifestations |
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Mental Status Examination
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MSE
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"Mental status"=
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total expression of a persons emotional responses, mood, cognitive function and personality
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"Dementia" clinical syndrome
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affects 3-11%of adults over 65
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Mneumonic for dementia
DENENTIA |
Drugs and toxins
endocrine metabolic and mechanical epilepsey nutritional and nervous tumor and trama infection arterial |
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"Delirium"
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ACUTE confusional state with a disorder of perception
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MSE (mental status exam)
components |
appearance
motor speech affect & mood thought content thought process perception intellect insight |
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MMSE (mini mental status exam) 10 mins 30 pt scale*
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orientation
immediate and short tem memory concentration Arithimatic ability Language Praxis ( learning) |
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Traditonal threshold score for MMSE
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23 or greater less is dementia
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Competence =
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ability to provde food shelter manage money and prticipate in activities and decisions
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Draw backs to MMSE and MSE screening
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Interpretive bias
false negative Demographics and culture |
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somatization=
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Physical complaints or impairments: without organic pathology, that are grossly in excess of what would be expected from the physical findings
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somatizing patients usually present
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as an unconscious process
chronic pain problems with digestive system, nervous system, reproductive system |
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typical onset and sex?
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before age 30, and women more than men
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four theoretical perspectives of understanding
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neurobiological
psychodynamic behavioral sociocultural |
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neurobiological somatization =
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defecctive or deficient neurobiological processing of sensory and emotional information
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Psychodynamic somatization =
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expressions of underlying emotional conflict
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Behavioral somatization =
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behavior that is brought about and reinforced by others on their environment.
Illness maintanence systems |
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Sociocultural somatization=
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social norms concerning emotions
used to express emotions thru physical symptoms |
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somatizaation patients are suffering from______ and _____ which are common problems
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depression and anxiety
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clinical clues to somatization are/ can be:
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thick chart syndrome
marked change in utilization pattern vague, confussing, bizzare symptoms |
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M/C form of somatization ?
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acute
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malingering=
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intentionaly feigning or grossly exagerating illness or disability to derive BENIFIT or secondary gain
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preevelance or anxiety of adults in US. =
age offirst onset? |
18.1%,
21.5 |
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General anxiety disorder (GAD) parameters =
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at least 6 months of persistent and excessive anxiety or worry, THAT interfer's with normal functioning
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"panic attack"=
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DISCRETE period with sudden onset of symptoms
unexpected situationally bound\ situationally predisposed |
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panic attacks can occur in ?
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Panic disorder
Phobias OCD PTS |
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panic DISORDER=
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a distinct disorder of recurrent , unexpected panic attacks
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Pathogenisis of Panic disorder,
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serotonin
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