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225 Cards in this Set
- Front
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what is narcissism as it relates to psychological definition?
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psychic energy invested in self esteem, identity, and ego functions
effectivly narcissism is that amount of mental energy(focus, strength, value) that goes toward the maintainence of self interest. Narcissism in psychology is not a bad conotation it is often a healthy thing to have a high level of energy in these areas because it means you have a good personal view self esteem, confidence and identity pathologic narcisisstic personality disorder is a condition in which self esteem is extremely low and is countered by a defense mechanism which generates grandiose delusions to attempt to bolster confidence and esteem. |
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what is an introject?
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mental representation of a someone else who you place a high amount of mental energy a relationship with them.
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what are the libidos
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ego libido-energy used to maintain function via defense mechanisms and perception and forethought
narrsisism libido- energy used to maintain self esteem and self identitiy object libido- energy used toward maintaining relationships with people and things. |
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what is unconsious/preconsious/conscious?
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unconsious-all expereience
preconsious- phone number, information readily available consious- what your activily thinking about. |
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what is basic premise of object relations theory?
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ego cannot develop properly in the absence of healty interpersonal relationships
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what are transitional objects?
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based on premise that as young children we are dependent on a nurturing figure be that mother or whomever. As we get older and begin to develop a sense of autonomy we often cling to an object that acts a replacement "mom" it blankie, stuffed animal, etc that is the transitional object
in borderline personality disorder often pt clings to other people in the same way as transitional objects because they never out grew their need for them. |
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1. What are the 4 major psychodynamic theories
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• Classical psychoanalytic theory
• Ego psychology • Object relations theory • Self psychology |
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what is the major tenent of self psychology?
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psychopatholog results from defect in the development of the self esteem and self cohesion due to issues with empathy (nurturing) during development.
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what is the major tenent of psychoanilytics theory?
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based on conflict between unconcious drives and superego.
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what is the major tenent of ego theory
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theories about the operations and purpose of the ego
defense mechanism perception of the world intelligence language consious thought basically defining the ego as an entity responsible for organizing all incoming information and dealing with the use of that information. |
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what are attachment behaviors?
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normal preferential behaviros of the infant
neurologically based, instinct |
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what is normal attachment progress of infant
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birth-differentiate by sound and smell caregiver
0-2mo orients and responds to human face/voice and movement 2-7mo increase social ability like smiling laughing eye contact 7-9mo develop stranger and separation anxiety normal healthy response |
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what is en face holding
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instinctualy when holding your child and looking into its eyes you get a rush of positive emotion
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what is the human stress response?
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acitive in utero
infant stress if severe and chronic has same impact as in children and adults increases CRF increases ACTH then increased cortisol altered immune function autonomic hyperacitvity, cog problems |
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what is reactive attachment disorder?
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very bad inapproapirate social relatedness in most context
due to grossly pathological care |
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what is inhibited subtype of reactive attachment disorder?
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do not seek or respond to care by adult
limited affective range and abiltiy emotional dysregulation especailly if child physically abused it is a failure of learned trust and dependibility |
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what is disinhibited reactive attachment disorder
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indiscriminated and superficial seeking out of the others for comfort and closeness
pseudoattached |
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what is worse for parent inhibited or disinhibited child
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inhbited bc child will never bond with parent(talking mainly about adoption cases here)
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what is pseudoattached?
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seems to bond with everyone very close and very happy but does not actually develop any real connection and will leave caregiver for another person with no anxiety.
failure to be able to form strong bonds compensated by throwing out superficial bonds to anyone. |
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what is the causes of attachement disorders?
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parents on drugs/ immature/ impulsive/ uneducated/ busy
sometime if child is malformed parent does not respond to child needs quickly enough for some reason. |
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what are some abrnomal attachment?
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parentified child
excessive clinginess restricted exploration excessive vigilance hypercompliacne to caregiver disorganized attachement when the caregiver is both source of fear and the primary haven for safety and security |
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how is RAD treated?
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infant parent or child parent psychotherapy
family therapy based on attachment theory extended community support, respite(allowing other to care for child so parents can recover from difficult adoption child) treatment of comorbidity: ADHD, Major depressive disorder, PTSD, anxiety |
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what is problem with chronic stress?
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atrophy of cell bodies in prefrontal cortex and hippocampus with enlargment of the amygdayla with time not just atrophy but cellular death
bc instinct is to free or run when sudden stress is encountered not think so thinking is inhibited during stress response and atrophy in chronic stress |
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what is the main risk of child abuse?
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poverty
80% of cases where kids taken out of home alcohol is involved |
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what neurotransimiter system is most effected in trauma?
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serotonin system
this system is the system that modulates all the other systems |
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what is ptsd
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symptoms lasting longer than 30 days
increased nightmares, repetitive play reenactment of events, hallucination/illusions that are trauma specific and not psychotic exposure to traumatic event with possible severe injury or death with severe fear horror and helplessness in young children assoications of the fear are hard and disorganized bc child may not think in words, but emotion and images. |
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kids can get ptsd from a tv show or comercial true or false?
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true
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what lab value is associated with PTSD?
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significantly elevated cortisol and catecholamine ruine levels within hours of the event are significant more likly to progress to PTSD
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what can be given to in ER after trauma to reduce chance of development of PTSD?
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propanolol decreases hyperactiviation of the ANS fealt to be the MOA of PTSD development
dont give benzos |
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what drugs are used in treatment of PTSD?
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SRI/SNRI and tricyclic antidepressants can modulate the HPA axis increase BDNF in the hippocampus amodulate glutamate release
alpha 2 agonists(clonidine and guanfacine) modulate excess SNS activity NO BENZO |
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what is diagnosis of depression in child
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2 weeks of presistent depressed or irritable mood
with anhedonia, suicidal behavior, changes in appetitie, sleep, energy level, self worth significant imparitment in function children have more mood lability and behavior problems can manifest as anger kids are hard to diagnose due to 2 week requirement kids rarely stay in same mood state for 2 weeks |
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what is duration of depression?
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8 months median but 1 in 5 can persist longer than 2 years
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what is the recurrence of depression
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70% recur after 5 years
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often depression can develop into what?
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bipolar
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what is the percentatge of child and adolecent suicid?
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30%
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what are risk factors of suicide
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preveios attempts
impulsivity exposure to firearms(means of suicide) |
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what are complications of child depression
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suicide
substance abuse loss of job or education |
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what is the comorbitiy with child dpression
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40-90% have other psych disorders
-anxiety -ADHD and or ODD -substance abuse medical -hypothyroidism, mononuclosis, anemia, autoimmune, CFS, medications |
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what are risk factor for bipolar developing from depression?
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rapid onset of depression, psychomotor retardation or psychosis
familiy hx of bipolar mania or hypomania after treatment with antidepressants |
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what is a gene that is important in depression?
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5-HTTLPR transporter gene
children with two short alleles have more depression and suicidal ideation in response stressful life events |
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what is important in assement for depression?
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direct interveiw pt
multiple other informant rating scales, mood diares suicdal behavior -ideas -gestures(cutting) -attempts |
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what is treatment for depression in kids
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careful review for ongoing stresses including abuse
educate parents and kids about the condition supportive managment family and school involvment -involve parents in counseling -familty therapy -contact schools about accomadations for grades, testing and summer school |
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what is CBT?
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cognitive behavior therapy
the sheet you have at home |
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what medications are standard of care in child depression?
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SSRIs
but response rate to placebo is almost as good as the response rate to this so counseling may be more important, but response rate is good for these so they should not be left out just realize benifit is likley largely due to changes in mindset after getting any treatment. |
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what is the medication FDA approved for treatment of depression age 8 and older?
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fluoxetine
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what is the medication FDA approved for 12 and older?
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escitalopram
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what is rule of thumb for dosing SSRIs
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start low go slow
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what is best treatment for depression
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combination of CBT and SSRIs
CBT is best but medications is more reasonable expectation for use due to conveinces |
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What is the big risk of SSRI?
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suicidal thoughts develope soon after strarting
best way to deal with this is to have weekly meetings for first 4 weeks after starting meds then biweekly for next 4 weeks then monthly until remission allows for monitoring of child for developement of suicidality as well as increased CBT which is benifical anyways |
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what is differential diagnosis for child anxiety?
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ADHD, mood disorders, PDD
medical- thyroid, caffeine, asthma, migraine HA, lead poisen. |
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what is child presentation of anxiety
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often its headache or stomachache
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what is biology related to OCD
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basal ganglia
hormonal gentics |
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what is pandas?
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pediatci autoimmune neuropsychiatrid disorders associated with A beta hemolytic streptococall infection
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how is OCD treated?
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clomipramine(a SRI with NRI active metabolite
CBT very effective SSRI like fluoxetine show significant improvement |
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what is separation anxiety
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homesick
school attendence social isolation physical symptoms of anxiety 4 week duration causes impairment in function |
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what is separation anxiety a precuror to?
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agroaphobia
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what is panic disorder?
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trembling
palpitatations dizziness nausea tachypena shortness of breath sweating sense of smothering average onset 17 years old check for other causes cardiac thyroid parathyorid pulmonary |
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what is a possible etiology of panic disorder
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sensitivity to blood pH change maybe
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what is 5 compenets of CBT?
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psychoeducation
somatic management skills traiining gocnitive resturcturing exposure relapse prevention plans |
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what is the biopsychosocial formulation
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biologic-genetics, medical ikllnesses, medications
psychological-meanings, coping strat, personality, intellect, fucntion, spirutatlity social-family, interpersonal relationships, occupational all these factors effect and are effected by mental illenss |
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what are the parts of family history interview?
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indivial parent history
marital history history of family as a unit developmental considerations- communication-clarity, emotinoal expression, problem solving capabilities belief systems regulatory process-appropriate regulation, overregulation and underrregulation all this taken in consideration based off why type of condition the child present with. |
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what are the 4 more important dysfunctional patterns of families?
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1 emotional overinvovlvement(symbiosis, enmashment, overprotectiveness)
2. emotional underinvolvement(neglect) 3. Rigid family sturcture and harsh limit setting 4. chaotic familiy structure and no limit setting. |
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what is development?
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a historically based process by which an individual acheives an integrated, adaptive organization of ego function
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what are miles stones of infancy 0-12mo
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social smile-3
differential response to a specific person-6 stranger anxiety, separation anxiety -8 walking and speech-12 |
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what is the focus in infancy? with play
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solitary and sensaory motor skills
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what are the developmental tasks in infancy?
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establish social bond(attachment)
learn sense of basis trust and secutity |
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what is goodness of fit?
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the fit of temperment btw child and caregiver
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what is social milestones of toddler 1-3years
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self feeding
toilet training limits and self control self assertion physical independence |
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what type of play is desired in toddlers?
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parallel play
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what are the important developmental tasks of toddler?
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sense of autonomy
object constancy self control of aggression and impulses |
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what is milestone for preschool 4-6years
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social and sex role
social values and belief religion/culture |
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what type of play is important in preschool stage
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cooperative play
socio-dramatic play(imagination) rough and tumble play |
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what are the developomental tasks in preschool?
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socialization
learning roles learning values and culture |
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school age 7-12 milestones
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gang formation
peer and group identifcations |
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what type of play for school age
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competitive and intellecutal games
rough and tumble |
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what is the developmental tasks of school age?
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sense of productiveity and membership in a group
expereiencing sucess intellectual stimulation and school education peer and peer group interactions |
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what is the milestone for adolescence?
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body changes
sexual activities |
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what is the "play" important in adolesence?
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social
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what is the developmental importance in adolesence?
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sense of identity
sex role independence from family |
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what is developmental pscyhopathology?
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the study of orgins and course of individual patterns of behavioral maladaptions whatever the age of onset whatever the causes whatever the transformation in behvioral manifestation and however complex teh course of the dvelopmental pattern may be.
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what is DSM4 of anorexia?
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refusal to maintain body weight at or above a minmally nomral weigh for age and height less than 85% of expected weight
intense fear of gaining weight or becoming fat, even though underweight disturbance in the way in which ones body weight and shape is expereinced amenorrhea at least three consecutaive mentrual cycles in females |
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what is difference between binge and purge anorexia and bulemia
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bulemia does not require a refusal to maintain 85% body weight
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what is dsm 4 for bulimia nervosa?
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recurrent episodes of binge eating with no control over eating
reccurent inappropriate compensatory behaviors in order to prevent weight gain binge eating and compsenatory behvaviro both occur at least twice a week for 3 mos self evaluation is unduly influenced by body shape and wieght not anorexia |
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when in development does eating disorders develope?
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adolescent- due to developmental task of individuation. its about control. or a way to deal with anxiety and negative feelings.
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what is stress diathesis model?
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triggering stressor
relieved by behavior link negative feeling with body image cycle of patholgoy developes |
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what are the personality characters of AN
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perfectionist, obsessive,
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what is the personality of Bn
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harm avoidance, impulsivity, negative emotional states
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what are sustaining factors of eating disorders?
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you lose weight
postivie reinforcement by family and friends family is worried pays more attention may encourage them to do this to get attention releives teh dension of the developmental crisis physiological effects lead to improved mood |
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how does bing purge physiology increase mood?
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depressed mood - consumption of carbs- release of insulin resulting in higher ratio of tryuptopha to aothe ramino acids- tryptophan cross BBB stimulateing increase in sertoinon production - improves modd and decreases appetite
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symtoms of eating disorder?
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pulse,
body temp body wieght hair teeth |
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what is indiaction of hospitalization for eating disorder?
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<75% ideal body weight
presence of additional stressors ie other illness that makes them even weaker rapid recent decline in oral intake decline in weigth despite max out patient care othrostatic hypotension with drop in BP greater than 20mmHg and icnrease in pulse of greater than 20bpm bradycardia below 40bpm tachicardia over 110bpm core temp less than 97 |
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how is eating disorder managed?
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establish and maintian therapeutic alliance with coordination btw all clinicians
assess and monitor pt general medical condition assess and monitor the pt psych condition provide family assessmena treatment |
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drugs in eating disorder?
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SSRI may help AN from relasping but not in treatment
SSRI is approved to help reduce symptoms in BN |
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what is somatization?
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expeience or communicate phsyical symptoms that cannot be explained by underlying pathollogy either absent or not enough to give the symptoms seens.
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what are some psychogenic factors in somatoform kids?
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prone to anxiety/depression
respond in extreme emotions often have behavior problems |
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what are faimly factors seen in somatofomr kids
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overprotective parents
parent with psychopathology(alcoholism, sociopathy, possibly modeling the learned illness behavior, separation problems in child often child is emotional repressed |
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often somatoform starts when?
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triggereing stressor
can be just daily stressors but also seen in trauma like sexual abuse often this is played down by the child as not a big deal. |
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what is misguided support
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in efforts to support the recovering teen family members may actually engage in behaviros that undermine the teens confidence and sense of independence, this may invovle either lowering expectation or applying excessive pressure for rapid change and improvement in function.
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what chronic pain pt seems to have more pain (what cog style)
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catastrophizing
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what is the formula for somatization?
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stressful situation
learned hisotry where illness is reinforced redisposition to reactin to stress via somateic expression(genetics etc) family system -rigid, high expectation |
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what is the treatment for somatization
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CBT-help them develop better coping strats
pschoeducation family intervention psychotropic meds-cymbalta |
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what are importatn focus for treatment plan?
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deemphasize the final diagonsis
focus on reducing dysfunction benging face saving remedies during acute phase avoids making physician contact contignent on escalating sickness role behavior |
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what is the basic definition of autism?
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failure to be able to learn social communications
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what is a problem with diagnosis of autism?
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there is no cut off point lots of people have trouble with social learning
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what are the domains of social communication?
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faical expression
prosody-melody, emphasis, tone, etc gestures pragmatics-ability to understand what someone else is thinking based on their acitions |
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development of social communication week 1
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recognizes mothers voice
recognizes mothers face looks at complex visual stimuli mimics facial movments |
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0-6mos social comunication
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eye contact, social smile
driven to interact intersubjectively espeacially when cretaker uses motherese |
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what is motherese?
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exaggerated tone of voice
exaggerated gestures exaggerated facial expressions. |
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9-12 social communications?
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traid exchange invovle coordination of child and caregivers attention with respcet to some third object(pointing at things) and looking at things others point at by end
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what is 12-24 mo social communication
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pretend play
awareness that others have their own mind and thoughts |
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what are the tasks assessing mind reading skills and social imagination?
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imaginative play alone
imaginative play with peers. |
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what is used to evaluate autism?
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autism interview with parent
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is autism a born in condition?
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no many are normal in the first year of life.
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what medications can be used in autism?
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nothing is good
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what is prognosis in autism
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language may improve
function may improve but pragmatics don't usually improve |
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criteria for adhd
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symptoms present before age 7
impairment present in two or more settings clear evidence of significant social, schoo, and or work impairment symptoms do not happen during a course of pervasive development disorders, schiozpphrenia, or other psychotic disorder |
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comorbitiy with ADHD
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opositional diefinat disorder
smoking drug abuse anxiety higher incidence of tic disorder |
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what is the triad of coocerance with adhd
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adhd
ocd terretz |
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what is gentics of adhd?
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chromosomes 4,5,6,11,16,17
76%inherited abrnomalities in D4 and D5 dopamine issues |
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what are the important NT that are boosted in ADHD treamtent?
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norepinephrine
dopamine |
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atomoxetine(stratera) good for what?
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non stimulent version good for patient with anxiety, insomnia, tic disorder
noepinephrine uptake inhibitor |
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side effects of stimulents
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anorexis, irritbility, initial insomnia
cardiac aggression |
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what is oppositional defiant disorder(ODD)
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pattern of neagtive hostile an ddefiatn behavior
lasting more than 6 mos often loses temper aruges with adults deliberately annoys/teases others very touchy |
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what is opositional conduct disorder and how is it differnt than ODD?
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does not violate the basic rules and rights of others(stealing/bullying) in ODD conduct is more severe
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what can opositional conduct disorder develop into?
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antisocial personality disorder
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can medications be used for opositional conduct disorders?
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possible that ADHD meds can help OCD but not ODD.
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what is the mood effects of dopamine?
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attention
motivation pleasure reward |
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what is the mood effects of norepinephrine
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alertness
energy |
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what is serotonin mood effect
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anxiety
obsession and compulsion |
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what is neurotransimitters for mood?
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serotonin
norepinephrine dopamine all these work together in all aspects of mood so just bc each is associated with specific mood things they also have some impact on the other aspects |
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clinical feature of depression
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minimum 2 wekk period of depression
depressed mood diminished interest in pleasrue in activityes change in apetite sleep disturbances pscyhomotor agitation or retardation fatigue loss of energy feelings of worthlessness or guilt decreased concetration suicidal ideation at least 5 of above |
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what are the common features of psychosis in depression?
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withdrawl
feelings of guilt(voices saying how bad they are) |
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goal of CBT in depression
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recognizing that thoughts are flawed
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what is shock therapy used for?
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depression
only used if meds not working acutally is not very dangerous or high side effects now we understand how to do it. |
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what is first line treatement of depression medically
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SSRIs
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what is dysthymia?
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similar to depression except it has a duration of at least 2 years. less severe but more constant
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what is a possible cause of SAD?
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decreased melatonin production
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how is SAD treated
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antidepressants
light therapy 30mins a day |
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what is manic episode
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distinct period of consistently elevated epxansive or irritable mood lasting at least one week
distractablility increased acitviy impulsive extreme |
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what is bipolar 1?
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at least one manic episode with or without depression
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what is bipolar 2?
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hypomania and depression
no manic episodes |
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what is treatement for biopolar
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lithium-moodstabilizer
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what is dangerous about antidepressants in bipolar
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can incite a manic episode
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what is cyclothymia?
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labile mood but not enough to call it depression or mania/hypomania
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what is psychosis
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inablity to distinguish reality from fantasy
characterized by impaired reality testing |
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what type of thought is involved in psychotics
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loosened assocations, neologisms, and illogical constructs
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what are neologisms?
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words that don't exist that are made up by patient
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what is ambivalence?
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inability to make choices bc they can't understand/don't care bc their reality is not understood seen in schizophrne
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what is affect of schizophrinic
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inappropriate or absent emotional responses
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what does autism mean in reference to schizophrinics?
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isolation and withdrawal seen
not a mental retardation |
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what are the core symptoms of psychosis?
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disored thinking
disurbant fo thoughtt content delusion unusual speech blucnted or inapproapiate affect perceptual disturbance ie hallucinations bizarre or unusual behavior |
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what is tardic disykynesia
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shaking movemtn disorder seen in antipsychotics
however schizophrenics also have movements that are bizarre and that is not tardic dyskinesia |
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when is schizophrenia manifest?
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20-30s
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what are the four As of schizophrenia?
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autism
ambivalence affect associations |
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life time incidence of schizophrenia is ?
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1%general pop
47% monozygotic twins |
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if first psychotic break is after 35 then what?
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its probably not schizophrenia
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schizophrenia is abnormatility in what?
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dopaminogeric activity
serotonins also influences it norepinephrine may as well decreased GABA may also affect some pts |
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limbic system basal ganglia
lateral and thjrd ventricle enlarged, reduced corticol volume all seen in what? |
schizophrenia
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what are the positvie symptoms of schizophrenia
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hallucintation
delusion bizarre behavior formal thougth disorder |
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negative symtoms of schizophrenia
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affective flattening
pverty of speech povety of speech content blocking avolition and apathy anhedonia social withdrawal |
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what type of symptoms respond to antipsychotics?
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positive symtoms
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what is thought to play the main role in negative symptoms?
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serotonin
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schizophrenia diagnosis
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1 month posivit symptoms
6months of neg symtoms |
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what are typesof schizophrensia?
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paranoid
disorganized-poorest porgnosis and earliest onset catatonic type-excessive motor acitviy but unresponsive, best prognosis with treatment undifferentiated-mix of all them seen in untreated pts residual type- history of schizoprenics with absence of prominent posivite symptoms somtimes as pt ages they have less psychotic episodes |
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what are prodromal signs
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occurs b4 first schizophrenic episode
its the insideous onset withdrawl delusions disorganization |
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shizophreniform syndrome
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only one psychotic episode
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schizoaffective disorder
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schiziophrenia and mood disorder like bipolar
treated with mood stabilizers and antipsychoitics |
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what is a delusional disorder
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prominent delusions with no other schizoprhrenic symptoms
can be very normal in all other aspects of life except the delusion but it can overwhelm them and take control of their whole life |
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shared psychotic disorder
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when close relation a person living with someone who develops a delusion the other person comes to beleive it as well
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what is capgras syndrome
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delucsional belief the other people in his life have been replaced by exact doubles or imposters
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what does tardic diskinesia look like?
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jerkyness to motion
cogwheeling |
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panic is what?
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short term episodic and very intense version of anxiety
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medications used for anxiety
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serotinoin and gaba effectors
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norepinephrine affect anxiety how?
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increase it
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clincal diagnosis of GAD
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6mos of excessive anxiety and worry occuring regulaly
3 or more restless diffiuclty concentratin irritabily muscle tension sleep disturbance no due to hyperthyroidism or any other medical condition |
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how treat anxiety?
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benzos
-loraepam -oxazepam SSRIs |
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what are benzos indicated for?
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short term use bc very easy to become addicited to
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what is the first line drug for GAD?
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SSRIs
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what has the greatest amount of genetic concordance?
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panic disorder
80-90% concordance rate in monozygoic twins |
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what is usually linked to agorophobia?
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panic disorder 75% concordance
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how can you induce panic syptoms with drugs?
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lactate infusion in someone with panic disorder
yohimbine- can stim panic attack in non panic disorder people alpha 2 antagonist |
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how do you treat acute panic attack?
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benzodiazepine like clonazepam
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what is main treatement for panic disorder long term?
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SSRIs-paroxeitne(paxil), zoloft, prozac
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what is most comon anxiety disorder?
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phobias
11% prev i normal pop |
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what is drug that can treat phobia?
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propranolol
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what are the somatoform disorders?
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somatization disorder
undivferentiated conversion pain hypochondriasis body dysomorphic disorder smatoform nos |
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somatization disorder is what?
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before 30
must have 4 pain 2 GI 1 sexual 1psudoneruo |
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what is pt if they dont have enough symptoms to call it somatiziation?
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undiferentiated
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what is conversion disorder?
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sudden loss of voluntary motor or sensory function
can be after sudden intense thought like priest sexual thought of child |
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which side is usual in conversion disorder?
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left more than right
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what is la belle indifference
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they just dont care about this sudden deficit
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what is pain disorder
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when pain is out of porportion to what it should be
bad day foot hurts more |
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what is best treatment for hypochondriasis?
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regular scheduled primary care visites to provdie reassurance do not order too many extra tests bc it may reinforce the believes
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what somatoform disorder has equal sex preference?
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hypochondriasis
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what is body dismorphic disorder
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always the same feature that they are unhappy about
Micheal jacksons nose |
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when is the somatoform disorder NOS?
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when it cant fit anywhere else
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what is pseudocyesis?
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false pregnancy
body shows signs lactation ect but no fetus |
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what is a med used to treat pain in the somaoform disorders?
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GABApentin
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what are treatments of somatoform disorders?
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SSRIs/SNRIs
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what is important about treatment of somatoform?
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they can still get real disease so you need to work them up for real stuff
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what are not somatoform disorders?
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factitious disorder
factitiuous diosrder by proxy malingering all these the pt is intentiatlly doing it for some sort of gain. |
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what is another name for fictisious disorder
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munchousen
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what is difference btw maligering and fictisous disorder?
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fictitious disorders are for internal gain ie attention, praise, sympathy
malingering is for external gain, avoid jail, obtain drugs, get money etc |
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what is dissociative disorders?
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disruption in usual integration function of consiousness, memory, identity, and perception
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what is dissociation ?
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defense against trauma
work to remove awarenenss of a truamtic event |
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what does not count as dissociative disorder?
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results from other pschotic disorder\
results from drugs or alcohol seizure disorder head trauma other medical cause |
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what are the dissociateive amnesias?
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localized amnesia-loss of memor of certain period of time
selective amnesia-loss of some parts of memory of event generalized amnesia-total loss of memory of identity systematized amnesia- loss of all memories about one aspect of life like family |
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what is true about duration of amnesia?
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nearly never permanenty
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what are drugs used for dissociative amnesia?
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sodium amobarbital
thiopental pscyhotherapy |
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what is a fugue state?
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an alteration in consciousness
during which pt will do things go places they would not normally do, then suddenly "wake up" and be totally lost as to what has happened. in some cases while in fuge state they have a different identitiy |
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what is duratino of fugue state?
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hours to days
usually only happens once |
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what is depersonalization disorder?
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the development of belief that they are not real and that they dont really exist
reaity testing is intack you can explain what is happening but it just doesnt feel real. |
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what is usual cause of depersonalization disorder?
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defense mech to deal with extreme stress or trauma
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what are the cluster A personality disorders?
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odd behavior
schitzotypal Schizoid paranoid |
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what is schiotypal peronality dis?
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like schizophrenia except no hallucination/delusions/speechstuff
odd beliefs magical thinking blunted affect avoid relations |
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what is the difference btw schizoid personality disorder and schizotypal ?
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similar except no odd behavior, just extremely withdrawn. with blunted affect.
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what characterizes the cluster A disorders?
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odd or eccentric disorders
resemble psychotic disorders mild thought disorder symptoms blunted withdrawn |
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what are characterizes the cluster B disorders?
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unstable or impulsive disorders
superfically resembe mood disorders significant self esteem issues. considerable overlap btw all the ones in this cluster |
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borderline?
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instable relations
disturbance of self image or identity affective instability impulse control recurrent suicidla behavior self mutailation codependent identify themself and their worth by their relations. |
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histrionic personality disorder?
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excessive emotionality and attention seeking
inaporpriate sexual seductive or provactive behavior |
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what are the cluster Bs
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borderline
histrionic narsasitics antisocial |
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what is cluster C characters
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anxious and fearful disorders
superficial resemebe anxiety disorders |
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what are the cluster Cs?
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avoidant personality disorder(stay away from anyone they dont know already)
dependent personality disorder(never say no) compulsive personality disorder(try to be perfect) |
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what are the two types of aggression?
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affective aggression-anger due to emotion,
predatory aggression- premeditated, no remorse. |
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what disorders associated with stalking
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personality disorders
paranoid psychotic |
