Coun 646 Exam 1 Review

Front 1

What are the 3 approaches to psychopathology used throughout hisotry

Back 1

1. Mystical Supernatural Approach
2. Psychological approach
3. Medical Organic Approach

Front 2

Diathesis Stress Hypothesis

Back 2

Weakness (diathesis) interaction with external stress to increase likelihood of mental illness.

Front 3

Define the following in regards to the Diathesis Stress Model
1. Diathesis
2. Stress

Back 3

1. Diatheiss Inherit vulnarability tendency
2. Stress-Life events

Front 4

Moral Management

Back 4

The idea that environment played a role in the treatment of mental illness. Recovery would occur more likely if surroundings were more comfortable.

Front 5

Dorthea Dix

Back 5

Boston school teacher who was forced into early retirement by TB and raised money for mental health hospitals.

Front 6

Benjamin Rush

Back 6

Rushed to more humane treatment. madness caused by engorgement of the blood vessels of the brain. bleeding, purging, and water cures were common

Front 7

What are the 6 Ds of Pyschopathology

Back 7

1. Deviance
2. Distress
3. Disability
4. Dyscontrol
5. Dysfunction
6. Danger

Front 8

Internalizing

Back 8

Disorders that are inward major depression etc.

Front 9

Externalizing

Back 9

ADHD, Conduct D/O disorders that show outward signs and symptoms

Front 10

Vulnerability

Back 10

Liklihood to respond maladaptivley to a situation.

Front 11

Deviant

Back 11

Different ecentric but not necessarily maladptiave.

Front 12

Physical Definition of Abnormality

Back 12

Does not account for nurture

Front 13

Social Definiton

Back 13

Does not account for physical

Front 14

Culture Relativism

Back 14

Culture defines what is normal or abnormal

Front 15

Universal Relativism

Back 15

Constant against cultures

Front 16

Spiritual Definition of Abnormality

Back 16

alienated form God and his word
Problem: only views us a spiritual

Front 17

Personal Definition of Abnormality

Back 17

internal conflicts leading to prolonged feelings of unhappiness insecurity or sens of being out of control.
Problem :prone to distortion

Front 18

Cope

Back 18

means war

Front 19

Insanity

Back 19

indicating mental incompetence for managing ones affairs or inability to to foresee the consequences of ones actions.
Denotes a serious mental disorder.

Front 20

Epidemiology

Back 20

Deals with causes

Front 21

Incidence

Back 21

rate of new cases during a defined period

Front 22

Prevalence

Back 22

rate of old and new cases for a defined period

Front 23

Lifetime Prevalence

Back 23

proportion of general population who have ever had the specific disorder

Front 24

Risk factors

Back 24

specific characteristics or conditions that create vulnerabilities

Front 25

What are the three Brain Blocks

Back 25

1. Brain Stem RAS
2. Posterior Division
3. Anterior Division

Front 26

Brain Stem RAS

Back 26

1. provides the power that runs the brain
2. Sleep wake cycle

Front 27

Posterior Division

Back 27

Perception simultaneous processing

Front 28

Anterior Division

Back 28

Executive functions planning, organizing, self-regulation, volition

Front 29

Volition

Back 29

Capacity to give up something I would rather do, subordinate to commands

Front 30

Seat of Identity

Back 30

Prefrontal cortex immature in adolescents

Front 31

Executive Function of Frontal lobes is like the
___________ of the orchestra

Back 31

Conductor

Front 32

Dorsolateral Circuit

Back 32

Frontal Lobe problem solving, independant from environmental contingencies

Front 33

Orbitofrontal

Back 33

High emotions e.g. Guilt and shame,
empathy, socailly appropriate behavior

Front 34

ADHD

Back 34

Abnormal metabolic rate in frontal lobes

Front 35

Anterior Cingulate Circuit

Back 35

Broadman area 24 projects correct and incorrect response

Front 36

Prefrontal cortex and distraction

Back 36

Can allow person to complete screen out distraction e.g. radio while completing a math problem.

Front 37

Prefrontal cortex in relation to cerbral cortex

Back 37

Contains the map of the whole cortex

Front 38

Seat of Self

Back 38

Prefrontal Cortex

Front 39

Theory of the Mind

Back 39

capacity to form an internal representation of the others mental life requires you to have a capacity of your own internal represention.

Allows for processing more complex executive processes like social interactions as opposed to solving a puzzle requiring not interaction.

Front 40

Frontal lobe damage inhibits the knowing of ______ and ______

Back 40

right and wrong

Front 41

What are the 5 axis

Back 41

1. Clinical syndromes and disorders
2. Personality disorders and pervasive development disorders
3. Medical Conditions
4. Psychosocial and environmental problems
5. Global Assessment of functioning

Front 42

3 Core beliefs shattered during suffering

Back 42

1. Deserve Ease and comfort and life
2. I deserve a predictable world
3. I deserve a fair world

Front 43

What are the 4 directions of suffering

Back 43

1. Inward
2. Forward
3. Outward
4. Upward

Front 44

Purposes of suffering effects inward

Back 44

1. Purify faith
2. Humble heart
3. Test Faithfulness
4. Well- Behaved Children

Front 45

Purposes forward suffering

Back 45

1. Maturity
2. Christlikeness
3. Personalize Faith

Front 46

Purposes outward suffering

Back 46

1. To Build HIs Kingdom
2. Strong and Caring church
3 To Minister through us.

Front 47

Suffering produces upward affects

Back 47

1. See His true charachter
2. Prepare us for a blessing
3. Give believers dying grace
4. Reward us
5. Glorify God

Front 48

Externalization of problems

Back 48

Directed outward and principally seen as causing distress in others.
e.g. Conduct Disorder, Defiant D/O

Front 49

Internalization of problems

Back 49

Behaviors, emotions, cognitions that are directed inward and principally seen as causing distress.
Anxiety, Fear, Depression, Self-Injury, Eating Disorders

Front 50

Dual Diagnosis

Back 50

Presence of at least two major disorders

Front 51

Incidence of DD

Back 51

Since 1980 dramatic increase in dual

Front 52

Significance of DD

Back 52

Associated with more adverse social, health, economic, and psychiatric consequences

Front 53

Comorbidity with DD

Back 53

Substance abuse most common.
More likely to get HIV and AIDS
More legal problems
Increased risk of homelessness

Front 54

4 advantages of diagnosis with DSM

Back 54

1. Thinking about a persons experiences
2. Decisions about etiology
3. Treatment Plan Development
4. Professional accoutability

Front 55

Disadvantages of Diagnosis with DSM

Back 55

1. Label person as pathological
2. Different treatment of others
3. Implies client is not responsible for actions.
4. Possible Misdiagnosis.
5. Question of DSM reliability
6. Medical Model
7. Confuse descriptors of behavior with descriptions of construct.

Front 56

Adjustment D/O

Back 56

Diagnosed with client has difficulty adapting to one or more stressors in previous 3 months.

Front 57

Maladaptive reaction

Back 57

distress in excess of normal reaction

Front 58

Adjustment D/O 6 different types of appraisal

Back 58

1. with depressed mood.
2. with anxiety
3. with mixed anxiety and depressed mood
4. with disturbance of conduct
5. with mixed disturbance of emotions and conduct.
6. Unspecified
Acute and Chronic also included.

Front 59

Three factors affecting stress

Back 59

1. Biological
2. Psychological
3. Social

Front 60

Anxiety is ______ _______ and Fear is __________

Back 60

Anxiety is vague fear and fear is specific

Front 61

Anxiety D/O meets these criteria

Back 61

1. Anxiety itself as a major disturbance
2. Manifested only in particular situations.
3. May result from attempts to master other symptoms.

Front 62

What are the 5 groups of anxiety d/0

Back 62

1. Panic
2. GAD
3. Phobias
4. Obsessive Compulsive Disorder
5. PTSD

Front 63

Two types of Panic Disorder

Back 63

Situationally bound- attacks in response to specific stimulus.
Situationally predisposed- tendencyto have attacks in response to the stimulus.

Front 64

GAD Symptoms

Back 64

1. Excessive or unrealistic anxiety and worry.
2. 6months or greater
3. More worrying days than good days.
4. Feeling keyed up or edgy

Front 65

Signs and symptoms of GAD

Back 65

1. Excessive or unrealistic anxiety and worry
2. 6 months or greater
3. More worrying days than good
4. Poor diagnostic reliablity

Front 66

Characteristically of GAD

Back 66

1. Many are also depressed
2. Rarely seek mental health treatment

Front 67

Panic and GAD treatment

Back 67

1. Anti anxiety
2. Benzodiazapems

Higher success rate with Behavioral treatment ratherthan meds.
80% getting CBT for panic d/o were panic free.

Front 68

Anxiety Disorders 2 types of manifestation
1. Behavioral
2. Somatic

Back 68

Anxiety Disorders manifest
1. Behavior- avoidance of fear inducing situations
2. Somatic - changes in muscular tension, indigestion

Front 69

Panic disorder

Back 69

1.Recurrent UNEXPECTED panic attacks
2. 4 out of 13 symptoms physical in nature usually
3. 1 month or more of
a. concern about attacks
b. worries about implications of attacks
c. Changes in behavior or functions.

Front 70

Panic ATTACK

Back 70

Discrete period of intense fear or discomfort NOT tied to PHOBIC stimuli

Front 71

Rule outs for panic disorder

Back 71

Hypoglycemia
Stimulant use
Alcohol use 30% of heavy drinkers have panic d/o

Front 72

Acute Distress Disorder Vs PTSD

Back 72

Acute Stress Disorder symptoms must occur within 4 week of the traumatic event and resolve within that 4 week period of longer than 1 month PTSD

Front 73

What are re experiencing symptoms of PTSD

Back 73

1. recurrent and intrusive distressing recollections of the event, images thoughts,
2. Distressing dreams of event
3. Acting or feeling reoccurence of event
4. Intense psychological distess at exposure to internal or external cues that symbolize or resemble an aspect of traumatic event.

Front 74

PTSD increased arousal symptoms

Back 74

1. Insomnia
2. Irritability or outbursts of anger
3. Concentration problems
4. Hypervigilance
5. Exaggerated startle response

Front 75

Difference between Dysthymia and MDD

Back 75

Dysthmic D/O is charachtterized by chronic, less severe depressive symptoms that have been present for many years.

Front 76

difference between Cyclothymic D/O and BP1 and BP2

Back 76

Mood states in cyclothymic disorder to not meet the full criteria for a major depressive, manic, or mixed episode,

Front 77

Define Double Depression

Back 77

Dysthymia that leads to MDD
More severe
More melancholoy
More likely suicdal
Often have Panic Disorder
More social stressors
Poorer prognosis
More gentetic

Front 78

Neuro-vegetative symptoms for MDD
SIGECAPS

Back 78

Sleep disorder (either increased or decreased sleep)*
Interest deficit (anhedonia)
Guilt (worthlessness,* hopelessness,* regret)
Energy deficit*
Concentration deficit*
Appetite disorder (either decreased or increased)*
Psychomotor retardation or agitation
Suicidality

Front 79

Manic Assessment DIGFAST

Back 79

Distractibility
Indiscretion (DSM-IV's “excessive involvement in pleasurable activities . . . “)
Grandiosity
Flight of ideas
Activity increase
Sleep deficit (decreased need for sleep)
Talkativeness (pressured speech)

Front 80

Dysthmia Charachteristrics

Back 80

Less Severe than MDD
Chronic
Depressed most of the day for 2 years
No Mania, hypomania, or mixed

Front 81

Bipolar in Children and Adolescents Symptoms

Back 81

1. Sexual Promiscuity
2. Failure in school
3. early cigarette smoking
4. substance abuse
5. Extreme aggressive behavior
6 Severe depression
7. Suicide attempts

Front 82

Differences between ADHD and Bipolar

Back 82

Mood disorders