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45 Cards in this Set

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  • Back
What are the 3 stages in Alzheimer's Dementia?
1) Anterograde amnesia, wondering, irritability, sadness

2) increasing retrograde amnesia, labile mood, agitation, delusions, paranoia, aphasia

3) cognitive deficits, rigidity, incontinence, apathy & emotional blunting
What is the incident rate for Schizophrenia in general pop?
What is the concordance rate for biological siblings and identical twins? What if both parents have Schizophrenia?
.5-1.5%
10%
48%
46%
What is the difference between Bipolar I and Bipolar II disorder?
Bipolar I - Manic or mixed episode
Bipolar II - MD episode and hypomanic episode (no full manic episode)
What subtypes of delusions are listed in the DSM for delusional disorder?
Erotomanic, Grandiose, Jealous, Persecutory, Somatic, or other
Tourette's Disorder dx & Treatment
DSM requires the presence of multiple motor tics and one or more vocal tics for at least one year
Tx: Antipsychotics
Dissociative Amnesia Subtypes
1. Localized - all events; specific time
2. Selective - some events; specific time
3. Generalized - entire life
4. Continuous
5. Systematized - category specific
What is the psychodynamic explanation for mania?
One psychoanalytic theory for mania is that it represents an inability to tolerate or an attempt to deny depression (M. Gelder, et al., Oxford Textbook of Psychiatry, Oxford, Oxford University Press, 1989.) Another psychodynamic explanation is that mania represents a merging of the superego with the ego such that self-criticism is replaced by self-satisfaction.
Adjustment disorder
The DSM requires that symptoms develop within three months of the onset of the stressor and that symptoms do not persist for more than six months after the stressor or its consequences have ended.
What is associated with an increased risk for bipolar disorder?
An acute (versus gradual) onset of depressive symptoms in adolescence or early adulthood is associated with an increased risk for bipolar disorder.
_____ of those diagnosed with panic disorder also have agoraphobia:
1/3 to
1/2 (33% - 50%)
_________ is the best intervention for most specific phobia and usually
lasts from ____:
brief in vivo exposure - 2-4 sessions
Reactive attachment disorder inhibited type vs disinhibited type:
inhibited
= inhibition, hypervigilance, ambivalence in social situations,
disinhibited = indiscriminate attachments and sociability
The primary associated features of somatoform disorder are:
anxiety and
depression
Wolpe's & neurotic depression
Wolpe distinguished between several types of depression. He linked neurotic depression to anxiety and considered systematic desensitization (reciprical inhibition) to be an effective treatment
Passive-Aggressive Personality Disorder is characterized by:
a pervasive pattern of passive resistance to demands for adequate social or occupational performance. Signs of the disorder include protesting that others make unreasonable demands, believing that one is doing a much better job than others think, and resenting useful suggestions from others
ADHD
Symptoms for at least 6 months, prior to age 7, and impairment in at least 2 settings
primary vs secondary gain
primary = internal (avoid anxiety)
secondary = external (avoid activity)
The second stage of Alzheimer's Dementia is characterized by:
inability to perform complex tasks, increasing retrograde amnesia, labile mood, delusions, aphasia, and paranoia
Untreated diabetes mellitus can result in what symptoms?
increased appetite with weight loss, confusion, mental dullness, and apathy
For children with Enuresis (Not Due to a General Medical Condition), a likely co-diagnosis is:
Sleepwalking or Sleep Terror Disorder
Behavioral treatments for depression focus on increasing pleasurable activities and/or:
social skills training.
Early signs of Dementia due to HIV Disease are
loss of concentration and a mild memory loss, especially for recent events
cognitive slowing and apathy.
Chronic alcoholism may cause cognitive impairments. Specifically, following prolonged, heavy drinking, a person is most likely to exhibit deficits in ______ skills than _______ skills.
greater deficits in visuospatial skills than in verbal skills.
What are some predictors of treatment outcome for substance abusers?
Psychiatric severity and problem severity are best predictors
motivation and coping skills are some additional predictors
semantic paralexia in dyslexia is:
producing a response that is similar in meaning to the target word (for example dog for cat)
Studies indicate that what personality disorder has been found to have the best prognosis?
borderline personality disorder - significant reduction or remission of symptoms by middle age or sooner
Specific phobia, blood-injection-injury tpe is characterized by:
highly familial, strong vasogal response, age of onset is early childhood and may occur at a younger age for woman than for men
Research by Foa et al. (1999) found which treatment most effective for post-traumatic stress disorder?
Prolonged exposure (better than even prolonged exposure and stress inoculation combined!)
Approximately 50% of children with Autism fail to speak or develop language skills. those that do speak are most likely to show:
echolalia or pronoun reversal
Does adaptive functioning remain stable?
No - it can improve with remedial training (although IQ remains stable)
Approximately what % of woman experience full-blown postpartum depression?
10-20%
Borderline Intellectual functioning for an adolescent on the Wechsler intelligence test is about ______ standard deviations below the mean
IQ 71-84 between 1.0 and 2.0 standard deviations below the mean
The primary difference between Alzheimer's Disease and Korsakoff's syndrome is that:
Korsakoff's is primarily memory loss accompanied by confabulation (not cognitive deficits like alzheimer's)
conduct disorder vs adjustment disorder
conduct disorder involves a pattern of behavior in which major age-appropriate norms or rules are violated
Adjustment disorder can only be considered if symptoms do not meet criteria for another disorder
All of the following are true of stuttering, except
a. it is more common in males than females
b. it may be accompanied by motor movements such as lip tremors or eye blinks
c. onset is commonly around the age of 5, but frequently after the age of 10
d. onset is commonly around the age of 5 and rarely after the age of 10
According to the DSM-IV, the onset of stuttering is usually between the ages of 2-7 years, with peak onset at the age of 5. In 98% of cases, onset is before age 10. Choices A and B are true: stuttering is three times more common in males, and is often accompanied by motor movements
Symptoms of Nicotine withdrawal are:
Studies indicate the primary reason for relapse is:
insomnia, decreased heart rate, increased appetite, and depressed mood
The desire to avoid negative affect and withdrawal symptoms
Is there a link between sexual abuse in childhood and the developmet of Bulimia Nervosa?
Early studies suggest there is no relationship, but more recent research suggests that children who are sexually abused are more at risk
Acute phase vs chronic phase symptoms of Hypoglycemia:
acute = panic & anxiety

chronic = depression, psychosis, and/or personality change
duration of tics in transient tic disorder, tourette's disorder, and tic disorder NOS
Transient (motor and/or vocal tics) lasting AT LEAST 4 weeks but no longer than 12 months
Tourette's - duration of more than 12 months
NOS - less than 4 weeks (onset over age 18)
You see a little boy who is brought in by his parents. He had gotten along well at school until his dog was recently killed. Now he has been trembling, feels "shaky" and cries a great deal more than usual. What is the best diagnosis for him?
The symptoms listed could be part of any of the suggested diagnoses. The best bet in a case like this is to pay attention to the current circumstances. Since his pet was just killed, a good starting diagnosis would be bereavement
A psychologist is asked to evaluate and determine whether or not an adolescent who had committed a violent crime would be a good candidate for a rehabilitation program in lieu of a jail sentence. What is the single best prognostic indicator of recidivism among juvenile offenders?
Niarhos and Routh (1992) found that number of previous arrests was the single best predictor of recidivism. When multiple predictors are used, they found that the combination of previous arrests, school achievement, and history of drug use is most predictive of recidivism.
Somatization Disorder has several frequently occurring comorbid conditions. Research indicates that 61% of Somatization Disorder patients have one or more co-occurring:
personality disorders

(the next frequent co-diagnosis is MDD - 55%, GAD - 34%, and Panic disorder 26%)
Masters and Johnson found that their version of sex therapy, which incorporates education about sexuality, training in communication skills, and the technique known as sensate focus, is most effective for treating:
premature ejaculation (close to 100% were helped!)
Reasearch indicates that woman are at greater risk then men for depression due to:
gender differences in coping style apparently are a reason why women are at a greater risk for depression than men -

men are more likely to employ action and mastery (e.g., work, sports, going out with friends) strategies that distract them from their worries and give them a sense of power and control. Women, on the other hand, tend to brood and dwell on their problems.
circumstantiality in speech:
includes unnecessary details and parenthetical remarks