Eppp Diagnosis And Psychology

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Question

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Answer

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Mental Retardation: Severe: %/IQ/work

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3-4%/4-5 SD below mean/none

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Mental retardation: Four levels

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mild, moderate,severe, profound

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Autistic Disorder: social/verbal/repetitive/age

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2 social deficits, 1 verbal, 1 repetitive or stereotyped pattern,onset priuor to age 3

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Autistic disorder: % retarded/gender

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75% retarded/4-5X males

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Retts Dosorder: gender/def

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100% female/developmental regression prior to age 4/slower head growth/handwringing

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Childhood Disintgrative Disorder: Def

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rarer than autism/between ages 2-10/loss of social language,bowel,play,motor

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Aspergers Disorder: Def

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similar to Autism w/o language impairments

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Dyslexia: Surface

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Might read as mit

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Dyslexia: Deep

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Arm as leg/hot for cold

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Phonological Disorder: ?

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Does not use speech sounds common for age

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ADHD: %/Age/gender

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3-5%/before age 7/ 4-9X more common in boys

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ADHD: Combined:

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6 symp of both inattentive and hyperactive

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ADHD: duration/conduct disorder %

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symptoms 6mths in 2 settings/50% have conduct disorder

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ADHD: Two subtypes

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Inatentive/Hyperactive

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Conduct Disorder: subtypes and age onset

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Childhood before age 10 and Adolescent after age 10

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Conduct Disorder: Def

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defy societies rules/norms and 3 or more signs for 12 months

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Conduct disorder: Rx

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behavior and family therapy

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Conduct Disorder: Which is worse? Childhood or adolescent onset

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Childhood

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Oppositional Defiant:

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4 symptoms over at least 6 mths . Often not displayed outside home. Not in trouble with law

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Tourette's:age/criteria

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Before age 18/multiple motor tics, one or more vocal tics for more than one year

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Delirium: def/who is at risk

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apparent confusion, disturbamce of consciousness and cognition. Develops quickly,short-term/elderly after surgery, drug withdrawal

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Dementia: who:

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Usually over 85, 20% over 85 have dementia. 50% of dementia is Alzheimers

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Dementia: Def

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Multiple cognitive,always memory,aphasia/apraxia/agnosia,executive function

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Schizophrenia: what hypothesis?

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Dopamine

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Schizophrenia: time frames

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2 or more symptoms active for at least one month over 6 mth period

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Schizophrenia: Positive symptoms

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delusions, hallucinations,speech

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Schizophrenia: Negative symptoms

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flat affect, Alogia, avolition

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Alogia

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poverty of speech

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Avolition

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restricted initiation

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Schizophreniform: compare to Schizophrenia

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lite version. Same criteria but less than 6 months

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Schizoaffective:

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at leaste 2 weeks with just positive/negative schizophrenia symptoms and then a period with those same symptoms and a major depressive, manic or mixed episode

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Delusional Disorder

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Has non-bizaar delusion for 1 month

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Bi-Polar I:

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One or more manic (one week duration) or mixed and sometimes a depressive.

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Bi-Polar II:

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1 or more major depressive (2 wks) and 1 hypomanic (4 days)

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Cyclothymic Disorder: duration/def

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two years/hypomanic and depression (not major)

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Major Depressive Disorder:def/%suicide

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one or more major D, no manic or hypomanic, 15% suicide

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Manic Episode:time/def

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at least one week/major expansive, elevated, irritable.

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Manic Episode characteristics

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grandiosity, low sleep,talkative,flight of ideas,distractibility, increase goal directed activity

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Post-Partum: %/def-timeframe

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10-20%/mood episode w/in 4 weeks of birth

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Depression Models: Psychoanalytic

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intrapsychic ambivalence

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Depression Models: Beck

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cognitive distortions, dysfunctional "automatic thoughts"

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Depression Models: Seligman

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learned helplessness:negative events:stable,global, internal

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Depression Models:Behavioral:

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Operant conditioning: low rate of response contingent reinforcement, ie on extended extinction schedule

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Panic Disorder: Def

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repeated , unexpected, 1 month worry about another

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Agoraphobia:

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anxiety about being in places from which escape might be difficult and therefore situations are avoided.

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Social Phobia: Def/Rx

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Exposure to the feared social situation invariably provokes anxiey, may be situationally bound/predisposed panic attacks. Rx=meds, phenelzine

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Panic Attack

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4 of following: pounding heart, sweating,trembling,shortness breath,choking,chest pain,nausea,dizzy,derealization,fear of losing control/going crazy,fear of dying,numbness, chills/hot flashes

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Specific Phobia:

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excessive fear of specific object or situation. Exposure provokes immediate response, including panic attacks.

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Specif Phobia Rx

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In-vivo exposure with response prevention

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Acute Stress Disorder: timing

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Symptoms occur w/in one month and last up to one month

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Generalized Anxiety Disorder:Dx/Rx

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Excess worry over 6 mths, six symptoms. Rx: Cogn Beh Therapy

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Somatoform Disorders: Intentiuonal or not? List five

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Not intentional: Conversion,Somatization, Undif Somatoform/hypochondriasis/Body Dysmorphic

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Conversion:

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Convert trauma into physical symptom

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Somatization Disorder:

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several years, medical attention, 4 pain symp, 2 GI onset before age 30

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Undifferentiated Somatoform Disorder

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one symptom for 6 months

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Hypochondriasis:

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Preoccupied with fears of a disorder. Knows fears are exaggerated

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Body Dysmorphic:

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Over concerned with one part of body

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Factitious Disorder: Intnetional or not

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deliberate

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Factitious Disorder:Dx

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fakes psychological or physical symptoms

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Mallingering:

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deliberate symptoms for gain. clear goal

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Paranoid PD:

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expecting harm, hypervigalent

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Schizoid PD

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indifferent to social situations. Limited emotion and sensitivity

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Schizotypal PD

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low social with peculiar odd thoughts

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Histrionic PD

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Excessive emotion and attention getting

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Narcissistic PD

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grandiosity, need for admiration, lack of empathy

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Borderline PD

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instable relationships, self image and impulsivity. Avoid abandonment, impulse in self damage, all good or all bad. 80% abused

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Antisocial PD

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disregard/violate rights of others from age 15, must be 18. Needs conduct disorder B4 15

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Avoidant PD

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avoid social contact, fear criticism/rejection. But longs for contact

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Dependant PD

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Pervasive need to be cared for. Clinging submissive.

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OCD PD

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Perfection/order. Interpersonal control. Details, rules, lists. Inflex with morality.

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Anorexia Nervosa: Dx

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85% or less IBW, restricting diet/fast, may include bing/purge

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Bulimia Nervosa:Dx

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2x / wk for 3 months. Purge and non-purge type

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Dissociative Amnesia:Dx

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Sudden inability to rememebr important personal info. Usually stressful/traumatic nature

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Dissociative Fugue:Freq/Dx

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rare/wartime/abrupt travel from home, inability to remember one's past

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DID:Dx/freq

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2 or more identities/1-3% of population

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Headaches: Tension/Where/EMG or handwarming

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Both sides of head/EMG

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Headaches:Migrain:/where/EMG or handwarming

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One side of head/handwarming