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90 Cards in this Set
- Front
- Back
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VOLUNTARILY choosing not to think about a piece of bad news
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Suppression
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Indiana jones using comedy to express feelings of discomfort
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Humor
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Arsonist donates money to the fire department
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Altruism
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Arsonist donates money to the fire department
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Altruism
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Using ones aggression to succeed in business ventures
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Sublimation
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Realistically planning for future inner discomoft
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anticipation
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CONSCIOUSLY postponing an inner conflict until after a big project is completed
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Suppression
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Redirecting impulses to a socially favorable object
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Sublimation
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Not acknowleding a piece of bad news, as though it was never said
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Denial
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Involutnary withholding of a feeling from conscience awareness
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Repression
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A veteran that can describe horrific war details w/o any emotion
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Isolation
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a child abuser was himself abused as a child
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Identification
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man yells at his family when he has a bad day at work
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Displacement
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Homosexuals choosing to become a priest
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reaction formation
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a closet homosexual hates homosexuals because of the way they make him feel
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Projection
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Using intellectual processes to avoid affective expression
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Intellectualization
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Belief that people are either all good or all bad
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Splitting
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Expressing aggression thru passivity, masochism, & turning against self
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Passive aggressive
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Believing in an external source is responsible for an unacceptable inner impulse
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Projection
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Changing ones character or personal identity to avoid emotional distress
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Dissociation
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Returning to an earlier level of maturation to avoid the conflict at the current maturational level; stressed children wet the bed
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Regression
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Offering an explanation for an unacceptable attitude/belief/behavior
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rationalization
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A thought that is avoided is replaced by an unconscious emphasis on the opposite
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Reaction formation
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Converting mental conflicts into bodily sx
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Somatization
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Temporarily inhibiting thinking but continuing to build more tension
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Blocking (sxhizophrenic pts)
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Extreme forms can result in multiple personalities
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Dissociation
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Chronically giving into an impulse to avoid tension from an unexpressed unconscious wish; tantrums
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Acting out
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What are the cluster A personality d/o?
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"Accusatory, Aloof, Awkward"
Paranoid, Schizoid, Schizotypal |
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Cluster B personality D/o
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WILD!
Antisocial, Borderline, Histrionic, Narcissistic |
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Cluster C personality D/O
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Avoidant, OCD, Dependent
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Pervasive distrust & suspiciousness; projection is major defense mechanism
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Paranoid - Cluster A
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Voluntary social withdrawl, limited emotional expression, content w/ social isolation
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Schizoid-Cluster A
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Eccentric apperance, odd beliefs or magical thinking, interpersonal awkwardness
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Schizotypal-Cluster A
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Disregard for & violation of rights of others, criminality; males > females, conduct d/o if < 18
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Antisocial - Cluster B
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Unstable mood & interpersonal realtionships, impulsiveness, self-mutilation, sense of emptiness, females > males, splitting is a major defense mechanism - inc suicide rate
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Borderline - Cluster B
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Excessive emotionality & excitability, attention seeking, sexually provocative, overly concerned w/ apperance
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Histrionic - Cluster B
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Grandiosity, sense of entitlement, lacks empathy & requires excessive admiration; often demands the best & reacts to criticism
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Narcissistic - Cluster B
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Hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy; desires relationship with others
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Avoidant - Cluster C
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Preoccupations w/ order, perfectionism, & control. Ego syntonic: behavior consistent w/ one's own beliefs & attitudes
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Obsessive Compulsive Personality D/O - Cluster C
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Submissive & clining, excessive need to be taken care of, low self confidence
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Dependent- Cluster C
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SIG E CAPS
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Questions for MDD
Sleep Disturbance Loss of interest Guilt Energy loss Concentration loss Appetite/ weight changes Psychomotor retardation or agitation Suicidal ideation Depressed mood |
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Hypersomnia, overeating, mood reactivity, weight gain sensitivity to rejection
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Atypical depression
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SAD PERSONS
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Risk factors for suicide completion
Sex (male) Age (young/elderly) Depression Previous attempt Ethanol Ration thinking Sickness Organized plan No spouse Social support lacking |
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Patient consciously fakes or claims to have a d/o in order to attain a specific secondary gain (time off work/money). Complaints cease after gain
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Malingering
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Patient consciously creates phsyical & or psychological sx in order to assume sick role & to get medical attention
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Munchausens & munchausens's by proxy - Factitious d/o
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Variety of complaints of multiple organ systems - @ least 4 pain, 2 GI, 1 sexual, 1 pseudoneuro - over a period of years
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Somatization d/o
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Motor or sensory sx often following an acute stressor; patient is aware but indifferent twd sx (la belle indifference)
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Conversion d/o
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disinhibition, emotional lability, slurred speech, ataxia, coma, blackouts
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Alcohol intox
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Serum GGT indicator of what?
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alcohol use
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Tx of alcohol intox?
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Naltrexone, disulfram
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Tremor, tachy, HTN, malaise, nausea, seizures, tremulousness, agitation, halucinations
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Alcohol withdrawl - also see delirium tremens that you rx w benzos
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CNS depression, N/V/ constipation, seizures, PUPILLARY CONSTRICTION
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Opioids - morphine, heroin, methadone
Rx: naloxone, naltrexone |
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Anxiety, insomnia, anorexia, sweating, DILATED PUPILS, pilerection, fever, rhinorrhea, nausea, stomach cramps, diarrhea, yawning
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Opioid withdrawl (heroin, morphine, methadone)
Rx: symptomatic, nalxone + buprenorphine, methadone |
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Respiratory depression with intox & anxiety, seizures, delirium, life-threatening CV collapse with withdrawl
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Barbituates
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Psychomotor agitation, impaired judgement, PUPILLARY DILATION, HTN, tachy, euphoria, prolonged wakefulness & attention, cardiac arrhythmias, delucsions
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Amphetamines intoxication (inc NE)
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Post use crash - depression, lethargy, headache,s tomach cramps, hunger, hypersomnolence
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Amphetamine withdrawl
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Euphoria, psychomotor agitation, impaired judgement, tachy, pupillary dilation, HTN, hallucinations, paranoid ideations, angina, sudden cardiac death
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Cocaine intox- Rx w/ benzos
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Post use crash - severe depression, suicidality, hypersomnolence, fatigue, malaise, severe psychological craving
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Cocaine withdrawl
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Restlessness, insomnia, inc diuresis, muscle twitching, cardiac arrhythmias
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Caffeine intox
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Headache, lethargy, depression, wt gain
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Caffein withdarwl
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restlessness, insomnia, anxiety, arrhythmias
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nictoine intox
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Irritability, h/a, anxiety, wt gain, craving - rx w/ buproprion, varenicline
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Nicotine withdrawl
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BELLIGERENCE, impulsiveness,f ever, agitation, vertical & horizontal nystagmus, tachy, ataxia, homicidality, psychosis, delirium
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PCP intoxication -- inhibits NMDA
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marked anxiety or depression, delusions, visual hallucinations, FLASHBACKS, pupillary dilation
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LSD
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euphoria, anxiety, paranoid delusions, social withdrawl, perception of slowed time, INC APPETITE
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marijuana
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what are the sx of delirium tremens in order of apperance
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1. Autonomic hyperactivity - tachy, tremors, anxiety, seizures
2. Psychotic sx - hallucinations, delusions 3. Confusion |
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Rx for DT/alcohol withdrawl
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benzos
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tx for anorexia/bulimia
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SSRI's
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tx for anxiety
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Buspirone
SSRIs Benzos |
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Rx for atypical depression
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MAOI
SSRI's |
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Rx for bipolar d/o
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Mood stabilizers
-Litihium -Valproic Acid -Carbamazepine |
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Rx for depression w/ insomnia
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Mirtazapine
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Rx for OCD
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SSRI's
Clomipramine |
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Rx for panic d/o
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SSRI's
TCA's Benzos |
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Rx for PTSD
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SSRI
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Rx for schizo & toruette's
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antipsychotics
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rx for social phobias
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SSRI's
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MOA of methylphenidate
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Increases presynaptic NE vesicular release (like amphetamines)
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Haloperidol, trifluoperazine, fluphenazine, thioridazine, chlorpromazine (haloperiodl + azines)
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Antipysychotics (neuroleptics)
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MOA of typical antipsychotics
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block dopamine (D2) receptors (inc cAMP)
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High potency antipsychotics - more EPS & less anticholinesterase side effects
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Haloperidol, trifluoperazine, fluphenazie
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Low potency antipsychotics - more anticholinesterase side effects, less EPS
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Thioridazine, chlorpromazine
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Evolution of EPS side effects
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4 hrs - acute dystonia (muscle spasm stiffness, oculogyric crisis)
4 days - akinesia (parkinsonian sx) 4 wks akathisisa (restlessness) 4 mo tardive dyskinesia |
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Treatement of NMS
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Dantrolene & Bromocriptine
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Atypical antipsychotics
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Olanazapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone
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SE of TCA's
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3 C's
Convulsions (due to hyperpyrexia) Coma Cardiotoxicity (tx w/ NaHCO3) anticholinergic - confusions & hallucinations in elderly |
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hyperthermia, muscle rigidity, CV collapse, flushing, diarrhea, seizures
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Serotonin syndrome - rx w/ cyproheptadine (5HT-2 antagonist), cooling methods, & benzos
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what drugs inc risk for serotonin storm
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SSRI, SNRI, MAOI
St. John wart, Kava Kava Sibutramine Tryptophan Cocaine & amphetamines |
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what is a tx for neuropathic pains & MDD
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duloxetine (cymbalta)
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MOA of mirtazapine
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alpha-2 antagonist --> inc release of NE & 5-HT
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