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51 Cards in this Set

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Mental Health Professionals
Psychiatrist
MD trained in diagnosis treatment prevention of mental illness
Psychologist
nonmedical person trained in methods of psycotherapy analysis and research has Masters or Ph.D.
Counselor nonmedical person trained in different methods of therapy hold B.A. or Masters degree
anxi/o uneasy anxious
hallucin/o hallucination
hypn/o sleep
iatr/o treatment
ment/o mind
neur/o nerve
phil/o attraction to love
phren/o mind
psych/o mind
schiz/o split
somat/o body
SUFFIXES
-genic produced by
-leptic to seize hold of
-mania obsessive preoccupation
-phobia irrational fear
-phoria feeling , bearing
-thymia mind
PREFIXES
a- an- no not
cata- down
hypo- less than
para- abnormal
mental health field wide range of psychiatric disorders
DSM IV-TR
Diagnostic and Statistical Manual of Mental Disorders***** 4th edition making acccurate diagnosis
DSMIV-TR info and accurate diagnosis of patients criteria gives practitioners one universal language to use when diagnosing and discussing mental disorders
DSM IV-TR used so health care professionals have one solid reference tool to use in diagnosis of particular disorders
MULTIAXIAL ASSESSMENT OF MENTAL DISORDERS
DSM IV-TR uses multiaxial way of assessing each patient
each axis represents specific category in diagnostic process individual category 5 different Axis used
AXIS I
conditions/disorders of clinical attention diagnosed in childhood***** NOT MENTAL RETARDATION Axis I diagnosticc criteria reason for visit or presenting problem Dr. will specify if Axis II disorder
AXIS I
cognitive disorders amnesia dementia learning****** disorders
substance abuse disorders
schizophrenia
mood disorders
anxiethy disorders
somatoform disorders
facitious disorders
dissociative disorders
sexual/gender identity disorders
sleep disorders
eating disorders anorexia bulima
impulse control disorders
adjustment disorders
Axis II
assess personality disorders***** and mental retardation disordered pattern of behavior within individual
paranoid personality disorder
schizoid personality
antisocial personality
borderline personality
histrionic personality
narcissistic personality
avoidant personality
dependent personality
obsessive-compulsive personality
mental retardation
Axis III
assess general medical conditions
diseases of blood
diseases of nervous circulatory respiratory digestive genitourinary systems
complications of pregnancy and childbirth
diseases of muscculoskeletal system
any type of injury or poisonings
congenital abnormalities
diseases of the skin
Axis IV
assess psycosocial and environmental**** problems
problems with family friends/support groups
problems related to social environment life transitions death or loss of a loved one
educational issues
occupational problems
economic problems
problems with access to healthcare system
problems related to crime or legal system
Axis V
assess global****** functioning
assessment tool gives each patient rating how they are funcitoning within their environment overall
GAF number assigned using scale 1-100
100 superior functioning 1 very low functioning danger of hurting self or others
if patient goes into hospital with GAF of 2 released with GAF of 90 great improvement
if assessed with GAF of 90 later with 60 has been a decline in overall functioning
current level of functioning in comparison with previous to help diagnostic process
SAMPLE OF MUSTIAXIAL ASSESSMENT

Axis I 315.9 learning disorder not otherwise specified NOS
780.9 Delirium not otherwise specified
Axis II 302.83
borderline personality disorder
frequent use of projection
Axis III none
Axis IV threat of eviction due to job loss
Axis V GAF=40 current
Mood Disorders
dysthymia mild depression bipolar disorder cyclothymia mild type bipolar disorder depressive and elation states less intense
AXIS I
Personality disorders
many people display some of the characteristics but level of prevalence and severity higher
AXIS II
Paranoid*** personality disorder
distrust and suspiciousness of others severe degree
Schizoid*** personality disorder detachment from social relationships very aloof prefer to be alone
schizotypal personality disorder severe discomfort in close intimate relationships
Antisocial*** personality disorder
total disregard for rights of other people prison system filled with antisocial personality disorder
Borderline*** Personality disorder
intense patterns instability interpersonal relationships lack of self-perception or understanding shifts from idealizing people to devaluing them foro silightest perceived wrongs very impulsive self-destructive acts cutting/reckless driving/unprotected sex/over-spending/substance abuse
fear abandonment yet push away intense rage
Histrionic*** personality disorder
need excessive drama in speech behavior excessive emotionality attention-seeking behaviors
Narcissistic*** personality
persistent belief in one's own grandiosity love themselves need for admiration of others
Avoidant*** personality
severe pattern intense inhibition poor self-esteem hypersensitive to criticism
Dependent personality
excessive ned to be taken care of cling to other people
Obsessive-compulsive
obsessions dealing with cocntrol hightly orderly indulge in compulsive behavior checking stove/door 100's of times
worry about germs
why do personality disorders develop
far from clear but genetic component develop at yougn age to cope with stressful environment
Anxiety disorders
fear and physiological symptoms without any rational explanation
AXIS I
Agoraphobia
intense fear of leaving one's safe placce and/or being any place where escape would be impossible or difficult
Panic/Anxiety attacks
intense periods of fear and body symptoms can come out of the blue or in reponse to minor perceived threat
Generalized anxiety
persistent state of worry GAD constantly feeling worried/nervous
Somatoform
group of disorders body dysmorphic disorder or hypochondriasis physical complaints no medical explanation psychologiccal factors involved
Factitious disorders
feigning or acctual inducction of illness in themselves gather sympathy support extreme cases Muncchausen syndrome by proxy
Dissociative disorders
severe childhood abuse/trauma defense mechanism dealing with abusive situation mainly in memory theen dissociative amnesia or fugue results important events cannot be reccalled result from rape/war
dissociative fugure diagnosed when loss of meemory and person moves to different locccation assumes whole new identity used to be multiple personality disorder
eating disorders
anorexia nervosa bulimia nervosa
anorexia extreme control of food and undereating severe weight loss/illness
bulimia eating large amounts of food inducing vomiting laxatives distorted body image
sleep disorders
sub-types primary sleep disorders dyssominias parasomnias
dysssomnias disturbances in quality amount timing of sleep
Parasomnias
disturbances in ;hysiological behavioral aspects occuring during sleep stages or asleep-wake transitional period
narcoplepy
attacks of sudden uncontrollable brief deep sleep may have paralysis/hallucinations
sleep apnea
stop breathing wake up many times during night do not fully wake don't realize they have slee apnea sometimes need continuous positive airway pressure machine mask connected to machine blow air down throat
Impulse control disorder
intermittent explosive disorder not being able to resist violent urges
kleptomania urge to steal
pyromania setting fires for pleasure
pathological gambling
trichotillomania pullout one's own hair gratification/reduciton in tension/stress
Adjustment disorder
emotional/behavioral symptoms occur specific stressful event or situation job loss/divorce/seperation are excessive impair social or occupational functioning/relationships
Schizophrenia
group of psychotic disorders withdrawal from reality illogical patterns of thinking
delusions hallucinations accompanied varying degrees emotional behavioral intellectual problems chemical imbalace of dopamine in brain problems in frontal lobe thought to be caused by genetic biological psychosocial factors
PSYCHIATRIC ASSESSMENT/DIAGNOSIS
DSM IV-R diagnostic tool also other methods diagnose mental health problems
Aptitude tests***
focus on determining individuals potential not what they currently know
Achievement tests***
educational systems determine level of student achievement
Personality tests***
widely used Minnesota Multiphasic Personality Inventory MMPI Rorschach Thematic Apperception tests
Intelligence tests***
measure intelligence Stanfor-Binet Wechsler Adult Intelligence scale
Interest inventories***
used in career centers assess potential career interests
MENTAL HEALTH THERAPIES
also electro-convulsive therapy ECT
medications drug therapy
Cognitive*** Behavior
psychotherapeutic approach alter distorted inappropriate attitudes and problem behaviors
first identifying then replacing negative and/or inaccurate thoughts changing rewards for behaviors
Affective*** approaches
humanistic approaches to therapy variety different affective approaches holistic approach to treatment characterized by therapist helping client self-growth
Pssychoanalytic theory***
different types psychoanalytic theories deal with going bacck to childhood healing wounds of past talk based therapy
LAB TESTS
psychiatrists order lab tests to check threapeutic levels of meds in patient
therapeutic drug tests are
Lithium
Valproic Acid
carbamazepine
drug screenings for illicit drug use in patients
TSH tests may be used to check for hyper or hypoactive thyroid conditions
urinalysis used to check Lithium levels
possible for patient to get Lithium poisoning if level not checked
possible/not cocmmon psychiatrist to check B12/Folate levels determine delirium dementia present
Adapin *******doxepin
Anafranil clomipramind
Asendin amoxapine
Aventyl nortriptyline
Desyrel ********trazodone
Effexor venlafaxine
Elavil amitriptyline
Ludiomil maprotiline
Norpramin ****** desipramine
Pamelor nortriptyline
Pertofrane desipramine
Remeron mirtazapine
Serzone *****nefazodone
Sinequan doxepin
Surmontil trimipramine
Tofranil imipramine
Vivactil ****protriptyline
Wellbutrin bupropion
Xanax alprazolam
Luvox SSRI fluvoxamine****
Prozac SSRI fluxetine
Paxil SSRI paroxetine
Zoloft SSRI sertraline
SELECTIVE SEROTONIN (BRAIN CHEMICAL) REUPTAKE INHIBITOR
Marplan MAOI isocarboxazid
Nardil MAOI phenelzine
Parnate MAOI tranylcypromine
*****
MAOI= monoamine(brain chemical) oxidase inhibitor
EMOTIONAL DEFENSE MECHANISMS
used as coping strategies for DEALING WITH STRESS OR INTERNAL CONFLICT BY...
acting out****
dealing with conflict or stress by actions rather than reflection or feelings
altruism
internal conflict by meeting needs of others receives relief from stress through reaction of person they are assisting
denial
denying reality surrounding problems
dissociation
breakdown in functions of memory consciousness and perception of self and environment
displacement
transferring feeling about object or person onto another (mad at boss hit wife)
projection***
falsely attributing their own thought or feelings onto another
rationalization****
concealing their own motivations through elaborate explanations
regression****
regressing back to when person feelt safe maybe 10-12 years
repression*****
refusing to think about any type of disturbing thoughts or experiences completely casting them out of conscious awareness
sublimation****
channeling inappropriate feelings or impulses into socially acceptable behaviors
angry=hit pillow
suppression****
simply refusing to think about it