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92 Cards in this Set
- Front
- Back
Social phobia meds
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Antidepressants
Beta blockers (propanol) |
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Social phobia tx (3)
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Flooding
Social skills training Cognitive techniques |
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1. Best OCD tx
2. Meds (2) |
1. Flooding
2. TCAs or an SSRI |
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PTSD tx (4)
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CBT: flooding, cognitive restructuring, AMT, EMDR
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Panic attack symptoms
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Shortness of breath
Depersonalization Heart palpitations Chills/sweats/hot flashes |
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Panic attack tx(3)
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Flooding
Cognitive tx Relaxation training |
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Panic attack meds (4 types)
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TCAs (imipramine)
SSRIs Benzos Anticonvulsants (mood stabilizers) |
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Agoraphobia
1. Can occur... 2. Tx |
1. with or without Panic attacks
2.Flooding |
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Best PTSD med
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SSRI
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Specific phobia tx
1. Adults 2. Kids |
1. In vivo exposure
2. Cognitive self-control: relaxation, visualizing a pleasant scene, positive self statements |
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Negative mood, poor concentration, irritability, fatigue, insomnia, hoplessness
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Symptoms associated with depression and anxiety
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What CBT is used in initial stages of anxiety disorders?
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Decatastrophizing
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Mowrer's 2 factor theory
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Avoidance conditioning theory for specific phobias
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1. GAD meds (2)
2. GAD tx |
1. SSRI, anxiolytic (buspirone)
2. Multicomponent CBT |
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Catecholamine hypothesis
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Depression is due to a deficiency in norepinephrine. Increasing norep reduces dep symptoms
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Depression Treatment
1. Mild 2. Severe |
1. CBT better than imipramine
2. Interpersonal therapy (IPT) and imipramine (TCA)better |
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2 Depression models
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Learned helplessness and depressive cognitive triad
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Depressive cognitive triad
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Beck
Negative self-statements about yourself, the world and the future |
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Learned helplessness model
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Attributing negative events to internal, stable and global factors
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Best med for "classic symptoms"
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Tricyclic antidepressants (TCAs)
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Imipramine
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TCA
|
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Best med for melancholic depression (type and example)
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SSRI (ex. Fluoxetine)
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SSRI
1. Best for 2. SSRI vs TCAs |
1. Best med for melancholic depression
2. Fewer SEs than TCAs |
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MAOI
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Used for depressed people who don't respond to TCAs or SSRIs
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Atypical depression
1. Symptoms (5) 2. Drug |
1. Phobic features, panic attacks, increased appetite, increased sleep, mood worse in the evening
2. MAOI best |
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Effexor
1. What is it? 2. Neuros |
1. New drug for depression
2. Increases norepinephrine and serotonin |
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Remeron
1. What is it? 2. How does it work? |
1. New drug for depression
2. Increases norepinephrine and serotonin |
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When is ECT used (2 things)
|
1. Severe depression with delusions and SI
2. Used when meds don't work |
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Lithium
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Bipolar
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Best Bipolar med?
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Lithium
|
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When are anticonvulsants prescribed for bipolar? (2)
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1. When they don't respond to lithium
2. When they have rapid cycling or dysphoric mania |
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Dysthymic disorder
1. Symptoms last for ___? (children and adults) 2. Never symptom free for longer than ___ |
1. 2 years for adults and 1 year for children and teens
2. 2 months |
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Dysthymia treatment
1. Best Med 2. Tx |
1. SSRI
2. CBT |
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Cyclothymic Dis
1. Symptoms 2. Length (adults and kids) |
1. Periods of hypomanic symptoms and depressive symptoms
2. 2 years for adults and 1 year for kids and teens |
|
Cognex and Aricept
1. use 2. problem |
1. Prevent ACh breakdown re Alzheimers
2. Defecits worsen when drugs are removed |
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Alzheimers therapy types (2)
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Behavior tx
Group tx |
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Environmental manipulation is used for______ (2)
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Alzheimers and Delirium
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Alzheimer meds (2 types)
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Antidepressants and antipsychotics
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Delirium med
1. What type is it 2. What does it reduce(3 things) |
1. Antipsychotic
2. Reduces agitation, delusions and hallucinations |
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Delirium tx has two goals:
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1. Treat the underlying cause of the delirium
2. Reduce the agitation associated with delirium |
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Somatization Dis symptoms
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4 pain symptoms - Cl might say that pain is connected with certain functions (ex. pain duing urination or sex)
2 gastrointestinal symptoms (nausea, diarrhea) 1 sexual symptom other than pain (vomiting throughout pregnancy, erectile dysfunction) 1 pseudoneurological symptom (ex. paralysis, seizures) |
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Conversion Dis tx
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Hypnosis
Suggestion that symptoms will improve |
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Symptoms for people with Factitious Disorders are produced to...
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Fulfill and intrapsychic need to pretend you're sick
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Symptoms for people with Malingering are produced to...
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Get an external reward such as missing work, getting drugs, etc.
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Do people with Factitious Disorders intentionally produce their symptoms?
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Yes
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Localized amnesia
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Can't remember events about a certain period of time
|
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Selective amnesia
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Can't remember some events related to a certain period
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Generalized amnesia
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Memory loss is throughout your entire life
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Continuous amnesia
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You can't remember from a specific time until the present
|
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Systematized amnesia
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You can't remember memories related to a certain category
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If you can't remember anything about your husband you have ________ amnesia
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Systematized
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the effects of depersonalization disorder on reality testing
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Reality testing remains intact although the person feels detached from his mental proceses or body
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How can you tell if a man's Erectile Disorder is organic?
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If he is unable to get an erection in his sleep
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What non-psychiatric medicine can cause impotence
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Hypertensive meds
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What neurotransmitter is linked with premature ejaculation?
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Serotonin
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1. What type of medicine can improve premature ejaculation?
2. How? |
1. SSRIs
2. By increasing the low serotonin level |
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Primary dysfunction
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The disorder has always existed
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Secondary dysfunction
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The disorder developed after a period of time
|
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What does CBT target for sexual therapy?
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Dysfunctional behaviors, anxiety, attitudes, beliefs and a lack of knowledge
|
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What technique reduces performance anxiety for sexual disorders
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Sensate focus
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At what age does Gender Identity Disorder begin?
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2-4
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Males with Gender Identity Disorder are attracted to____
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Males
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3 Physical symptoms of anorexia
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Constipation, anemia, cardiac problems
|
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Best tx for Anorexia
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Cognitive therapy
|
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What are the 3 stages of cognitive therapy for anorexics
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1. Establishing trust
2. Providing education 3. Modifying cognitive errors |
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Best tx for Bulimia
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CBT
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Bulimia meds
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TCAs or SSRIs
|
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What neurotransmitters are involved in Bulimia? How?
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Low levels of serotonin and norepinephrine
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1. When should adjustment disorder symptoms begin?
2. When should they end? |
1. Within three months of the stressor
2. Within 6 months of the stressful event |
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Dyssomnias are _____
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Disturbances in the amount, quality or timing of sleep
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Parasomnias are____
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Behavioral or psychological abnormalities that occur during sleep or in the transition between sleeping and waking up
|
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Types of parasomnias (3)
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Nightmare Dis, Sleep Terror Dis, Sleepwalking Dis
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1. Cluster A Personality Disorders are characterized by_____
2. Types (3) |
1. Odd or eccentric bxs
2. Paranoid, Schizoid, Schizotypal |
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1. Cluster B Personality Disorders are characterized by_____
2. Types (4) |
1. Dramatic, emotional or erratic bxs
2. Antisocial, Borderline, Histrionic, Narcissistic |
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1. Cluster C Personality Disorders are characterized by_____
2. Types (3) |
1. Anxiety or fearfulness
2. Avoidant, Dependent, Obsessive Compulsive |
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If you have interpersonal deficits and eccentric behaviors, you have ____ PD
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Schizotypal
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3 Antisocial PD requirements
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1. Must be at least 18
2. Must have a hx of CD before 15 3. No remorse |
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What is Dialetical Bx Tx used for?
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Borderline PD
|
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OCPD vs OCD
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Personality Disorder doesn't involve real obsessions or compulsions. Instead, they are perfectionistic and preoccupied with rules
|
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Motor development delays are an early sign of_____
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MR
|
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Hereditary MR Types (3)
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Tay Sachs
Fragile X PKU |
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Early genetic alterations MR types (2)
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Downs Syndrome
toxins (teratogens) |
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Down Syndrome problems
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Heart problems, respiratory and intestinal defects
Age rapidly Lower life expectancy Higher Alzheimers risk |
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Retts disorder problems (4)
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Head growth deceleration
Wringing hands Poor coordination Psychomotor retardation |
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2 Medicines for Tourettes
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Clonidine and antidepressants
|
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What childhood disorders involve motor coordination problems
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MR
Learning disorders |
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What does habit reversal treat
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Stuttering
|
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What does habit reversal include
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Regulated breathing, awareness training, and social support for stuttering
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What 4 co-occuring disorders are associated with ADHD
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ODD, Anx Dis, CD and Maj Dep
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How often must problem occur for Enuresis diagnosis
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At least 2x/week for at least 3 months
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Imipramine and enuresis relapse
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Relapse within 3 months of discontinuing
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When do you use Michenbaums Stress Innoculation Training
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Medical procedures for children
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