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88 Cards in this Set
- Front
- Back
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Dx Major Depression
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5+ of the following
-Sleep disturbances -Interest reduction -Guilt -Energy loss -Concentration loss -Appetite loss -Psychomotor agitation -Suicidal ideation (hopelessness) |
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Autism
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-repetitive movements
-lack of verbal skills -lack of bonding |
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Asperger's
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-impaired relationships
-good communication -NO mental retardation |
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Rett's
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-girls only!!!!
-normal until 5mo -decr. head growth -lose motor skills -hand wringing |
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Childhood disintegrative disorder
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stops walking & talking
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Selective mutism
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talks sometimes
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Separation anxiety
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screams when mom leaves
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ADHD
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-overactivity
-difficulty in school |
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Dysthymia
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low level of sadness > 2 years
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Cyclothymia
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dysthymia w/ hypomania
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Double depression
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depression then dysthymia
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Bipolar I
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depression & mania (psychosis)
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Bipolar II
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depression and hypomania (no psychosis)
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Loose associations
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-incoherent
-ideas switch topics |
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Word salad
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unrelated word combinations
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Perseveration
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repeats same words
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Neologisms
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makes new words
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Delusion
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false belief
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Illusion
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misinterpreted stimulus
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Hallucination
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false sensory perception
(formication in EtOH w/drawal or cocaine intox) |
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Nihilism
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thinks the world has stopped
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Loss of ego boundaries
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no concept of where I end and you begin
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Cataplexy
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loss of muscle tone due to strong emotion stress
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Paranoid personality d/o
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suspicious about everything, uses projection
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Schizotypal personality d/o
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-odd behavior
-magical thinking -people leave them along b/c they're weird but will interact if approached |
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Schizoid personality d/o
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-recluse
-don't want interaction w/ others |
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Antisocial personality d/o
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-lie, cheat, steal
-act on impulses -destroy property -no remorse -illegal activity |
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Conduct d/o (BITE
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<15yo w/ traits of antisocial personality d/o
-aggressive -disregard for authority/rules -no remorse -harm animals -illegal activity |
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Oppositional defiant d/o (BARK)
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-defiant
-noncompliant -resists authority |
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Histrionic personality d/o
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-theatrical
-sexually provocative -use repression as defense mech |
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Borderline personality d/o
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-"perpetual teenager"
-uses projection -acts out -self-mutilation -uses splitting as defense mech |
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Narcissistic personality d/o
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-pompous
-no empathy |
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Dependent personality d/o
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-clingy
-submissive -low self-esteem -uses regression |
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Obsessive-Compulsive d/o
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-perfectionist
-doesn't show feelings -uses isolation |
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Avoidant personality d/o
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-socially w/drawn
-wants to fit in but fears rejection |
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Kleptomania
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steals for the fun of it
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Pyromania
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starts fires
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Intermittent explosive d/o
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loses self-control disproportionately to circumstances
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Trichotillomania
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pulls out their own hair and eat it
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Lewy body dementia
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-stiff
-visual hallucinations |
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Normal pressure hydrocephalus
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-incontinence
-ataxia -dementia |
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Korsakoff psychosis
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alcoholic B1 deficiency
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Vascular dementia (multi-infarct)
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-sudden onset
-uneven progression -"stair step" decline |
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Huntington's Chorea
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-trinucleotide repeat d/o
-Chr 4, CAG -personality change -"choreiform" movement |
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Creutzfeldt-Jacob
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-prion induced
-die w/in 1 year -corneal transplant |
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Pick's disease
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-frontal lobe atrophy
-disinhibition |
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Alzheimer's
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-decr Ach in nucleus basilis of Meynert
-bad ApoE -amyloid plaques -neurofibrillary tangles -Tau protein |
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Parkinson's
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-substantia nigra
-Lewy bodies -bradykinesia -pill-rolling tremor |
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Somatization
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psychological trigger gets them sick (includes pain 4 parts, 2 GI problems)
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Hypochondriasis
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find in themselves the symptoms of other sick people, seek for medical attention
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Body dysmorphic d/o
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imagined physical defect
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Pain d/o
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prolonged pain not explained by physical causes
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Conversion
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blindness, mutism triggered by a stressor
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Malingering
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-fakes illness for monetary gain or getting out of jail
-avoids actual treatment |
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Factitious
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-fakes illness for attention
-seeks treatment |
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Factitious by proxy
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fakes illness of a child to get attention
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Amnesia
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can't recall important facts
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Multiple personality d/o
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-5-10 alts
-association w/ incest |
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Sublimation
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substitute acceptable for unacceptable (likes to fight, becomes boxer)
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Identification
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act like someone else
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Displacement
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take anger out on someone else
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Idealization
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sees only good in someone despite evidence to the contrary
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Transference
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Pt views Dr as parent
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Countertransference
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Dr views Pt as child
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Acting out
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expression of impulse (tantrums)
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Regression
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immature behavior, go back in development
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Rationalization
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make excuses for behavior in advance
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Justification
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make excuses for behavior afterward
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Intellectualization
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act like a "know it all" to avoid feeling situational emotions
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Isolation
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isolate feelings in order to keep on functioning
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Suppression
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consciously block memory
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Reaction formation
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unconsciously act opposite to how you feel ("tears on a clown")
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Undoing
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doing exact opposite of what you used to do, to fix a wrong
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Compensation
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doing something different from what you used to do, to fix a wrong
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Psych drugs for Alzheimers
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-AchE inhibitor -> donezepil
-NMDA receptor blocker -> memantine |
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Psych drugs for Parkinson
(decr dopamine, decr Ach) |
-Levodopa: pro-drug -> Dopa in brain
-Carbidopa: inhibits decarboxilation of levodopa in periphery -Bromocriptine: DA agonist, perpetuations DA effects -Amantadine: incr DA, NE, Epi release -Selegiline: selective MAO-B inhibitor -Benztropine: anticholinergic |
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Typical antipsychotics
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-decr D2
-Haloperidol: NMS (must watch BP) -Thioridazine: retinitis pigmentosa |
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Atypical antipsychotics
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-decr D2 & incr 5-HT
-Risperidone -Olanzepine: obesity, agranulocytosis Clozapine: agranulocytosis (weekly CBC) |
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Antidepressants: TCA's
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1) NE & 5-HT reuptake inh
2) alpha blocker 3) anti-muscarinic -amitriptiline, imipramine |
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Antidepressants: SSRI
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-5-HT reuptake inh
-fluoxetine, citalopram |
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Antidepressants: MAOI's
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-tyramine oxidase inh (MAO)
-phenelzine, tranycypromine |
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Antidepressants: Heterocyclics
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-Trazodone: 5-HT reuptake inh (priapism)
-Venlafaxine: 5-HT, NE, DA reup inh -Mirtazepine: alpha-2 blocker -Bupropion: 5-HT, NE, nicotine reup inh |
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Epilepsy Rx: Ethosuxamide
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-T-channel dep. Ca++ channel blocker
-for absence seizures in children |
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Epilepsy Rx: Na channel blockers
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-valproic acid
-carbamazepine (hepatotoxic, aplastic anemia) -phenytoin (gengival hyperplasia, lymphadenopathy) -topiramate |
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Epilepsy Rx: GABA agonists
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-GABApentin
-perGABAlin |
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Epilepsy Rx: GABA enhancers
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-topiramate
-tiagabine |
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Epilepsy Rx: Benzodiazepines
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-incr freq of Cl channels
-short t1/2: alprazolam -medium t1/2: lorazepam -long t1/2: diazepam, chlordiazepoxide |
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Epilepsy Rx: Barbiturates
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-incr duration of Cl channels
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