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19 Cards in this Set

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ADHD

Characteristics:


Inattention, Hyperactivity/Impulsivity


6+ months in 2+ environments


Better in fun setting that offers immed. rewards


Worse in boring setting w/ delayed consequence


Tx:


Medication--stimulants


Parent/Teacher training

Autism (Characteristics)


Autism Spectrum Disorder in DSM-5


Characteristics (rated 1-3 in severity):


Impairment in social communication (must have all)


social/emotional reciprocity, nonverbal comm., relationships


Restricted, repetitive patterns of behavior (2+)


stereotypical/repetitive motor movements, insistence on sameness, fixated interest on one thing only, abnormal reactivity to sensory input



Autism (Epidemiology)

Prevalence: 1 in 50 (previously thought 1:10,000)


Onset: typically before age 3


Gender: more common in males (4:1)


Culture: worldwide prevalence


Intellectual Funct: 38% have int. disability, 25% are nonverbal

Autism (Interventions)


Lauren Moskowitz, Ph.D., St. John's Univ.


Areas to Intervene:


Language/Communication


Social Interaction


Problem Behavior

Psychosis &


Psychotic Disorders

Psychosis: set of symptoms...(fever)


Disorders: Schizophrenia, brief psychotic, depression w/ psychotic factors, schizophreniform

Schizophrenia (Epidemiology)

Prevalence: 1% lifetime, all cultures, some diagnostic biases


Onset: typically earlier in men (19 vs 22)


Course: 22% have single episode then recover, other 78% experience mult. episodes w/ varying degrees of impairment between


typical-relatively stable functioning with discrete episodes of exacerbation

Schizophrenia (Neurotransmitters)

Neurotransmitters: dopamine hypothesis; agonists increase D, antagonists decrease...BUT doesn't work in all patients...suggests that D is not main issue at play


Too much D in PK patients can look like SD..too much blocking of D in PK can look like SD

Schizophrenia


(Bio. & Psychosocial Interventions)

Biological:


1930s: insulin coma, ECT, prefrontal lobotomy


1950s on: major tranquilizers


*Meds are the first line of Tx in SD*


Psychosocial:


Family Therapy: psychoeducation, recognition training, maintaining structure, med compliance


Behavioral T: social skills & vocational training


Cog T: challenging delusional thoughts

Schizophrenia (Symptoms)

Positive:


presence of things that ought not be


Negative:


absence of things that should be there


Disorganized:


breakdown in linear thought


jumbled words and thoughts


makes sense to patients, not to others


loose associations, tangentiality

Personality Disorders (Basics)

-patient may not see it as a problem within themselves, but a problem among everyone else


-unstable


-culturally defined


-historically attributed to religious factors

Personality: The Big 5

-Neuroticism: negative emotional states


-Extraversion: positive emotional states


-Openness: ...to experience


-Agreeableness: ...how easy are you to work with


-Conscientiousness: i.e., work ethic, reliability

Personality Disorders (General Criteria)

A: maladaptive patten in 2+ areas (emotion, cognition, interpersonal funct., impulse control)


B: pattern is inflexible & pervasive


C: clinically significant distress or impairment


D: pattern is stable, with onset in adolescence


E: NOT better explained by another disorder


F: NOT attributable to substance or medical dx



Personality Disorders (Clusters)

Cluster A: Odd/Eccentric


paranoid, schizoid, schizotypal


detached/distrusting...i.e., conspiracy theorists




Cluster B: Dramatic/Emotional?Erratic


antisocial, borderline, histrionic, narcissistic


manipulative, trouble managing emotions




Cluster C: Anxious/Fearful


avoidant, dependent, o/c

Personality Disorders (Epidemiology)

Prevalence:


~10% in gen pop (higher in clinical setting)


Development:


theoretically begins in childhood, chronic course if untreated


high comorbidity...within PDs and Axis I dxs

Borderline PD

"pattern of instability in multiple areas of life"


*borderline = too much of all the emotions*


-Mood: marked reactivity, chronic emptiness, intense anger


-Thoughts: B&W, unstable sense of self/ID, stress-induced paranoia, dissociation


-Behaviors: frantic efforts to avoid perceived consequences, stormy rxs, impulsive/self-destructive, suicidal & self harm


TX = Dialectical Behavior Therapy

Dialectical Behavior Therapy (DBT)

*Marsha Linehan, 1993: "CBT isn't working"*


USED FOR: BPD, Dep., Anx., Suicidality


-BDP is hard to treat bc patients are...


impulsive, reactive, chronically suicidal


raised in profoundly invalidating environments


^leads to therapist burnout


-Dialect: hold 2 opposed views in mind, find wisdom in each


-4 Core Skills: mindfulness, interpersonal effectiveness, emotion regulation, distress tolerance

Classification of PDs

Categorical: familiar, quick com'cation; co-occurrence, inadequate, arbitrary cutoffs




Dimensional: eliminate heterogeneity, lmt'd bias; "PDs are maladaptive, extreme versions of normal personality traits"

Substance Use

Sympt's: using more than intended, difficulty reducing usage, time-consuming, craving, failure to fulfill obligations


Levels of Involv'nt:


Use -> Intox'tion -> Abuse -> Dependence


-No longer distinction between A & D...just a general diagnosis


Substance-Related: sub. is the prob


Substance-Induced: condition is caused by sub

Sleep & Mood

Sleep <--> Mood...bidirectional relationship


Stages (one cycle through = ~90mins)


1: 5-10 minutes (if unbothered), highly concious


2: less concious


3/4: delta waves...deepest stage of sleep


REM: dreams, brain awake/active, body paralyzed, consolidating memory