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18 Cards in this Set
- Front
- Back
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IQ
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Mean = 100
SD = 15 IQ <70 = MR criteria IQ < 40 = Severe MR IQ < 20 = profound MR |
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Transference
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Patient projects feelings about formative or other important persons onto physician
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Countertransference
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Doctor projects feelings about formative or other persons onto patient
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Anaclitic depression (hospitalism)
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depression in baby attributable to continued separation from caregiver
- infant withdrawn and unresponsive - reversible but prolonged separation can result in FTT or other developmental disturbance |
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Conduct disorder
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repetitive and pervasive behavior violating social norms.
After 18 years = ANTISOCIAL PERSONALITY DISORDER |
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Rett's Disorder
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Xlinked disorder seen almost exclusively in girls
AFFECTED MALES DIE INUTERO Progressive disorder characterized by loss of development, mental retardation, loss of verbal abilities, ataxia, sterotyped HAND WRINGING |
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Childhood disintegrative disorder
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marked regression in multiple areas of fxn'ing after at least 2 years of apparently normal development
significant loss of expressive or receptive language skills, social skills, or adaptive beavhior, bowel/bladder control,, play, or motor skills Common 3-4 yrs onset - more common in boys |
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Korsakoff's amnesia
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classic ANTEROGRADE amnesia caused by thiamine deficiency
BL destruction of mamillary bodies assoc w/ confabulations |
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Dissociative amnesia
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Inability to recall important personal information
usu subsequent to severe trauma/stress |
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Delirium
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- waxing/waning consciousness
- rapid dec in attn span/level of arousal - ACUTE changes in mental status, disorg thinking, hallucinations, illusions, misperceptions, disturbances in sleep-wake cycle, cognitive dysfunction Abnormal EEG check for drugs w/ anticholinergic effects often reversible |
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Dementia
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GRADUAL decrease in cognition
- memory deficits, aphasia, apraxia, agnosia, loss of abstract thought, behav/personality changes, impaired judgment Patient is ALERT, no change in level of consciousness Inc incidence w/ age - NORMAL EEG |
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Timeline of different schizo disorders
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Schizophrenia - sx's >6 mos
Brief psychotic disorder < 1 mo Schizophreniform disorder 1-6 mo Schizoaffective disorder (@ least 2wks) 2 types: bipolar or depressive |
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Atypical depression
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Hypersomnia
Overeating Mood reactivity (ability to experience improved mood in response to positive events v. continual sadness) Assoc w/ wt gain and sensitivity to rejection Tx: MAO-I's, SSRIs |
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OCD
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EGODYSTONIC - behavior inconsistent with person's own beliefs and attitudes
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Cluster A PD
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Inability to develop meaningful social relationships
- no psychosis - genetic assoc w/ schizophrenia 1. Paranoid - pervasive distrust and suspiciousness; projection is major defense mech 2. Schizoid - voluntary social withdrawal; ltd emotional exp, content w/ social isolation 3. Schizotypal - eccentric thinking, odd beliefs/magical thinking, interperonsal awkwardness |
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Type B PD
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Dramatic/emotional or erratic
Genetic assoc w/ mood disorders/substance abuse 1. Antisocial - disregard for and violation of rights (evolves from conduct disorder) 2. Borderline - unstable mood, major use of splitting defense mech 3. Histrionic - excessive emotionality and excitability (Scarlet O'Hara) 4. Narcisstic - sense of entitlement, lacks empathy and requires excessive admiration; reacts to criticism with rage |
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Type C PD
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Anxious/fearful,
genetic assoc w/ anxiety disorders 1. Avoidant - socially inhibited, desires relationships with others (v. schizoid) 2. OC - egoSYNTONIC beliefs (v. OCD) 3. Dependent - low self confidence, clingy |
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Postpartum mood disturbances
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Post Partum Blues:
- 50-80% - 2-3d, resolve in 10d - tearfulness/fatigue/dep affect/irritable - tx: reassurance, watchful waiting Post Partum Dep: - 10-15% - 2wks-12mo. - depressed affect, anxiety, sx;s worse at night, poor concen, poor libido - tx: antidep meds, psychtx Postpartum Psychosis: - 0.1-0.2% - variable (usu 4-6 wks post partum) - delusions, confusion, sleep distrub's, unusual behavior, emotional lability - tx: antipsych meds, antidep meds, inpt hospit. |
