Psych. Mental Health Nursing (1)

Front 1

Communication is most effective when?

Back 1

Message sent is congruent with message received

Front 2

5 Factors that effect communication

Back 2

-emotion -cognition -culture -environment -relationship

Front 3

What's cognition?

Back 3

Educational background, problem solving, attention span

Front 4

What's a symmetrical relationship?

Back 4

Equal
e.g. friends

Front 5

Complementary relationship?

Back 5

Inequality

e.g. teacher-student/ nurse-client

Front 6

Nonverbal communication?

Back 6

Behaviors that are expressed through various ways such as facial expressions, eye contact, tone of voice, hand gestures

Front 7

Verbal Communication

Back 7

Cosists of words: SPEAKING

Front 8

3 Essential communication tools

Back 8

Silence, Active listening and clarification

Front 9

Active listening

Back 9

Nx listens/watch verbal + nonverbal

Front 10

Clarification uses?

Back 10

Feedback and correction of misperceptions

Front 11

Content and direction are decided by?

Back 11

Client/Patient

Front 12

Clinical interview; part of what nursing process?

Back 12

Assessment

Front 13

Clinical interviews conducted

Back 13

During hospitalization and treatment

Front 14

Purpose of process recording

Back 14

Examine patterns of comm. w/ client, effectiveness of comm. tech. being used, and alt. strategies for dealing w/ diff issues.

Front 15

Silence is used for?

Back 15

For pt. to think what say, to process what's been said, and to think of new ideas

Front 16

Good or bad Comm. tech:

Silence

Back 16

Good

Front 17

Good or Bad Comm. tech:
Broad Openings?

e.g.?

Back 17

-Pt. leads, nx discourages
small talk.
-Good
-Where would you like to begin?

Front 18

Good or bad comm. tech:
Accepting?

e.g.?

Back 18

-Good
-Pt. understood, don't have to agree
-Yes, I follow what you say

Front 19

Good or bad comm. tech:
Giving Recognition

e.g.?

Back 19

Good


You shaved today

Front 20

Good or bad comm. tech:
Offering self

e.g.?

Back 20

Good


I'll stay and sit for a while

Front 21

Good or bad comm. tech:
Making Observations

e.g.?

Back 21

Good

You appear nervous when John enters the room

Front 22

Good or bad comm. tech:
Encouraging description of perception?
e.g.?

Back 22

-Good
-Increase nx understanding. Talk about feelings+ difficulties
-Tell me when you feel anxious

Front 23

Good or bad comm. tech:
Restating/rephrasing?

Back 23

-Good
-Repeat main idea

Front 24

Good or bad comm. tech:
Reflecting?

e.g.?

Back 24

-Good
-Direct ?'s to get pt. to accept feelings/ideas
-How does that make you feel?

Front 25

Good or bad comm. tech:
Focusing?

Back 25

-Good
-Atten. on single point

Front 26

Good or bad comm. tech:
Exploring

e.g.?

Back 26

-Good


Tell me more about that

Front 27

Good or bad comm. tech:
Giving information

E.g?

Back 27

-Good


-This medication is for..

Front 28

Good or bad comm. tech:
Clarification?

e.g.?

Back 28

-Good
-Pt. clarify own thoughts, and have max understanding btwn nx and pt.
-I am not sure I follow you

Front 29

Good or bad comm. tech:
Presenting reality

e.g.?

Back 29

-Good

Your mother is not here; I am the nurse

Front 30

Good or bad comm. tech:
Suggesting colaboration?

e.g.?

Back 30

-Good
-Working w/ pt, not for the pt.
-Perhaps you and I can discover what makes you anxious

Front 31

Good or bad comm. tech:
Summarizing?

e.g.?

Back 31

-Good
-Imp. points of discussion to enhance understanding, Nx and pt. leave with same ideas in mind
-Have I got this straight?

Front 32

Good or bad comm. tech:
Encouraging plan of action

e.g.?

Back 32

-Good
What could you do to let anger out harmlessly?

Front 33

Encouraging plan of action goes hand in hand with?

Back 33

Interventions

Front 34

Good or bad comm. tech:
Giving premature advice

E.g?

Back 34

-Bad

-You should do...

Front 35

Good or bad comm. tech:
Minimizing feelings

Back 35

-Bad

Front 36

Good or bad comm. tech:
Giving false reassurance

e.g.?

Back 36

-Bad

-I wouldn't worry about that

Front 37

Good or bad comm. tech:
Making judgement

e.g.?

Back 37

-Bad

-Why do you still smoke if your wife has cancer?

Front 38

Good or bad comm. tech:
Use of Why?

Back 38

-Bad
-Implies criticism

Front 39

Good or bad comm. tech:
Excessive questioning?

Back 39

-Bad
-Can make pt. confused about what is being asked.

Front 40

Good or bad comm. tech:
Disagreeing?

e.g.?

Back 40

-Bad
-Make pt. defensive
-I gave you pain meds you're not in pain

Front 41

Good or bad comm. tech:
Changing the topic?

Back 41

-Bad
-Invalidate pt. feelings/needs

Front 42

Give and e.g. of Matter of fact approach

Back 42

When doing rounds, you find resident in room naked, instead of being shocked tell resident, put clothes on, then come out to talk to me.

Front 43

Goals of clinical interview

Back 43

-Being heard +understood
-identifying + discuss. prblms
-Explore healthy way of meetin needs
-Explore adap. ways of deal.
-Experiencing+ satisfying relationships

Front 44

Introduction of interview

Back 44

1. Name 2. Attending school 3. Purpose of meeting 4. Time of meeting 5. duration 6. addressed

Front 45

Anxiety

Back 45

Human experience, most basic emotions, feeling of apprehension or uneasiness stemming from real threat

Front 46

Levels of anxiety, and charac.

Back 46

Mild: Still prioratize, grasp more information, prbm solving more effective
Moderate: Selective attention, rise v/s
Severe: No learning/prblm solving
Panic: COMPLETE disprganization, hallucinate/delusional

Front 47

Anxiety a prblm when?

Back 47

Interferes w/ everday living

Front 48

True or False:
Substance abuse + depression can lead to anxiety disorders

Back 48

True

Front 49

Anxiety comes from:

Back 49

-Genetic
-Biological:Gamma.. (GABA) not enough: ANXIETY
-Psychological:repressed ideas/emotions, learned response, abn. thought process
-Culture

Front 50

Gamma-aminobutyric is used in the brain for what?

Back 50

Help calm down, reduce anxiety

Front 51

Types of Anxiety Disorders


Clue: 9

Back 51

-Panic -Phobias -OCD
-General (GAD) -PTSD -Acute Stress -Substance-induced
-Anxiety:Medical cond. -NOS

Front 52

2 types of Panic disorders, characterize

Back 52

-Panic dis. w/out agoraphobia
-Panic dis. w/ Agoraphobia

Front 53

Agoraphobia

Back 53

Fear of leaving home

Front 54

Panic Disorder w/out Agoraphobia, characteristics

Back 54

Similar to MI, UNEXPECTED, lasts for minutes and then subsides,

Front 55

Panic Disorder w/ Agoraphobia, characteristics

Back 55

Similar to MI, comes from fear of places/situations from which escape might be difficult

Front 56

Phobias types

Back 56

-Specific phobia
-Social phobia

Front 57

Specific Phobia

Back 57

Anxiety/fear caused by objects or situations

Front 58

Social Phobia


e.g.?

Back 58

Anxiety/fear caused from exposure to social situations.

Eating in public- public speaking

Front 59

OCD


e.g?

Back 59

-Obessive compulsive disorder
-Obessive thought, compulsion reduce behavior/control obsession
-Thought of killing someone-wash hands

Front 60

Generalized Anxiety Disorder

Back 60

-Worry regarding several things, -lasts for 6 mo or longer
-s/s: restlessness, fatigue, poor concentration, irrability, tension, sleep dist.

Front 61

PTSD

Back 61

-traumatic event
-Symp. occur w/in 3 mo
-s/s: Diff. falling asleep, nightmares, flash backs, avoi stimuli, diff. concentrating, hypervigilance, irritability, startle response, detachment/ w/drawl from others

Front 62

PTSD is comorbid with

Back 62

Depression

Front 63

Acute Stress Disorder

Back 63

-1 mo after experiencing trauma
-resolved w/in 4 wks
-s/s: detachment, derealization, depersonalization, loss of memory

Front 64

Depersonalization

Back 64

Bigger arm than the other

Front 65

Derealization

Back 65

Mrs. Soberano loss, lost during drive in Hyde park

Front 66

Substance-Induced Anxiety Disorder

Dx?

Back 66

-Comes from use of substance or w/in mo. of stopping use of substance.
-Dx: Hx, PE, and lab findings

Front 67

Anxiety Due to Medical Conditions

Dx?

Back 67

-Linked with medical condition, such as COPD, CHF

-Lab/Diagn. findings

Front 68

Anxiety Disorder Not Otherwise Specified (NOS)

Back 68

-Does not meet criteria for other anxiety disorders

Front 69

Defensive Mechanisms

Back 69

Protects individual from painful awareness of feelings and memories, if not overused used for reducing anxiety

Front 70

Dissociation


e.g.?

Back 70

-Defensive Mechanism
- An art student is able to mentally separate, from noisy env. as she becomes absorbed from work

Front 71

Identification


e.g.?

Back 71

-Defensive Mechanism
-Dressing up like soberano

Front 72

Intellectualization?


e.g.?

Back 72

-Defensive Mechanism
-based on cold facts, no emotion
-Nx pt dies, she says it's better that way, it would of been harder for pt. to live

Front 73

Introjection?


e.g.?

Back 73

-Defensive Mechanism
-outside world incorporated/absorbed into persons view of self
-Man complains of SOB, the s/s before wife died.

Front 74

Projection?


e.g.?

Back 74

-Defensive Mechanism
-rejection of emotionally unaccept.feat and putting them on people, objects or situations
-Upset, kick the cat

Front 75

Rationalization?


e.g.?

Back 75

-Defense mechanism
-justify illogical or unreasonable ideas, actions or feelings that satisfy teller and listener
-I didn't get the raise b/c the boss doesn't like me

Front 76

Reaction Formation?


e.g.?

Back 76

-Defense mechanism
-unacceptable feelings/behaviors by developing opposite behavior or emotion
-I hate dogs, so I volunteer at a dog shelter

Front 77

Regression


e.g.?

Back 77

-Defense Mechanism
- Thumb sucking

Front 78

Repression?


e.g.?

Back 78

-Defense Mechanism
-Unconscious
-Girl gets rape, some asks her how she's coping and she has no recollection

Front 79

Slitting?


e.g.?

Back 79

-Defense Mechanism
-Either black and white, no gray area
-Soberano thinks Maria is a good student

Front 80

Sublimation?


e.g.?

Back 80

-Defense Mechanism
-Unconscious
-Bad behavior-something constructive +sociably accepted
-A woman is made fun of, she writes a poem.

Front 81

Suppression?


e.g.?

Back 81

-Defense Mechanism
-Conscious
- Hot date the other night, want to think about it but you have to study for your exam the next day. So you "forget" hot date

Front 82

Undoing?


e.g.?

Back 82

-Defense Mechanism
-Person makes up for an act, or communication
-Mad at child, punish, feel bad, next day you bring him a gift

Front 83

Antidepressants action


e.g.

Back 83

-ACTION:increase serotonin in brain
-first line for anxiety+depression
-GABA

Front 84

Serotonin regulates what?

Back 84

Emotions

Front 85

Example of Antidepressants

Back 85

-Paxil (paroxetine)
-Zoloft (Sertaline)
-Prozac (fluoxetine)
-Lexapro (escitalopram)

Front 86

Anxiolytics or anxiety drugs, characteristics

Back 86

-Benzodiazepines
-Nonbenzodiazepines

Front 87

Benzodiazepines

Back 87

-Anxiety
-Fast onset
-cause dependency
-Short term

Front 88

True or false people w/ substance abuse are at risk for becoming dependent on benzodiazepines

Back 88

True

Front 89

e.g. of benzodiazepines?

Back 89

-Xanx (Alprazolam)
-Librium (chlordiazepoxide)
-Valium (Diazepam)
-Ativan (Lorazepam)

Front 90

Nonbenzodiazepines


e.g.?

Back 90

-no dependence
-2-4 wks to see effects
-long term basis
-Buspar

Front 91

Alternatives for benzodiazepines

Back 91

Inderal (beta blockers) Vistaril (antihistamines) Depakote, Neurontin (anticonvulsants)

Front 92

Anticonvulsants also used for..


e.g.

Back 92

-Mood stabilization


Depakote and Neurontin

Front 93

Cognitive therapy

Back 93

-Helping people identify negative beliefs and reconstructing through cognitive restructing

Front 94

Behavior therapy


e.g.?

Back 94

-diff tech. for managing anxiety
-Relaxation -Modeling -Systematic desensitization -Flooding -response prevention
-thought stopping

Front 95

-Modeling
-Systematic Desensitization
-Flooding

Back 95

-Therapist role model. Therapist takes bus w/ agoraphobic pt
-gradual exposure
-making pt. touch obj. w/ bare hands for prolonged time

Front 96

Response prevention

Back 96

The client is not allowed to wash her hands as a mean of controlling obsessive thoughts

Front 97

Thought stopping

Back 97

Client learns to interrupt negative thought/obsession through distraction

Front 98

Cognitive-behavioral therapy

Back 98

-Most effective techn
-Combination of cognitive therapy and behavioral

Front 99

-Cognitive Disorders
-Three main cognitive disorders

Back 99

-Disort one's thought process
-Delirium, Dementia, Amnestic Dis.

Front 100

Delirium?

Back 100

-Temporary disturbance of consciousness and change in cognition
-ALWAYS secondary -reversible
-thought process flucuates (worse at night)
-elderly +hosp. pt
-Recovery:possible
-Mem./perception is impaired, illusions/hallucinations maybe experienced

Front 101

What is a hallucination?

Back 101

Something you see, hear, feel, smell or taste that isn't really there

Front 102

What is a delusion?

Back 102

False belief

Front 103

Dementia

Back 103

-Develops slowly, with cognitive decicits
-Imparimetn in memory
-can be irreversible and progressive
-primary: no turning back- secondary: medical (alcohol depend) reversible

Front 104

To Dx dementia you need..

Back 104

Memory impariment and one of these 4:
-Aphasia (language)
-Apraxia (motor abilities)
-Agnosia (failure to reaognize onbjects)
-Disturbance of exe. funct.

Front 105

Alzheimer, pathological theory

Back 105

-neurofibrillary tangles
-neurotic plaques -degeneration
-brain atrophy

Front 106

Alzheimer, Genetic theory

Back 106

Family members

Front 107

Alzheimer, Neurochemichal change theory

Back 107

-deficiency of enzyme acetyltransferase, that is used to synthesize neurotransmitter acetylcholine

Front 108

Alzheimer, Cholesterol theory

Back 108

--ppl with high cholesterol levels and inflammation of the brain, higher death rates with alzheimers

Front 109

4 stages of Alzheimer's

Back 109

-Mild
-moderate
-Moderate to sever
-late or end stage

Front 110

Charac. of Mild Alzheimer's

Back 110

-loss of energy -diff. learning new things -Ind. AWARE of the problem
-Depressed

Front 111

Charac. of Moderate Alzheimer's

Back 111

-Diff. recognizing friends/family
-Decline in ADL's
-Mood: Liable, paranoia, anger, apathy

Front 112

Charac. of Moderate to Severe Alzheimers

Back 112

-Total dependent for physical care
-Pt. overwhelmed and frustrated
-Agitated, violent, delusional, paranoia

Front 113

Charac of Late or End Stage Alzheimer's

Back 113

-Agraphia (inability to read or write)
-hyperorality (putting everything in mouth)
-hypermetamorophis (touching everything in site)
-cannot walk/talk -death is from something else

Front 114

Defense Mechanism r/t Alzheimers

Back 114

-Denial
-Confabulation: not lying, fill in gaps
-Preservation: involuntary repetition of thought, phrase, or motor response
-Avoidance of questions

Front 115

Amnesia is ALWAYS secondary to medical conditions or substance abuse True or False

Back 115

True

Front 116

Best therapy for Alzheimers

Back 116

Reminiscence therapy

Front 117

5 Medications for Alzheimeres

Back 117

-Tacrine (THA, Cognex)
-Donepizil (Aricept)
-Rivastigmine (Exelon)
-Galantamine (Razadyne)
Mamentine (Namenda)

Front 118

Alzheimers Med. Tacrine (THA, Cognex) when and for?

Adverse reaction?

Back 118

-Mild to moderate
-Improves functioning and slows down progress of disease
-Adv. reaction: Liver damage

Front 119

Alzheimers Med. Donepezil (Aricept) how and for?

s/e?

Back 119

-inhibits breakdown of acetlycholine
-slows down deterioration in cognitive w/out causing liver toxicity
-s/e: nausea and diarrhea

Front 120

Alzheimers Med. Rivastigmine (Exelon) when, how?

s/e?

Back 120

-Mild and Moderate
-cholinesterase inhibitor

-s/e: n/v, anorexia and weight loss

Front 121

Alzheimers Med. Galantamine (Razadyne) When, how?

Back 121

-Mild and Moderate
-cholinesterase inhibitor

Front 122

Alzheimers Memantine (Namenda) When, how?

Back 122

-Moderate to severe stage
-Targets NMDA

Front 123

What does NMDA regulate?

Back 123

-Memory

Front 124

Schizophrenia

Back 124

-Brain Disease that affects cognition, speech, emotions, behaviors, and reality perception

Front 125

More common among M/F?

Comorbid psychi disorders?

Back 125

-Males
-Substance Abuse, Depression, and anxiety disorders

Front 126

Schizo. Genetic theory

Back 126

-Family

Front 127

Schizo. Nuerobiological theory

Back 127

-increase in dopamine
-Abnormal maturation of CNS

Front 128

Schizo. Pregn-related theory

Back 128

-Viral infection
-Poor nutrition
-Exposure to toxins
-Lack of 02

Front 129

Phases of Schizo?

Back 129

-Acute
-Stabilization
-Maintenance

Front 130

Charac. of Acute phase in schizo?

Back 130

-positive/negative symptoms
-require hosp.
-GOAL stabilization

Front 131

Charac. of stabilization phase in Schizo?

Back 131

--reduction in symptoms
-previous level in functioning
-GOAL treatment compliance

Front 132

Charac. of maintenance phase in Schizo?

Back 132

-close to baseline functioning
-GOAL prevent relapse

Front 133

What are Eugen B. four A's to remember schizo fundemental charac?
Describe

Back 133

-Affects: facial expressions (flat)
-Autism: not in reality,in own world
-Ambivalence: hard decision making (indecisive)
-Associative looseness: disorganized thinking (topics NOT linked)

Front 134

Positive symp?
Hallucinations?

Back 134

-Something that is normally in existence, EXAGGERATION
-perception not based on a stimuli

Front 135

Hallucinations:
-Auditory
-Visual
-Olfactory

Back 135

-Voices, MOST COMMON
-Man in the room
-smelling

Front 136

Hallucinations:
-Gustatory
-Tactile

Back 136

-Taste
-Touch

Front 137

Evidence of hallucinations

Back 137

-head turning -tilting the head
-frequent blinking -grimacing
-verbally responding
-mumbling

Front 138

POSITIVE Symptoms of Schizo
-Ideas of reference
-Persecution
-Somatic

Back 138

-outside has special meaning for oneself, news cast is talking to me
-FBI is after me
-Alter from normal body, gangrene in leg

Front 139

POSITIVE Symptoms of Schizo
-Thoughts broadcasting
-Delusion of control
-Delusion of grandeur

Back 139

-unspoken thoughts can be heard
-action/thoughts controlled by external force
-posses greatness of power

Front 140

POSITIVE Symptoms of Schizo
-Jealous delusion
-Bizarre behavior
-Speech/thought disturbances

Back 140

-partner is unfaithful
-appearance, aggression, socially/sexually, inappropriate, just weird
-unrelated topics

Front 141

POSITIVE Symptoms of Schizo
-Looseness association
-Neologism
-Clang association

Back 141

-thinking illogical and confused
-made up words
-meaningless rhyming of words

Front 142

POSITIVE Symptoms of Schizo
-Word salad
-Echolalia
-Tangentiality

Back 142

-convo, w/ mixed words that don't make sense
-repeating words
-meaningless details

Front 143

POSITIVE Symptoms of Schizo
-Pressured Speech
-Flight of Ideas
-Concrete thinking

Back 143

-jumbled speech, racing thoughts, stuttering
-continuous flow of speech, topic to topic
-inability to think abstractly

Front 144

POSITIVE Symptoms of Schizo
-Distractibility
-Impaired memory

Back 144

-Distracted
-Short term mem.

Front 145

Negative symp. of Schizo?

Back 145

Absence of something that should be present

Front 146

Negative Symp. of Schizo
-Flat affect
-Blunted affect
-Inappropriate affect

Back 146

-immobile facial expression/blank
look
-severe reduction in expressions/emotions: RESTRICTED
-emotional response not congruent w/ situation

Front 147

Negative Symp. of Schizo
-Poor eye contact
-Anergia
-Avolition

Back 147

-poor eye contact
-lack of energy
-lack of motivation

Front 148

Negative Symp. of Schizo
-Alogia
-Thought blocking

Back 148

-restriction of speech
-loosing train of thought

Front 149

Cognitive Symp

Back 149

-diff. w/ memory and executive functions

Front 150

Subtypes of Schizo
-Paranoid

Back 150

- age 20-30, prognosis is good w/ treatment, s/s: hallucinations: auditory, Delusions: persecutory

Front 151

Subtypes of Schizo
-Disorganized

Back 151

-most refressed, socially impaired, early middle teens, POOR prognosis, s/s: speech incoherent, inapp. affect, bizarre behaviors, w/draw

Front 152

Subtypes of Schizo
-Catatonic

Back 152

-Abrupt, favorable prognosis, s/s: Extreme motor retardation, extreme negativism, extreme automatic obedience, mutism, echolalia, echopraxia (action)

Front 153

-Extreme negativism
-Automatic Obedience

Back 153

-Not listen at all, passive failure to do what is asked
-Obedience, like a robot

Front 154

Subtypes of Schizo
-Reisdual

Back 154

-resolved suptype of schizo, so negative leftover symp. s/s: decreased energy, initiative, interest, impaired role function, speech defect, social isolation, eccentric belief/behaviors, blunted/inappropriate affect

Front 155

Subtypes of Schizo
-Undifferentiated

Back 155

-positive or negative signs, but does not meet criteria for other subtypes

Front 156

-Limit setting for Schizo pt. how?

Back 156

Reasonable and rational setting of parameters for clients behavior that provide control and safety

Front 157

-Milieu therapy means
-Milieu provides?

Back 157

-Environment
-Predictable, Structure, consistent, sense of direction, promote motivation, modify unacceptable behavior, increase social skills

Front 158

-Cognitive-behavioral therapy
-Cognitive adaptation training
-Psychoeducation

Back 158

-abn thoughts/responses to hallucinations/delusions through coping strategies
-adapts to disease: level of functioning
-ed./behavioral app. to family tx

Front 159

Antipsychotics:
-Action
-Phenothiazines/e.g.?
-Non-phenothiazines/e.e?

Back 159

-Block postsynaptic dopamine
-more sedating, Thorazine, Stelazine, mellanl
-less sedating that pheno, Haldol, Narane, Tarctan

Front 160

Antipsychotics
s/e?

Back 160

-Anticholinergic
-dry mouth, urinary retention, constipation, blurred vision, photosensitivity, dry eyes, impotence in men

Front 161

Extrapyramidal side effects?
Describe

Back 161

-Akathisia: motor restlessness
-Dystonia: cramps in head and neck
-Parkinsons: stiffening of muscular activity in face, body, arms and legs

Front 162

With what do you treat EPS symptoms? e.g?

Back 162

-antiparkinsons
-anticholinergic,Artane, Cogentin, Symmeterel, and Benadryl

Front 163

Tardive dyskinesia

Back 163

-Adverse reaction
-prolonged use of nuerolpetics
-invol. movement of tongue, toes, neck, trunk, or pelvis

Front 164

Neuroleptic malignant syndrome (NMS) e.g.?

Tx?

Back 164

-Reduction of dopamine
-decrease LOC, severe muscle rigidity, ^vs, diaphoresis, drooling
-bromocriptine (Parlodel), SEVERE: dantolene (dantrium), electroconvulsive therapy

Front 165

-Prolixin Decanoate
-Haldol Decanoate

Back 165

-given 7-28 days
-given every 4wks

Front 166

Atypical antipsychotics
s/s?


e.g.?

Back 166

-FIRST line, less relapse, lower s/e, control positive/negative
-s/s weight gain (MOST COMMON), hypotension, insomnia, drowsiness, impotence
-clozaril, zyprexa, risperdal

Front 167

-Clozapine
-Adjunt. meds for management of schizo

Back 167

-adverse reactions agraulocytosis and seizure
-antidepressants, antimanic agents (lithium), benzodiazepines

Front 168

-Personality
-Personality Disorder/ s/s?

Back 168

-conscious and unconscious
-behaving that deviates significantly from standards w/in individuals culture; prblm w/ interpersonal relationships

Front 169

-PD's occur with

Back 169

-depression, anxiety, eating, and substance abuse

Front 170

-PD's Biological theories
-PD's Environmental theories
-PD's Psychological theory

Back 170

-genetics
-childhood experiences
-modeling significant others defense mechanisms

Front 171

Criteria for PD

Back 171

-Inflexible/socially maladaptive behavior
-diff. relating to others, ANYWHERE
-pattern not caused by anything else

Front 172

Personality Disorders:
-Clusters A, charac and disorders
-Cluster B, charac and disorders
-Cluster C, charac and disorder

Back 172

-Eccentric or Odd; Paranoid PD, Schizoid PD, Schizotypal PD
-Dramatic, emotional or erratic: Antisocial PD, Borderline PD, Histrionic, Narcissistic PD
-Fearful, anxious: Avoidant, Dependent PD, Obsessive-complusive PD

Front 173

Cluster A: Eccentric or Odd
Paranoid

Back 173

-avoid others+ diff. w/ interpersonal relationships
-distrust/suspicious
-anxious about being harmed
-hypervigillant, hostile, prepared for an imagined threat
-"ill hurt you first before you hurt me"

Front 174

Cluster A: Eccentric or Odd
Schizoid

Back 174

-emotional detachment
-no personal relationships prefer to be alone
-indifferent, aloof, unresponsive to criticism or praise

Front 175

Cluster A: Eccentric or Odd
Schizoidtypal

Back 175

-Magical thinking, telepathy, sixth sense
-odd thinking, speech, and behavior

Front 176

Cluster B: Dramatic, Emotional or Erratic
Antisocial
child?

Back 176

-Few boundaries
-No respect for others
-relies: deceit+ manipulation
-Destructive/illegal acts
-lack of remorse hurting others
-Conduct disorder

Front 177

Cluster B: Dramatic, Emotional or Erratic
Borderline

Back 177

-splits people against one another
-relationships: adoring+ idealizing to devauing and cruel punishment
-most dramatic/unstable
--suicidal/self mutilating

Front 178

Cluster B: Dramatice, Emotional or Erratic
Histrionic

Back 178

-DRAMATIC behavior
-center of attn., dressing inapp., provocative behavior
-believes relationships are closer than what they are
-smother partner

Front 179

Cluster B: Dramatice, Emotional or Erratic
Narcissistic

Back 179

-Into themselves
-Entitlement/special treatment
-NO empathy
-Jealous of others, but thinks it's others that are jealous
-underneath arrogance: they feel shame and fear abandonment

Front 180

Cluster C: Fearful, Anxious
Avoidant

Back 180

-avoids all personal contact
- HIGHLY sensitive to rejection, criticism, humiliation, disapproval OR shame
-LONG for relationships

Front 181

Cluster C: Fearful, Anxious
Dependent

Back 181

-Submissiveness+ feelings of worthlessness/inadequacy which make person vulnerable to abuse
-CONSTANT emotional support, advice, and reassurance
-clingy

Front 182

Cluster C: Fearful, Anxious
Obsessive-Compulisve

Back 182

-By the book
-rigid perfectionism
-things are barely accomplished
-no one can do it well enough
-extremely DEVOTED to work and no pleasure

Front 183

What kind of therapy do you use for someone with a PD?

Back 183

Behavior therapy

Front 184

Long term therapy used for Borderline PD, (cognitive and behavioral therapy combined)

Back 184

Dialectical behavior therapy

Front 185

Medications used in PD

Back 185

-Antidepressants
-Anti-anxiety
-Anti-manic
-Anti-convulsive
-Antipsychotic