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33 Cards in this Set
- Front
- Back
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temporary inability to recall important personal information
1. informatoin lost for a specific period of time 2. personal informaiton lost for entire life span 3. some info during time period retained, other info is lost 4. particular categories of info are lost |
dissociative amnesia
1. localized amnesia 2. continuous amnesia 3. selective amnesia 4. systematized amnesia |
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amnesia for one's identity coupled with sudden unexplained travel away from home
sx? ppt? tx? |
dissociative fugue
no sx - seem fine ppt: severe trauma or stressor? tx: eventually remits w/o tx |
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presence of 2 or more spearate personalities that recurently take control of a person's behavior?
type of amnesia associated? RFs |
dissociative identity d/o
losing time sexual/physical abuse, satanic or cult abuse |
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pervasive sense of being dtached from or being outside one's body
feel mechanical or automated easily hypnotized prone to dissociate |
depersonalization d/o
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ddx somatoform d/o with malingering and factiious d/o
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somatoform: not willfully producing sx = subconscious
malingering = willful productoin of sx to obtain 2ndary gain (finacial, etc) factitious = willful production of sx to perpetuate the sick role |
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specific DSM criteria for somatization d/o
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pain in 4 diff body sites or involving 4 different body functions
2 GI sx (not pain) 1 sexual sx (not pain) 1 pseudoneurological sx (not pain) sx to begin before 30 yrs of age |
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somatization d/o:
female: male ratio? tx? |
4:1
CBT SSRIs if depressed structured visits with single provider (tend to have mutliple) |
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patient unwillingly has sx of non-medical origin, involving sensory (numbness) and voluntary motor function (paralysis) that are NOT caused by neurologic dysfunctoin
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conversion d/o
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requirements that must be met for adjustment d/o
time req: occurs w/in ____ of stress and resolves wihtin _____ unless stressor b/comes chronic |
cannot meet criteria for Axis 1 d/o
cannot be in response to bereavement changes in emotional state/behavior in response to psychosocial stressor out of proportion to expected human experience within 3mo resolves in 6mo |
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sexual fantasy and desire for sex very low or absent
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hypoactive sexual desire disorder
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aversion to genital sexual contact with another person
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sexual aversion d/o
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inadequate vaginal lubrication and inadequate engorgement of external genitalia
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female sexual arousal disorder
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inability to attain or maintain an erection
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male erectile d/o
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orgasm is absent or delayed and sexual excitement phase is abnl
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male/female orgasmic d/o
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genital pain assoc with sexual intercourse
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dyspareunia
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involuntary contraction of external vaginal musculature as a result of attempted penetration
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vaginismus
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key dx criteria for all paraphilas
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d/o must cause indiv to experience significant distress or impairment in social or occupatoinal impairment
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define the following paraphilias:
1. observing unsuspectinv indivs naked, undressing or having sex 2. inflicting humiliation/suffering on another 3. receiving humiliation, bondage or pain 4. rubbing one's genitals agains or by sexually touching nonconsenting stranger 5. objects are the focus sexual arousal 6. exposing one's genital's to a stranger |
1. voyeurism
2. sadism 3. masochism 4. frotteurism 5. fetishism 6 exhibitionism |
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gender identity d/o
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cross gender ID and discomfort with one's assigned sex
no ambiguous gentialia cuases severe distress or functional impairment |
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ddx primary and secondary sleep d/o
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primary: caused by disturbances in sleep wake cycle = dyssomnia or parasomnia
secondary = 2/2 mental d/o, general medical condition, or substance abuse |
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define dyssomnia
what are the 5? |
difficulty initiating or maintaining sleep, feeling rested or refreshed after sleep, or sleeping excessively
primary insomnia primary hypersomnia narcolepsy breathing related sleep d/o circadian rthythm sleep d/o |
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define parasomnia
what are the 3 |
associated with complex behavioral eventa that occur during sleep or that arouse a person from sleep
nightmare d/o sleep terror d/o sleepwalrking d/o |
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time spent in REM sleep
most of non-REM sleep is which stage? |
25%
stage 2 = 45% of total sleep time |
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Delta wave sleep = which stages?
which is deeper stage of sleep which stage of sleep is the transition from wakefulness to sleep |
stages 3 and 4 (slow wave sleep)
stage 4 stage 2 |
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give the waveforms associated with each stage of sleep
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stage 0 = awake = a and B waves
REM = B waves Stage 1 = theta stage 2 = spindle and K complex stage 3 = delta stage 4 = delta |
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nightmares in nightmare d/o occurrs during which stage of sleep? do they wake up?
sleep terrors? do they wake up? |
REM, yes
stage 3/4 (delta), no |
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major NT associated with suicide risk
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low 5HT (alterd tryptophan hydroxylase which is involved in 5HT synthesis)
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which gender attempts suicide more often?
which gender commits suicide more often? one of the most reliabe predictors of long term suicide risk is _________ 4 RFs for suicide |
women (age ~55)
men (age ~45) hopelessness RFs: first degree relative, white, professional, higher social groups marriage lowers |
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meds commonly associated with increased risk of suicide
those associated with reducing risk? |
antidepressants (particularly in starting, tapering, or adjusting dose); abrupt Li d/c
lithium for bipolar pts clozapine for schizophrenia |
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mental d/o commonly assoicated with SA
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depression
etoh schizophrenia personality d/o |
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how do we tx SA/SI?
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hospitalization
tx underlying psych d/o |
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incidence of elderly abuse
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10%
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DSM IV limits nl beraeavement to _______months
sx? when should you lean toward MD episdoe over bereavement? tx? |
2 months
sx: sad mood loss of appetite ruminating loss of loved one, trouble sleeping MD: - guilt unassociated with actoins related to death - SI other than wanting to join deceased - excess worthlessness - psychomotor retardation - severe impaired function - AH/VH (other than hearing/seeing deceased) antidepressants |
