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12 Cards in this Set
- Front
- Back
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What percentage of individuals with a SUD have a comorbid Axis I psychiatric syndrome? But, what is the nature of many of the psychiatric syndromes seen? (implications for treatment)
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2/3
they are temporary in nature...not necessary to pump with meds |
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Substance induced psychiatric illnesses... what types due stimulants(cocaine/amphetamines) causes? what types due to sedatives/hypnotics (benzos, opiates, OH)?
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stimulants- lead to anxiety disorders (panisc, PTSD), mania, paranoia, hallucinations/delusions
sedatives lead to depression |
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Many primary alcoholics (80%) show what symptoms that mimic a panic attack?
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withdrawal palpitations and SOB..not permanent
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What is the "Self-Medication Hypotheses?" How about the "Disease Concept"? Which is more common? Best way to determine this with a patient?
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Self-Med Hypotheses- the idea that a psychiatric illness (depression) precedes a SUD and the patient uses to cope
Disease concept- the psychiatric issues are secondary to the SUD More common to see SUD that induces psychiatric issues secondarily Ask whether they experienced the psychiatric symptoms during sobriety. |
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Detox, relapse prevention, and maintenance of recovery...what is a SLIP vs relapse?
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SLIP- when you use OH/drugs for 1-2 days but don't lose control vs. relapse where you lose total control
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What did the MATCH study show? For what SUD are the following used and what are the success rates?
12 Steps (AA and Minnesota Model) Physician/Nurse Interventions THerapuetic communities Voucher programs |
that by using motivatinal enhancement therapy and CBT alcoholics were able to reduce the % of drinking days by 70%!
1. drugs and OH; only successful with open people who are spiritually inclined (not someone with antisocial person disorder) 2. OH; results are (+), but it is unclear how much, mixed results 3. Drugs; not very good; high dropout rates(70%) because don't use meds to maintain 4. Drugs mostly; good but controversial |
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How would you define the standard of care in a malpractice case?
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It is what a reaonsable physician would do in similar situations..takes into account location/setting of medical care
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To win a malpractice case, platiff must show that (just read)
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- death was directly caused by errors involving gross negligence and recklessness
or a proximate cause, meanign the injuries were foreseeable (i.e. lithium causes renal toxicity...must do monthly tox screenings) |
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When there was a breach of duty on the physician's part....?
What are two common S.O.C deviations that get physicians sued alot? |
he must prove that He was not negligent
Generally, plantiff must show fault Off Label use of a drub and use of drugs with black box warnings |
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Hedonic theories of happiness include (MILL? eudaimonic theories? (aristotle) What is the fundamental principle of positive psychology with respect ot the meaning of happiness?
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hedonism- feeling good and maximizing pleasure
eudaimonic- reaching full potential; cultivating good character Happiness does not equal the absence of unhappiness..it is multifaceted, involving physical, mental, and emotional health, meaning in life, etc. |
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The three pathways to happiness..what is meant by the pleasant life? the engaged life? the meaningful life?
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pleasant life- our positive subjective experience within
1. our biological limits 2. our environments 3. the choices we make (can quantify these 3 into a subjective well being measure) engaged life- the core values of life by which we live by...similar across culture..such as courage, wisdom, love, kindness, etc. the meaningful life- using our strengths to engage in institutions, community, school, churches, etc. |
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tangible things to be happier and that has been proven
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1. three blessings exercise
gratitude visit identifying strengths and using them |
