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72 Cards in this Set

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‘Stereotyped Hand Wringing, Washing &Sucking” ↓Learned Behaviors, decelerations of Head growth in a female child after a period of Normal function after birth.
RETT'S SYNDROME
OBSESSION WITH VIDEO GAMES, RACE CARS, CARTOONS, & BUGS. NO LANGUAGE DELAY OR MENTAL RETARDATION. LARGE DEGREASE W/ SOCIAL INTERACTION + REPETITIVE PATTERS & HYPERSENSITIVE TO NOISES, FOOD, ODORS, TASTES & CLOTHING
ASPERGER'S D/O
Eating D/O; that is refusal to maintain healthy body weight & fear of gaining wt
Anorexia Nervosa
S/S: Depression, Irritability, Insomnia, ↓ Libido/Wt., Amenorrhea, Abdominal pain, Constipation, Cold Intolerance, lethargy, Emaciation (Bony) Hypotension, Dental Erosions, Abrasions/Calluses on the back of Hand (due to Induced Vomiting) Dry Skin
Anorexia Nervosa
Eating D/O that is Recurrent Binge Eating followed by Purging
Bulimia Nervosa
Normal BMI
18.5 -24.9
Development of emotional & behavioral symptoms 3 mo. after stressed Life Event & Ends in 6 mo.
Symptoms are not caused by Bereavement
Adjustment
Depression that Occurs in winter months & is due to ↓ Daylight.
Seasonal Depression
Treatment for Seasonal Depression in Elderly patients?
Buproprion
Major Depression 2 wks – 6 Mo. Postpartum. Symptoms are Severe & concerns of the baby (thoughts of harming/inability to take care of it)
Postpartum Depression
Chronic Depressive D/O for 2 years. Sadness Loss of Interest/Withdrawal from activities for 2 years or more. Symptoms are mild but longer lasting.
Dysthymic:
Chronic Mood disturbance with Depression & Hypo mania for 2 years. Occasionally will Escalate to Full blown Manic or Depressive episodes
Cyclothymic Disorder
White Male > 45 with a detailed plan, Recent Severe Loss, Poor Support System, Health, Substance Abuse are @ an increased risk for?
Suicide
Presence of one full-fledged manic or mixed episode & depressive episodes. Alternation of Manic & Depressive Episodes (Commonly begins with Depression)
Bipolar I disorder
One or more Major Depressive Episodes + a Hypomanic Episode
Bipolar II disorder
Bipolar I disorder & Bipolar II disorder
Treatments
1. Lithium (monitor lithium Lv. 4-8 wks)
2. Valporic Acid
3. Olanzapine
4. Carbamazapine
5. Group Therapy
Pervasive distrust & Suspicious of others (M > W)
Has recurrent suspicions of Spouse Cheating
Reluctant to Trust others & has Persistent Grudges
PARANOID
Lifelong pattern of Social withdrawal (M > W)
No desire for Close friends Relationships (including Family)
Little to No Desire in sex with another personDetached Flattened Effect
SCHIZOID
“Odd beliefs or Magical Thinking”
Odd thinking/Speech/ Eccentric Behavior & belief in Superstition
SCHIZOTYPAL
Deceitful/Disregard for rights & feelings of others that starts in childhood (Must be 18 y/o before DX can be made) (M > F)
Exploit/Manipulate others for materialistic gain & personal gratification
Fail to conform to social norms(Unlawful behavior) & Tend to get into fights & Extremely irresponsible
Abnormal EEG may be seen
Episodes ↓ in older age
ANTISOCIAL
Pt cannot be alone & self-mutilation & Manipulative Suicides are Common
BORDERLINE
Overly Emotional/Dramatic Seductive (F > M) Attention Seeking behavior & exaggerates their thoughts & feelings Easily influenced by others & needs to be the Center off Attention
Will act out a role (VICTIM or PRINCESS)
HISTRIONIC
Inflated Self-Image, Grandiosity, Need for Admiration & Lacks Empathy Believe that they are Superior/Unique & expect others to Treat them that way
NARCISSISTIC
Sensitivity to Rejection (Inferior Complex/Low Self Esteem)
Feels inadequate & avoid activities for fear of Criticism/Rejection
Feels Unappealing & Inferior to others Described by others as “Shy, Timid, Lonely & Isolated
AVOIDANT
Submissive/Clinging Behavior & shows Excessive need to be taken care of (F > M) Difficulty with daily decisions w/o advice from others
Have difficulty disagreeing with people because of Fear of Losing support
DEPENDENT
Pattern of Orderliness, perfectionism & Pt’s Are aware of their D/O & will seek help (Unlike the other Personality D/o)
Rigid/Stubborn & insist that thing are done their way
OBSESSIVE COMPULSIVE
Non-bizarre delusions (False Beliefs)that last > 1 month
Delusions are situations that can occur in real life (Being followed, poisoned, infected, Deception by a Spouse/Loved one
DELUSIONAL D/O
Loss of contact with Reality, Hallucinations, Delusions
Hallmark Symptoms: Delusions, Hallucinations, Disorganized thinking/emotional prob.
SCHIZOPHRENIA
Delusions or Auditory Hallucinations with Preservation of Cognitive Function/Affect
PARANOID SCHIZOPHRENIA
Disorganized Speech/Behavior & Flat or Inappropriate Affect
DISORGANIZED SCHIZOPHRENIA
Motor disturbance (Immobility, Excessive motor activity, Mutism, Stupor (Lacks Cognitive Function & ↓ LOC)
Catatonic Schizophrenia
Schizophrenia Symptoms are Mixed & Don’t meet the criteria of the other Subtypes
Undifferentiated Schizophrenia
Schizophrenia + Major Depressive Episode or Manic Episode or Mixed Episode + Delusions or Hallucinations > 2 weeks
Schizoaffective Disorder
The expression of Mental Phenomena’s as Physical (Somatic) Symptoms that can't be explained by a Physical D/O & Leads to Seeking Medical Eval & TX
Somatization
Many physical Complaints < 30 y/o (W > M)
Pain, GI, Sexual, & Neuro c/o with Many Health care Visits w/o a Medical Dx being found.
Pt will c/o of symptoms of GI Tract, Reproductive, Back pain, Neuro complications
Somatization Disorder
Preoccupation with a Imagined or Slight defect in Appearance that Pt. feels it causes Stress in Occupational, Social Functioning (Any Body part)
Many undergo Medical, Dental, Surgical treatment to Correct Flaw
Body Dysmorphic Disorder
Neuro complaints that can not be explained (W > M) Symptoms are NOT INTENTIONALLY Produced & may be Tics, Weakness, Parasthesia’s Tunnel Vision, Deafness, Seizures & Commonly Dx in Adolescents/ early adulthood

*Most Common Symptoms* Shifting Paralysis, blindness & Mutism
Conversion Disorder
Pt’s Fake the Sick Role w/o External Gain Symptoms may be Mental, Physical or Both If confronted they will become Angry & Check out
Factitious Disorder
Pt’s Fake the Sick Role for External Gain (Lawsuit, Work, free Hospital Stay)

Symptoms will be more severe than what is Observed & pt will not except a Clean Bill of Health

Symptoms Improve when Objective Met or Plot Exposed
Malingering
Belief or Fear of having or contracting a Serious Illness
Coexists with Anxiety & Depression
Hypochondriasis
Pain in one or more areas w/o an Identifiable cause & impairs function
> 6months
W > M onsets @ 30 y/o
Pain Disorder
WHAT ARE THE C.A.G.E. SCREENING ?'S FOR ETOH & DRUG USE?
C: CUT DOWN
A: ANNOYED
G: GUILTY
E: EYE OPENER
Overwhelming involvement & spending a lot of time obtaining the drug & results in Substance-seeking Behavior
Addiction:
Need to increase drug dose to produce effect originally achieved with smaller doses
Tolerance:
Results in Physiological changes with drug use & withdrawal symptoms when stopping drug
Physical Dependence
Feelings of satisfaction & a desire to repeat the drug
Psychological Dependence
*Most common abused drug:
Alcohol, Nicotine, & Caffeine*(Opiates, Barbiturates, Benzodiazepines & OTC meds
Episodic drinking that result in failure to fulfill obligations, Legal, Social problems w/o evidence of Abuse
ETOH ABUSE:
Frequent consumption of large amounts of ETOH over time that results in Tolerance/Dependence & Dangerous Withdrawal Syndrome
ETOH DEPENDENCE
Prevention of Wernicke-Korsakoff Syndrome in an Alcoholic?
1. THIAMINE + VIT. B12
2. Valium
ETOH ABUSE/DEPENDENCE TREATMENTS?
1. THIAMINE + VIT. B12
2. Valium
3. Antabuse
4. 12 Step Program AAA
Drug that reverses any Opiod Drug?
Naloxone
Drug that causes "Extreme Pupil Dilation" & is TX with?
Cocaine:
IV Barbiturates (Phenobarbital) or Diazepam
Tobacco Use/Tobacco Dependence is TX with ?
TX: Nicotine patches/gum/Nasal spray or Buproprion (Zyban) or Clonidine
Young patients present with conditions that are questionable for Physical/Emotional/Sexual abuse or Neglect
*Must consult with a Mental Health Provider & Family Services*
Child Abuse
Child with Unexplained Injuries inconsistent with HX, Doughnut shaped bruises in a Stocking Glove distribution
Child Abuse
Child w/ STD’s, Bruises, Pain, Itching of the Genital or Anal Area. Sexual Knowledge not for current age
Child Sexual Abuse
Domestic Violence Plan of Actions ?
1.
2.
3.
4.
1. Immediate Medical attention
2. Inform patient there are choices
3. Referral to Shelters/Support Grp
4. Pt.to choose course of Actions
**Estimated that a woman who leaves an Abusive partner has a 70% risk of being Killed*
Normal Response to a Major Loss
Normal Grief symptoms < 1 year
Uncomplicated Bereavement
Sudden Onset of Intense Fear in the Absence of Real Danger
PANIC ATTACK
Recurrent unexpected Panic Attacks; Persistent concerns of having another Panic Attack
Some Pt’s may Change behavior to response of attacks (ex. Quit Job)
PANIC D/O
Excessive, daily anxiety & worrying X > 6 months

Most Patients will have another Psychiatric D/O ( Major Depression, Phobia
GENERALIZED ANXIETY D/O
Severe anxiety disorder that develops after exposure or witness to a Traumatic event
Can be due to War, Rape, MVA, Threats of death, Child abuse, Learning about death harm to a close friend/family member
PTSD
An irrational, intense and persistent fear of certain situations, activities, things, animals, or people. (Intense Fear)
PHOBIA
Persistent Pattern of Inattention, Hyperactivity, & Impulsivity

Symptoms must occur At Home/Work/School for DX

And must have 6 symptoms of either > 6 Months for DX
ADD / ADHD
Ongoing pattern of disobedient, hostile, defiant behavior towards Adults & Authority figures beyond normal childhood behavior; (B > G)

Lacks Conscience & violates the Rights of others

Hallmark is “Interpersonal Style with Irritability & Defiance”
OPPOSITIONAL DEFIANT D/O
Neural development D/O characterized by impaired social interaction, communication & repetitive behavior.
Symptoms begin before 3 y/o
S/S: Lack of attachment, Avoids eye Gaze, Does not Change Patterns, Intense Attachment to objects, Speech/Language Problems
AUTISM
AXIS I of the DSM includes?
All mental D/O + Substance abuse & Developmental D/O
AXIS II of the DSM includes?
Personality D/O + Mental Retardation
AXIS III of the DSM includes?
General medical condition or Physical D/O
AXIS IV of the DSM includes?
Psychosocial,environmental situations: Homeless
WHAT IS AXIS V?
Level of Daily Function based on Social Occupational & Psychological assessment