Dsm-Iv Eppp

Front 1

Poly-? is the DSM

Back 1

Polythetic

Front 2

A disorder is a significant Bx/psych pattern that is associated w/ present __, __, or a significantly increased risk of __.

Back 2

distress

disability

increased risk of suffering

Front 3

v-codes are coded on Axis _ ?

Back 3

Axis I

Front 4

Dx of MR:

(3 criteria)

Back 4

70 or below IQ

2 areas of decreased adaptive functioning.

Before the age of 18.

Front 5

MR associated features:

1. _% prenatal
2. _% genetics
3. _ = the biggest role
4. _ to _ times co-morbidity
5. M:F ratio?
6. Mild is _% of all MR
7. Mild = Fx at _ grade level?

Back 5

1. 75_% prenatal
2. 5_% genetics
3. Env'_ = the biggest role
4. 3-4_ to _ times co-morbidity
5. ( 1.5 : 1 ) M:F ratio?
6. Mild is 85_% of all MR
7. Mild = Fx at 6th_ grade level?

Front 6

LD:

To be Dx, must have (1 criteria);

Types include (4)

Back 6

1-2 SD

btwn

IQ and Achievement

(reading, math, written, nos)

Front 7

The one motor skills d/o and it's presentation?

Back 7

DV Coordination DO:

Marked motor delays - not meeting motor milestones, clumsiness, poor in sports, poor handwriting, etc.

Front 8

Communication Disorders:

Name the 4 and describe the differences between each.

Back 8

Expressive:
(1/2 outgrow it)

Mixed:
like expressive, but difficulty understanding words too.

Phonological:
substitute or omit sounds

Stuttering:
(normal until about 2 or 3).

Front 9

PDD

(3 things that characterize them)

Back 9

social,

communicative, or

stereotyped Bx

Front 10

PDD: differs between them?

1. Autism -
(before what *age?, _%MR?, M/F?)

2. Retts -
(what happens btwn what time frame? M/F?)

3. Disintegrative DO -
(what happens btwn what ages?, M/F?)

4. Aspergers -
(M/F?)

Back 10

1. Autism
(ALL 3 PDD Sx, *before age 3, 75% MR, 4 : 1 (M:F)

2. Retts
(sudden decreased head growth at 5mo-4yrs, F only)

3. Disintegrative DO
(Loss skills, btwn 2-10 yrs, M more common)

4. Asperger's
(Social only, M more often).

Front 11

"Savent"

Back 11

MR IQ coupled with striking/unusual abilities in something.

Front 12

ADHD, Conduct, and Opp-Def are all fall under the category of
_ D/O?

Back 12

Attn Def and Disruptive DOs

Front 13

ADHD

_ (time) duration.
Typically see Sx by age _ or earlier.
across _ # of settings

M:F?

Back 13

6mo+_ (time) duration.
age 7+_ or earlier.
across 2+_ # of settings

M:F
( 9 : 1 )

Front 14

Low frustration tolerance, temper outbursts, low achievement are characteristic of what childhood DO?

Back 14

ADHD

Also "bossiness" and
somewhat lower IQ.

Front 15

Criteria for Conduct DO:

_ # classic criteria
within _ (time) AND
_?

Back 15

3+_ # classic criteria
within 1 YR _ (time) AND

One of these within the last 6mo_?

Front 16

Associated features of CO:

CO kids have a tendency to _ other's intentions, have less _, and are more prone towards _ (bx).

Back 16

misperceive

low empathy

promiscuity

Front 17

4 groups of Conduct DO:

A
D
D
R

Back 17

Aggression
Destruction
Deceitfulness
Rule violations

Front 18

Antisocial PD can be Dx at age _?

Back 18

15

Front 19

Conduct DO thought to be the result of what major influence?

Back 19

Shitty Parents!

(Parental REJECTION and NEGLECT)

Front 20

Tx for Conduct DO may include:

1.
2.

Back 20

1. Therapy - Social skill DV

2. Meds

Front 21

What is the age cut off between a Dx of EARLY vs LATE onset of Conduct DO?

Back 21

10

Front 22

Oppositional Defiant DO:

Sx must be present for _ (time duration) and present before the age of _?

Back 22

6+ months

age 8

Front 23

One associated feature of Oppositional-Defiant DO is that it very often occurs _.

Back 23

often occurs only AT HOME

and may or may not be present at school, in the community, or during the clinical interview.

Front 24

***
Co-morbid Dx associated with Opp-Defiant DO?
(3)

Back 24

***
Opp-Def Co-morbidity:

ADHD
LD
*Communication DOs*

Front 25

MAJOR Difference btwn Opp-Def and Conduct DO?

Back 25

Opp-def DO is less serious and very often present only at home, whereas...

Conduct DO represent SERIOUS violations of the rules, rights of others, social norms, etc.

Front 26

Pica
Rumination and
Feeding DO

are all _ disorders?
characteristics of each?
Sx present for at least _ (time)?
Onset for each?

Back 26

Feeding and Eating DOs!
-and all Sx present for at least 1 month-

Pica - non-nutritive, onset in infancy, can be seen in pregnancy and MR.

Rumination - regurgitation, onset btwn 3-12 mo.

Feeding DO - onset before 6 yrs; failure to eat/gain weight...failure to thrive.

Front 27

Tourettes
Chronic Motor OR Vocal
Transient

Are all _ DOs and these, plus encopresis/enuresis, must all show Sx before age _?

Back 27

Tic DOs

Before age 18 !

Front 28

***

Tourette's DO:

1. Is marked by _ (#) motor and _(#) vocal Sx.

2. Sx duration must be greater than or equal to _ (time/duration).

3. One common co-morbid DO is _ .

Back 28

***

Tourette's DO:

1. MULTIPLE motor AND 1+ vocal Sx.

2. 1+ YEAR Sx duration.

3. ADHD = a common co-morbid DO.

Front 29

Chronic Motor/Vocal DO:

1. Is characterized by _ vocal OR _ motor Sx.

2. *Sx must be present for at least _ (time/duration).*

Back 29

Chronic Motor/Vocal DO:

1. MULTIPLE motor OR vocal, but
NOT BOTH!!!

2. *1+ YEARs duration.*

Front 30

Difference between "Chronic Motor & Vocal DO" and Tourette's is that...?

Back 30

Tourette's is characterized by multiple motor and one or more verbal tics, whereas

Chronic M&V DO is characterized by multiple motor OR verbal tics, but NOT BOTH!!!

Front 31

***
Transient Tic DO:

1. Differs from Tourette's and Chronic in regard to _?

2. More specifically, it is Dx when you have ...?

Back 31

***

1. DURATION of Sx

2. Single OR Multiple verbal OR Motor tics, but for greater than 4 weeks and not more than 1 year!

Front 32

Encopresis and Enuresis are classified as _ DOs?

Back 32

Elimination DO

Front 33

What's the major difference between the criteria set for Encopresis vs Enuresis?
(besides one being for poop and the other for pee, obviously)

Back 33

Encopresis (poop):
Dx after age 4

Enuresis (pee):
after age 5

Front 34

***
1. In regard to a Dx of either Encopresis or Enuresis, it is important to specify what?

2. Also, to make a differential Dx of _ DO?

Back 34

***

1. Primary:
(AFTER successful potty training) or

Secondary:
(NEVER successful potty training)

2. Conduct or Opp-Def DO (If it's clearly deliberate!, in which case, Bx and Family Tx!)

Front 35

Common Tx for Encopresis and Enuresis?

(2)

Back 35

1. Bell and Pad (more for pee).

2. imipramine & DDAUP (a nasal spray).

Front 36

Separation Anx
Reactive Attch
Selective Mutism
Stereotypic Movement

Are all classified as _ DOs?

Back 36

OTHER Childhood DOs

Front 37

***
Separation Anxiety vs Reactive Attachment DO:

1. Major Hallmark differences include...? and Dx before age

2. _ (time/duration) for Dx of Separation Anxiety?

3. Tx for Separation Anxiety is to...?

Back 37

1.
Separation Anxiety:
DV inappropriate/excessive anxiety (Dx/Sx before age 18) whereas

Reactive Attachment:
SEVERE/significant disturbance in social relationships DUE TO grossly pathological care! (Dx/Sx before age 5).

2. 4+ weeks

3. Examine family Dynamics

Front 38

For Dx of Reactive Attachment DO, specify _ or _?

Back 38

Inhibited or Disinhibited TYPE

Front 39

Selective Mutism

1. Dx before age _?

2. It is actually a sign of _, not trauma (research indicates).

3. Tx includes: (3 things)

Back 39

Selective Mutism

1. Before age 5

2. FEAR, not trauma (research indicates).

3. Tx includes:
SSRI's, Relaxation & Cognitive Therapy

Front 40

***
Stereotypic Movement DO:

1. Is characterized by movements that are _ and _.

2. Duration must be for _ weeks.

***
3. It is important to R/O these Dxs (2):

Back 40

***
Stereotypic Movement DO:

1. Repetitive and NONFUNCTIONAL.

2. 4+ wks duration

***
3. R/O:
OCD & PDD !!!

Hint 40

...rocking, head banging, biting arm, etc...

Front 41

***
What are the differences between:
(Hallmarks, course, examples)

Delirium:

Dementia:

Amnestic:

Back 41

***
Delirium:
Change in consciousness or cognition (rapid and fluctuating; reversible; Medical Condition/Intoxication/Withdrawal/ NOS).

Dementia:
Memory + at least 1 of 4:
Aphasia, Apraxia, Agnosia, Executive Functioning;
insidious/progressive or stepwise/patchy; Alzheimer's, Vascular, Due to Med Condition - HIV, Huntington's, Parkinson's).

Amnestic:
Memory ONLY
(NO Aphasia, Agnosia, Apraxia, or Executive Functioning stuff!)
General Medical, NOS, or Substance Induced - Korsakoff's

Front 42

***
What is the proper Dx if there are "cognitive deficits", but the patient doesn't meet the criteria for a Dx of Dementia?

Back 42

***

Cognitive Disorder NOS

Front 43

***
Alzheimer's Disease:

1. Course is...?

2. Dx via 3 things (alive, that is).

3. What is the age cut-off between a Dx of "Early" vs "Late"?

Back 43

***
Insidious and Progressive

Neuro-testing
CT
MRI

65

Front 44

***
Alzheimer's Disease is characterized by these physical/chemical changes in the brain:

1.
2.
3.
4.

Back 44

***
Alzheimer's Disease, changes in the brain:

1. Enlarged ventricles
2. Shrinkage of Cerebral Cortex
3. Shrinkage of Hippocampus
4. Plaques and tangles-esp in Temporal lobe
5. Low Achl, neuron loss

Front 45

****
Alzheimer's Disease, Stages/Years/Characteristics of each:

****
Stage 1: (1-_? yrs)
Antero- or Retrograde?, _ (Bx) & _(Emo’).

Stage 2: (_?-_? yrs)
Increasing _ amnesia; _(emo) or _(emo); _(emo), _(thought content; way of thinking), _ Apraxia (which is when you can’t translate _ into _).

Stage 3: (8-12 yrs)
Severe deterioration of _; _(emo), and _(uncontrollable Bx)

Back 45

****
Stage 1: (1-3 yrs)
Anterograde, wandering & sadness.

Stage 2: (2-10 yrs)
Increasing retrograde; flat or labile; agitation, delusions, idiomotor Apraxia (can't translate thought into movement).

Stage 3: (8-12 yrs)
Severe deterioration of IQ functioning; apathy, incontinence.

Front 46

***
Alzheimer's

1. Ave duration after Dx is _ to _ years.

2. *Represent's _% of all dementia's Dx.*

Back 46

***
Alzheimer's

1.

8-10 years = Ave

2.

*65%*
Most common Dementia Dx

Front 47

***
Alzheimer's

1. Early vs Late onset age cut off is at age _.

2. Early is associated with _ whereas Late is associated with _ - genetic components.

Back 47

***
Alzheimer's

1.
Age 65

2.
Early = chromosome 21;
Late = chromosome 19

Front 48

***
Alzheimer's

Tx interventions include: (4 things)

Back 48

***
Alzheimer's

Tx includes:

1. Group therapy
*2. Antidepressants*
3. Bx techniques
*4. Antipsychotics*
(reduce agitation)

*note: better outcome when remain home with family!

Front 49

***

3 things to Dx Alzheimer's

Back 49

1. Neurotesting
2. MRI - (NOT CAT)
3. CT

Front 50

Vascular Dementia is characterized by a _ and _ course?

It's cause by a series of _ ?

Which is why it's more common in _?

Back 50

Stepwise and Patchy

small strokes

men.

Front 51

***
Vascular Dementia

Sx include _ impairment and _, _ signs, (which include exaggerated _, weaknesses in _, and _ abnormalities).

Back 51

***
Vascular Dementia

Sx include COGNITIVE_ impairment and FOCAL_, NEURO_ signs, (which include exaggerated REFLEXES_, weaknesses in EXTREMITIES_, and GAIT_ abnormalities).

Front 52

***
Vascular Dementia

1. After stroke, most improvement occurs within _ mo.

2. And _ resolve comes before _ recovery.

Back 52

***
Vascular Dementia

1. After stroke, most improvement occurs within
1st 6_ mo!

2. And PHYSICAL_ resolve comes before COGNITIVE_ recovery.

Front 53

***
Vascular Dementia

4 major risk factors:

Back 53

***

smoking

hypertension

diabetes

fibrillation

Front 54

***
Dementia due to HIV

1. Acts like a _ kind of dementia.

2. Which resembles (Dx) _ and _, but not _.

3. Characteristics include (3 Hallmark Sx):_ slowness, severe _, and NO _.

Back 54

***
Dementia due to HIV

1. Acts like a _ kind of dementia.
SUB-CORTICAL

2. Which resembles _ and _, but not _.
Huntington's and Parkinson's
(not Alzheimer's).

3. Characteristics include (3 Hallmark Sx):_, _, _.
*Motor slowness
*SEVERE Depression/Anxiety
*NO Aphasia!!!

Front 55

***
Dementia due to HIV

EARLY Signs include (3) _, impaired _, and slowed _.

Back 55

***
Dementia due to HIV

Early Signs include (3) _, impaired _, and slowed _.

Hint: The EARLY signs of AID's Dementia are all very similar to ADD!

Forgetfulness,
Poor Attention, and
Slowed Mental Processes.

Front 56

***
Dementia due to HIV

(2nd stage) Followed by difficulties in _ and _ (cog),

_ (emo') and _ withdrawal,

loss of _, _ and _ (physical),

and _ eye movements.

Back 56

***
Dementia due to HIV

(2nd stage)

PROBLEM-solving and CONCENTRATION issues,

APATHY and SOCIAL W/D

Initiative, tremor and clumsiness

*Saccadic* (fast) eye movements.

Front 57

***
Dementia due to
Parkinson's vs Huntington's

_ % get Dementia
What happens in the brain that causes Sx? (NT? Structure?)
What's given for relief of some Sx and why is this helpful?
Trouble STARTING or STOPPING?
awareness Y or N?
***
6 classic Parkinson Sx?

Back 57

Parkinson's:
environmental
20-60 % get Dementia
v Dop, ^Lewy Bodies in Substantia Nigra (L-Dopa)
Trouble STARTING
***
Bradykinesia (slow); akathesia;
pill roll, resting tremor,
mask-face, v coordination/balance.

Huntington's:
Inherited - age 30-40.
awareness = suicide
v GABA
Trouble STOPPING

Front 58

***
Huntington's

3 categories of Sx include:
Cognitive Affective and Motor

What happens in the brain that causes what Sx for each of these three ares?

Cognitive: from loss of _ in the _, _, and_ (3 brain structures)

Affective: (often mis_ as _.)
Is there awareness of the illness OR a LACK OF awareness?

Motor: Common Sx include fidgeting, clumsiness, but also
" _ " (which means?) and
" _ " (involuntary, jerking)

Back 58

Cognitive
loss of cells that produce GABA in Substantia Nigra, Basal Ganglia, and Cortex

Affective
(misDx of Depression),
^ Awareness = ^ SI

Motor:
fidget, clumsy
"athetosis" (slow, writhing)
chorea (involuntary, jerking)

Front 59

***

"athetosis"

Back 59

"athetosis"

slow, writhing movements

(the one "slow" Sx of Huntington's)

Front 60

***

"chorea"

Back 60

***
chorea

involuntary, jerking movements

(Classic Sx of Huntington's)

Front 61

***

"bradykinesia"

Back 61

***
"bradykinesia"

slowed movements

(one Sx of Parkinson's)

Front 62

***
Dementia due to Parkinson's

Typical Sx include _kinesia and _, but also resting _.

_like facial expression and a loss of _ and _.

_ _ is a classic Sx,

but also a-_ (motor Sx) is common and _ to _ % DV Depression!

Back 62

***
Dementia due to Parkinson's

Typical Sx include BRADY_kinesia and RIGIDITY_, but also resting TREMOR_.

MASK_like facial expression and a loss of COORDINATION_ and BALANCE_.

PILL ROLLING_ _ is a classic Sx,

but also AKATHESIA_ (motor Sx) is common and 20_ to 60_ % DV Depression! (40% ave)

Front 63

***

What type of Dementia(s) are sufferers more aware of their deficits and therefore more likely to commit suicide?
(and why)

Back 63

***
Dementia's at greater risk for suicide:

HIV
(more severe depression and anxiety)

Alzheimer's
(awareness + v impulse control)
? Really? Check on this one.

Also, what about Huntington's? I thought they were at increased risk for suicide.

Front 64

Substance Abuse

vs

Substance Dependence
***
(criteria and Dx specifications)
ALSO, specifications (2) for Dependence

Back 64

Abuse = "pattern" of problems:
(obligations, hazardous use, legal, interpersonal/social).

Dependence = Lack of control & continued use.
***
3 Sx w/in 1 year:
(^tol, w/d, ^consumption,unsuccessful at v, ^time getting, recovering from, v other activities)
***
Specify:
with or without PHYSIOLOGICAL Dependence.

Front 65

What is the Tension-Reduction Hyp?

*Who created it?*

***
On what Bx principle is it based?

Back 65

We drink to reduce stress.

*CONGER*

***
(--) Reinforcement!

(NO research support: we drink AFTER a stressful event has passed and we feel relief!!! And you go in the "Congo" to...)

Front 66

***
The effects of Alcohol are similar to the effects of what drugs?

***
And withdrawal can result in "_ _"

Back 66

***
Sedatives, Hypnotics, and Anxiolytics!

***
Withdrawal can result in
"AUTONOMIC HYPERACTIVITY"

also, insomnia, nausea, vomiting, H/D, anxiety, agitation, and seizures!

Front 67

***

Amphetamines are like what drug?

Intoxication =

Withdrawal =

Back 67

***

COCAINE!

Intoxication = Hypervigilance, Anger, v Judgement.
(euphoria, tachycardia, nausea/vomit, weakness, sweat/chills, breathing issues, seizures/coma, etc)

Withdrawal = Motor shit, Fatigue, Bad Dreams
(dysphoria, ^appetite)

Front 68

What is Amphetamine Intoxication Delirium?

Back 68

Tactile and Olfactory
Hallucinations

Front 69

***
R/O these 4 things when suspecting amphetamine use or w/d.

Back 69

***
Psychotic
Anxiety - "Mood" too
Sleep
Sexual Dysfunction (?)

-disorders-

Front 70

What drug is Autonomic Hyperactivity associated with and what is it?

Back 70

Alcohol

(withdrawal)

one or more of the following symptoms: hallucinations, tremor, agitation, elevated blood pressure and increased heart rate. Additional symptoms also include dilated pupils, confusion, delusions and insomnia.

Front 71

Signs and Sx of
Amphetamines

What are those Sx of intoxication and those of withdrawal?
(mood? vigilance? judgement? physical/autonomic changes? pupils? feelings of being ill? sleep? appetite? motor?)
*Associated with " _ ", a change in cognition*

Back 71

~Amphetamines~

Intoxication:
Euphoria, hypervigilance, anger, poor judgement, tachycardia, nausea/vomiting, W. loss,
Pupil Dilation.

Withdrawal:
Dysphoria, fatigue, nightmares, ^appetite, motor shit,
*Amphetamine Intoxication Delirium.*

Front 72

What is Amphetamine Intoxication Delirium?

(what senses effected?)

Back 72

Tactile and Olfactory hallucinations.

Front 73

What may Caffeine Intoxication mimic and how does one discriminate?

Back 73

It can mimic an
Anxiety DO

But w/ Caffeine, one may have a flushed face and diuresis.

(yea, but you can have that - think IBS - with anxiety too)

Front 74

What is Hallucinogen Persisting Perception DO?

Back 74

FLASHBACKS

(may persist several mo and up to 5 yrs)

...whatever...

Front 75

Anxiety/depression, ideas of reference, paranoia, loss of judgment, illusions and fear of losing one's mind...

What drug?

Back 75

Hallucinogens

(intoxication)

Front 76

Dysphoria, fatigue, nightmares, increased appetite, motor shit...

What does this sound like?

Back 76

Amphetamine

(WITHDRAWAL)

Front 77

Euphoria, hypervigilance, anger, w. loss, poor judgement, tachycardia, nausea/vomiting, weakness, pupil dilation, sweat/chills, breathing problems, seizures.

What does this sound like?

Back 77

Amphetamine

(INTOXICATION)

Front 78

Belligerence, assaultiveness, poor judgement and apathy

What does this sound like?

Back 78

Inhalant intoxication

(or me after the EPPP.)

Also dizziness, v coordination, slurred speech, v reflexes, lethargy, weakness, blurred vision, euphoria, coma.

Front 79

What drug is commonly associated with (R/O)

Persisting Dementia,
Psychotic DO, and
Mood or Anxiety DO?

Back 79

Use of

Inhalants

Front 80

What is the only Dx regarding Nicotine?

*What does it consist of?*
[_# Sx within _(time period)]

Back 80

Nicotine Withdrawal

*4+ Sx
within 24 hours*

Front 81

Insomnia, irritability, anxiety, v concentration, restlessness, v heart rate, ^ appetite and W. gain.

What does this sound like?

Back 81

Nicotine Withdrawal

Front 82

Quitting smoking increases __ no matter how long you've been smoking.

Back 82

LONGEVITY

Front 83

Withdrawal of this results in FLU-like Sx?

Back 83

Opioids

Nausea, aches, vomiting, diarrhea, fever, insomnia, mood changes, and pupil dilation.

Front 84

First there is Euphoria,

But then there is
Dysphoria

What does this sound like and what is another classic Sx?

Back 84

Opioid INTOXICATION

***Pupil CONSTRICTION***

also motor shit, v judgement, slerred speech and poor attention, drowsiness...coma!

Front 85

Belligerence, assaultiveness, impulsivity, unpredictable Bx, v judgement, v experience of pain.

What does this sound like?

Back 85

PCP

(notice Sx are similar to inhalants)

Front 86

Sedatives, Hypnotics, and Anxiolytics mimic what drug?

(Sleepers, Old-Barbiturates, and Anti-anxiety)

Back 86

Mimic Alcohol

Front 87

PCP mimics?

Back 87

Sleepers and Old Barbiturates.

Front 88

If a person presents with either a bizarre delusion
OR
a verbal hallucination where there are 2 or more voices
OR the voices are a running commentary,

then...

Back 88

You may Dx Schizophrenia

If there is only ONE of these Sx
(instead of 2, like usual)

Still over the course of 1 mo (6 mo total)
AND
there is also evidence of REDUCED FUNCTIONING.

Front 89

For a Dx of Schizophrenia, one must usually present with

*_ (#) Sx* for a significant period of time over the course of _ (time) mo for a total of _ (time) mo.

Back 89

*2+ Sx*
for 1mo

total duration of at least
6mo

(D/H, Disorganized Speech, Catatonic Bx, or (--) Sx: flat, speech poverty, avolition)

Front 90

Sx/criteria of Schizophrenia, but only over the course of 1mo - 6mo is what Dx?

Back 90

Schizophreniform DO

Front 91

Sx/criteria of Schizophrenia, but only over the course of 1day - 1mo is what Dx?

Back 91

Brief Psychotic DO

Front 92

This is the Dx when mood is CONCURRENT with Sx of Schizophrenia

AND there are 2 weeks of D/H withOUT prominent MOOD Sx?

AND mood Sx were of a substantial duration, active and residual.

Back 92

Schizoaffective DO

Front 93

Type of Schizophrenia with marked motor shit, negativism/mutism, and echolalia?

Back 93

Catatonic

Front 94

Type of Schizophrenia with marked flat or inappropriate affect?

Back 94

Disorganized

Front 95

Type of Schizophrenia with

_ (#) Delusion(s) OR Frequent _

AND NO Disorganized Speech, Catatonic Bx, or Flat/Inappropriate Affect.

Back 95

Paranoid

Front 96

Type of Schizophrenia with

NO prominent H/D, disorganized speech, or catatonic Bx.

But DOES have other (--) Sx
OR 2+ characteristic Sx in weakened form?

Back 96

Residual

Front 97

Type of Schizophrenia that does not meet criteria for any other specific Schizophrenic Type?

Back 97

Undifferentiated

Front 98

When Dx Brief Psychotic DO, you must specify
WITH or WITHOUT... __ ...?

Back 98

With or Without
MARKED STRESSOR

Front 99

What is AKA

Folie a Deux?

Back 99

Shared Psychotic DO

(A Delusion DVs in another when the first person already has an established delusion.)

So that'd be like Mary and me buying into Bruce's paranoia that the government was really secretly spying on him at home; Mary and I would have the Shared Psychosis, not Bruce?

Front 100

When would you Dx a Psychotic DO NOS?

Back 100

When psychotic Sx are present, but not enough for a more specific Dx.

Front 101

Schizophrenia: Associated Findings

Parent-child = _%
Siblings = _%
Both parents - child = _%

Back 101

Schizophrenia: Associated Findings

Parent-child = 10%

Siblings = 10%

Both parents - child = 45%

Front 102

****
Schizophrenia
(Associated Findings)

In the Brain:
MRI (3) and
PET (1)

Back 102

****
MRI:

1. Enlarged Lateral & Third
Ventricles.

2. Smaller Cerebral Cortex

3. Smaller Thalamus
(filters sensory input)


PET:

Reduced Frontal Lobe Activity.

Front 103

***
Schizophrenia: Associated Findings

Onset can be both abrupt or gradual and of variable course, but most involve a "Prodromal Phase" where...

M:W

Best outcome is when there was good _ (1) functioning, _ and _ (2) onset, in the presence of a _ (3) DO, and also the presence of a clear _(4)?

Back 103

***
Schizophrenia: Associated Findings

"Prodromal Phase" where...
there is deterioration of overall functioning.

M:W are about =

Best outcome:

(1.)
good PRIOR_ functioning,

(2.)
LATE & ABRUPT onset,

(3.)
in the presence of a MOOD DO,

(4.)
and also the presence of a clear STRESSOR?

Front 104

***
Schizophrenia: Associated Findings

1st Degree relative = _%

Identical Twins = _%

Back 104

1st degree: 10%

Identical Twins: 50%

Front 105

Drugs for Schizophrenia:

3 Typicals

2 Novels

Back 105

Typical:

Thorazine (Chlorpromazine), Prolixin (Fluphenazine), & Haldol (Haloperidol)
*(Thor and Chlor are not Pro-Flu)*

Novel:

Clozaril (Clozapine) & Risperdal (Risperdone)
*(Come out of the Clozet after you take Rispers for your wispers)*

Front 106

What is the difference between a Delusional DO and a Psychosis?

(2 things)

Back 106

A Delusional DO's

1.
Delusions are non-bizarre and

2.
Bx is unimpaired!!!

Front 107

What's the difference between a MIXED and a UNSPECIFIED Delusional DO?

Back 107

Mixed = Meet more than one type.

Unspecified = Don't meet criteria for ANY of the types!

Erotomanic, Grandiose, Jealous, Persecutory.

Front 108

Delusional DO: Associated Findings

Onset _?

Course is _?

Back 108

Delusional DO: Associated Findings

Onset is typically
Mid-Late Adulthood.

Course is Variable.
(Some Sx remit permanently; some followed by a relapse)

Front 109

When would you Dx a Mood DO w/ Psychotic Features?

Back 109

Most of the psychotic Sx are present only during the course of a mood D/O.

(If there is a period of 2+ weeks where there are Psychotic Sx in the absence of mood Sx, then it's Schizoaffective DO)

Front 110

***
In order to meet criteria for
Major Depressive EPISODE

One must present w/ _(#) Sx over a _ wk (time)

where at least 1 of those Sx's must be either
_ (Sx) OR _ (Sx).

Back 110

***
In order to meet criteria for
Major Depressive EPISODE

5+ Sxs over 2 weeks.

AND at least 1 of those Sx's must be either:

Depressed Mood OR Lost Pleasure!

Front 111

***
In order to meet criteria for
Manic EPISODE

One must present w/ _(#) Sx over a _ wk (time)

AND with _ (Sx) OR _ (Sx).

Back 111

***
In order to meet criteria for
Manic EPISODE

3+ Sx over ONE week

AND with Marked Impairment OR Hospitalization
_ (Sx) OR _ (Sx).

Front 112

***
A MIXED Episode is simply:

_ + _

over the course of _ (time)?

Back 112

***
Criteria met for
Major Depressive AND Manic Episode

for 1 week
(nearly everyday)

Front 113

***
HYPOmanic Episode is

_ Sx for _ (time),

AND no _ (Sx) or _ (Sx).

Back 113

***
HYPOmanic Episode is

3+ Sx for 4 days,

NO Impaired functioning or Hospitalization.

Front 114

Depressive DO: Associated Features

1. *Ave onset is in one's mid-_ (age-range).*
2. The course is _ (variable or predictable?).
3. Stressors play a significant role, but only for the _ episode(s).
4. *The highest rates are btwn ages _ and _.*

Back 114

Depressive DO: Associated Features

1. Ave onset = *MID-20's.*

2. The course is variable.

3. Stressors only for the 1st and 2nd episode(s).

4. Highest rates btwn ages *25 - 44*.

Front 115

Depressive DO: Concordance Rates

Identical Twins: _ to _%
Siblings: _%
1st Degree: _ to _x more common
M:F =
(But what is an interesting fact related to M:F rates?)

Back 115

Depressive DO: Concordance Rates

Identical Twins: 55 to 60%

Siblings: 20%

1st Degree: 1.5 to 3 times more common!

M:F = 1:2
(But EQUAL among prepubescent boys and girls!)

Front 116

***
SUICIDE Facts:

(1)
Suicide is the _ (rank order) cause of death btwn ages _ and _.

(2)
Men are _ times more likely to complete suicide than women.

Back 116

***
SUICIDE Facts:

(1)
Suicide = 3rd cause of death btwn ages 15 and 24.

(2)
Men are 4 times more likely to complete suicide than women.
(although women attempt more)

Front 117

***
SUICIDE Facts:

(3)
The highest rates are among _ and the lowest rates are among _ and _ (cultural groups).

(4)
Whites are _ times more likely to commit suicide than _ (cultural group)
***
(but with one exception, which is that _...?)

Back 117

***
SUICIDE Facts:

(3)
The highest rates = NATIVE AMERICANS; the lowest = Hispanics A. and Asian A.

(4)
Whites are TWICE more likely than African Americans.
***
(BUT this is EQUAL in ADOLESCENCE!)

Front 118

***
SUICIDE Facts:

(5)
The most vulnerable age group(s) is/are:

(6)
_ (age group) is the highest of ALL groups, with _, then _ most at risk (rank order of marital status from highest to lowest suicide rates).

(7)
90 % (!!!) have these 3 associations/predictors:

Back 118

***
SUICIDE Facts:

(5)
The most vulnerable age group(s) is/are:
ADOLESCENCE (rising sharply, especially AA) and LATE ADULTHOOD.

(6)
AGE 65+ = the highest of ALL groups,
with DIVORCED, then Widowed at most risk.

(7)
90 % have these 3 associations/predictors:
*Mental DO (SUBSTANCE = most common).
*HOPELESSNESS
*Hx serious Attempts (Single best predictor, especially within 3 months of 1st attempt).

Front 119

***
What is the Single best predictor of suicide attempt???

Back 119

***
Hx serious Attempts!

(especially within 3 months of 1st attempt).

Front 120

Other Suicide Risk Factors:

5 things (besides hopelessness and previous Hx of serious attempts.)

Back 120

Loss

Plan (organized, of course)

v Impulse Control & Judgement

Communication of one's Intent

*Physical Illness*

Front 121

<Postpartum>
Concordance Rates

PP Depression
vs
PP Blues
vs
PP Psychosis

Back 121

<Postpartum >
Concordance Rates
(new moms)

PP Depression
10- 15%

PP Blues
50-80%

PP Psychosis
.2%
(POINT 2 percent, so very rare)

Front 122

How is Postpartum Depression Coded in the DSM?

What Sx are commonly present?

Back 122

Coded as:

MDD, WITH Postpartum ONSET!


Anxiety, irritable, insomnia, low interest in the infant, guilt, SI, v concentration, weeping and sadness.

Front 123

Postpartum "Blues" can present in about 50-80% all new moms, but it isn't coded in the DSM.

It's Sx include crying, irritability, and weeping with a sense of emotional _?

Back 123

Emotional Vulnerability

Front 124

Dysthymic DO

The course is pretty much a depressed mood for 51% of the time across the span of _
(and _ for children).

BUT! No Hx of _ during the first 2 years
AND NO Hx of _ ever!

Back 124

Dysthymic DO

Depressed mood 51% of the time across the span of 2 years
(only 1 year for children).

BUT! No Hx of Major Depressive Episode during the first 2 years!

AND: NO Hx of ANY OTHER mood Episodes ever!

Front 125

Dysthymic DO
~Stats~

M:F

Tx includes _ and _!

Back 125

Dysthymic DO
~Stats~

(Same as depression stats)

M:F = 1:2
BUT! Equal in prepubescence!

Tx includes PSYCHODYNAMIC and MEDS!

Front 126

~BIPOLAR SHIT~

Once you have a __, then you are Bipolar _ ...FOREVER...!

Back 126

MANIC Episode

=

Bipolar I

(...forever...)

Front 127

Thing 1. present's with a MIXED episode while

Thing 2. present's with a MANIC episode, but no Hx of Major Depressive Episodes before.

Thing 3 present's with a MANIC episode after countless past Major Depressive Episodes.

What Disorder(s) do they all have?

Back 127

Thing 1 = Bipolar I

Thing 2 = Bipolar I

Thing 3 = Bipolar I

(See, all you need to have is either a Manic OR a Mixed Episode to have Bipolar I; Major Depressive Episodes - and thus a past Dx of MDD for that matter - ain't got shit to do with it!!!)

Front 128

***
With a Dx of Bipolar II, what MUST be specified?

A. Most recent episode Hypomanic or Depressed.

B. Most recent episode Manic or Mixed.

C. Most recent episode Hypomanic, Depressed or Mixed.

D. Most recent episode Hypomanic, Depressed, Mixed, or Manic.

Back 128

***
Bipolar II Specifications:


A.
Most recent episode Hypomanic or Depressed!
(You can't HAVE any past episodes of Manic or Mixed, dumbass!)

Front 129

T or F

***
With a Dx of MDD, one must specify that the most recent episode was Manic, Mixed, Hypomanic, or Depressed?

Back 129

***
If you picked TRUE then you a dumb-ass bitch.

(You CAN'T have previous episodes of anything other than a Depressed Episode, DUH!)

Front 130

***
Bipolar I

Must have had at least _ (#) of _ or _ (types of) episodes and may (or may not) have had a Hx of _ .

Also, must specify either _ episode OR _ episode bla bla bla.

Back 130

***
Bipolar I

Must have had at least ONE (#) MIXED or MANIC episodes and may or may not have a Hx of MAJOR DEPRESSION Episodes.

Also, must specify either SINGLE episode OR MOST RECENT Episode:

Hypomanic, Depressed, Manic, Mixed, OR Unspecified!

Front 131

***
~ Bipolar I ~

Tx includes *_, _, or _ (all drugs)*
; and is typically _ (time frame of medication Tx).

*_% Relapse after the 1st episode, which is usually brought on by stressors (and the 2nd episode, but not those episodes thereafter).

Back 131

***
~ Bipolar I ~

Tx includes
LITHIUM, Tegretol, or DEPAKOTE (Valproic Acid);

LIFELONG!

90% Relapse after the 1st episode.

Think: DEP- Teg, you’re It, Manic episode!

Front 132

***
~ Bipolar I ~
Concordance Rates

M:W

Identical Twins = _ %

Siblings = _ %

Back 132

***
~ Bipolar I ~
Concordance Rates

M = W
!

Identical Twins = 80 %

Siblings = 20 - 25 %

Front 133

The Cat and the Hat comes to you and tells you information that leads you to conclude he has met criteria for a Hypomanic Episode.
Although you have no evidence of any previous Depressive Episodes, you Dx him with Bipolar II.

Is this the correct Dx, yes or no?

Back 133

NO BITCH, it ain't!
(BIPOLAR NOS is correct)

(b/c, unlike Bipolar I where previous Episodes don't influence the Dx- only the specifies-, BIPOLAR II requires at LEAST ONE previous DEPRESSIVE Episode AND at least one HYPOmanic Episode!!!

Then you still MUST ALSO specify whether the MOST RECENT Episode was either HYPOmanic OR DEPRESSED!

Bipolar NOS is the correct Dx at this point cuz you only have evidence/knowledge of Hypomanic Episodes.

Front 134

***
Bipolar I M:W rates

vs

Bipolar II M:W rates

Back 134

***
Bipolar I: EQUAL (M:W)

vs

Bipolar II: WOMAN Higher!

Front 135

~Cyclothymic DO~

Must have Sx for _ (duration) as in numerous _ AND _ Sx periods

OR significant _ OR _.

***
NO Hx of _ (Episode Types) within first 2 years!

Back 135

~Cyclothymic DO~

Must have Sx for 2 YEARS as in numerous DEPRESSIVE AND numerous HYPOMANIC "Sx periods"!

OR significant DISTRESS or IMPAIRMENT.

***
NO Hx of MIXED, MANIC, or DEPRESSED Episodes
within first 2 years!

Front 136

Specifiers for Mood Disorders

Mild, Mod, Sev
w/ or w/o Psychotic Features

*Partial or FULL remission (which is _?).*

**CHRONIC (which is _?)**

***Catatonic/Melancholic Features***

***
Postpartum Onset,

w/ or w/o FULL INTER-EPISODE RECOVERY,

w/ SEASONAL PATTERN

w/ RAPID CYCLING

Back 136

Specifiers for Mood Disorders

*Partial or FULL remission (which is 2 MONTHS WITHOUT SX).*

**CHRONIC (which is 2 YEARS - MDD)**

***Catatonic/Melancholic Features***

***
Postpartum Onset,

w/ or w/o FULL INTER-EPISODE RECOVERY,

w/ SEASONAL PATTERN

w/ RAPID CYCLING

Front 137

To be Dx w/ a SUBSTANCE INDUCED Mood DO, one must have Sx either DURING or WITHIN _ (time frame) of Intoxication or Withdrawal!

Back 137

1 month

Front 138

Substance Induced mood DO can include 5 different Intoxication or Withdrawal categories.

Those 5 DRUG categories are?

Back 138

Alcohol: Sedatives,Hypnotics, Anxiolytics.

Cocaine: Amphetamines

Hallucinogens

Inhalants, PCP

Opioids

Front 139

T/F?

Panic Attack and Agoraphobia are codable disorders.

Back 139

False

Panic is not codable at all and Agoraphobia is not codable by itself.

Front 140

SSRI's and Tofranil (imipramine) are often Rx for?

Back 140

Panic

Front 141

Panic involves *_ (#)* Sx that DV abruptly and peak within 10 minutes.

Whereas Agoraphobia is a fear of places/situations where _ may be _ or _.

Back 141

*4* (or more) Sx

ESCAPE
difficult or embarrassing

Front 142

***
Dx and Tx Differentials

PANIC W/O Agoraphobia:
M:F? ; Identical vs Fraternal Twins? ; Tx?

Panic w/ Agoraphobia:
M:F? ; Onset? ; Tx?

Agoriphobia w/o HX of Panic:
Tx?

Back 142

***
-Dx and Tx Differentials-

PANIC W/O Agoraphobia
M:W = 1:2;
I.Twins = 30% F.Twins = 10%
Tx = Cognitive Therapy;
(Barlow's "Panic Control": exposure, restructuring, breathing)

***
Panic WITH Agoraphobia:
M:W = 1:3;
Onset = adolescence to mid-30's
Tx = SSRI's, Tofranil (imipramine); In-vivo EXPOSURE!

AGORAPHOBIA w/o HX of Panic
Tx = FLOODING & Massed In-Vivo
(better than graded)

Front 143

***
Panic w/o Agraphobia:

Is characterized by _ Panic;

must have _ (#) of _ (what?), followed by 1mo of _ (#) of _ (what?).

Back 143

***
Panic w/o Agraphobia:

UNEXPECTED Panic

must have ONE - PANIC ATTACK,
followed by 1mo of ONE - Sx:
(concern about having another attack, consequences of the attack, of significant change in Bx).

Front 144

Specific Phobia

What's the best Tx?

Back 144

Specific Phobia

Massed, therapist-assisted, EXPOSURE techniques!

(especially in-vivo, duh!)

animal, natural env', blood, situational (elevators), & other.

Front 145

***
-Social Phobia-

Is the Dx when the person fears _ ?

AND:

Back 145

***
-Social Phobia-

EMBARRASSMENT or Humiliation!

AND:
1+ social/performance situations where they are exposed to

1. unfamiliar people
or
2. potential scrutiny

Front 146

OCD

Is having...

Back 146

OCD

EITHER obsessions OR compulsions!

Front 147

OCD
(associated features)

Age of Onset: M=_, W=_.

Tx: _ or _ (drugs) or
_ or _ (interventions)

Back 147

OCD
(associated features)

Age of Onset:
M = 6-15, W = 20-29.

Tx:
Anafranil (Clomipramine); Prozac or
FLOODING or Thought Stopping!

Front 148

PTSD

Is characterized by at least _ (time) of Sx after exposure to actual/threatened death/serious injury where patient responded in FEAR, Helplessness, or Horror.

Specifications made regarding Sx duration, which may be listed as ACUTE = _, CHRONIC = _ or DELAYED = _ (time-frame of each).

Back 148

PTSD

Is characterized by
at least ONE mo of Sx
after exposure to actual/threatened death/serious injury where patient responded in FEAR, Helplessness, or Horror.

Specifications made regarding Sx duration, which may be listed as
ACUTE = less than 3 mo
CHRONIC = more than 3 mo
DELAYED = starting 6 mo after the stressor!

(Sx include re-experiencing; avoiding; and multiple Sx of arousal.)

Front 149

PTSD
(associated features)

Tx of choice?

Back 149

PTSD
(associated features)

Tx of choice is

STRESS INOCULATION
(not PD - Psychological Debriefing)

Best Adjustment to
Family Hx, Support, and Processing Style.

Front 150

Riddle me This:

1.
If it's greater than 1 mo, then you have it. If it's btwn 1-3mo, then it's Acute, but if it's more than 3 mo, then it's Chronic?

2.
Also, what if it's 6 mo after the event?

Back 150

1.
PTSD

2.
The it's considered
DELAYED

(Can still be Acute-Delayed
or Chronic-Delayed???)

Front 151

***
What is it called when it's just like PTSD, but IN ADDITION you have DISSOCIATIVE Sx (# required?)
and the Sx duration is less
(from _ to _)
and onset must be within _ (time duration) of the truamatic event?

Back 151

***
Acute Stress DO

3+ Dissociative Sx
in addition to the PTSD criteria

Sx duration from 2 DAYS to LESS THAN 1 mo.

Onset within 4 WEEKS of the trauma!

Front 152

To meet Dx for GAD, one must display at least _ (#) Sx's for at least _ mo (duration)

where the person has excessive _ and _.

Back 152

3+ Sx

6 mo duration

Excessive
ANXIETY & WORRY

Front 153

GAD
(associated features)

M:F

Course:

Tx: (2 intervention paradigms)
1.) _ (which includes 3 techniques)
2.) _ (which is slightly more superior)

Back 153

GAD
(associated features)

M:F
Slightly higher in Females.

Course: Fluctuating

Tx: (2)

Bx Therapy
(Muscle relaxation, graded exposure, ^pleasurable activities).

*Cog-Bx Therapy*
(slightly more superior)

PS: there is limited research on this DO.
Sx include: restlessness, v concentration, sleep issues, fatigue, irritability, muscle tension.

Front 154

Other Anxiety DO:

(3)

Back 154

Other Anxiety DO

1.
Due to Medical Condition

2.
Substance-Induced
(within 1 mo! ; like coffee)

3.
NOS

Front 155

***

T/F?

Somatoform DO's are unintentional?

*one of them sounds like it would be an eating DO, but it's not; what is it?*

Back 155

T
(Somatoform DO's are NOT intentional)

They include:

Somatization DO
Undifferentiated SomataFORM
Conversion
Pain
Hypocondriasis
*Body Dysmorphic*
NOS

Front 156

Somatization DO:

Before age _ ?
and over several years.

Course: _ and _

M or W higher?

Must have these Sx: (4 different kinds)

Back 156

Somatization DO:

Before age 30
and over several years.

Course:
Fluctuating and Chronic

Much more common in women (US)

Must have these Sx:

PAIN- 4
Gastro- 2
Sex- 1
Neuro- 1

Front 157

-Undifferentiated Somataform DO-

In order to be Dx, one must have at least _ Sx (of a _ complaint) over the course of at least _ duration.

Back 157

-Undifferentiated Somataform DO-

In order to be Dx, one must have at least ONE Sx (of a PHYSICAL complaint) over the course of at least *6 MONTHS* duration.

Front 158

-Conversion DO-

In order to be Dx, one must have at least
_ Sx (of a _ complaint) over the course of at least
*_ (?) duration.*

Specify:
"With...*(4 things).*

Back 158

-Conversion DO-

In order to be Dx, one must have at least
ONE Sx (of a NEURO complaint) over the course of at least
*6mo_ (?) duration.*

Specify: "With...(4 things):
*Motor, Seizure, Sensory, Mixed.*

(^F, rural, vSES)

Front 159

-Pain DO-

In order to be Dx, one must have pain in at least _

Specify: "With...(2 things).

Back 159

-Pain DO-

One PLACE!
(where psychological factors play a significant role)

With...
Psychological factors or
Both Psychological and GMC.

Front 160

-Hypocondriasis DO-

In order to be Dx, one must have at _ or _ (Sx) over the course of at least _ duration.

***
This often manifests from disease _ where reassurance by medical doctors does not reduce patient's fear or preoccupation.

M:F is _.
Age Onset is typically _.
Course is _.

Specify: "With...(4 things).

Back 160

-Hypocondriasis DO-

In order to be Dx, one must have FEAR or WORRY over the course of at least
6 MONTHS duration.

***
This often manifests from disease-MISPERCEPTIONS where reassurance does not reduce fear or preoccupation.

M:F is about = !
Age Onset is typically ADULTHOOD
Course is CHRONIC

Front 161

-Body Dysmorphic DO-

Is excessive concern about one's _ .

M:F
Onset:
Course:

Back 161

-Body Dysmorphic DO-

Is excessive concern about one's APPEARANCE.

M:F = !!!
Onset: ADOLESCENCE
Course: CHRONIC

Front 162

Factitious DO are produced for the purpose of _ .

(And in the absence of _ .)

Back 162

Adopting the
SICK ROLE!

(And in the absence of external incentives!)

Front 163

The 4 subtypes of
Factitious DO are:

Back 163

Predominantly PHYSICAL
Predominantly PSYCHOLOGICAL
COMBINED
NOS

Front 164

***
If the Factitious DO is by PROXY, then the Dx is labled _.

Back 164

***
"Factitious DO
NOS"

Front 165

Dissociative DOs are characterized by a disruption in what is normally _ in regard to one's
Conciousness, Perception, Identity, and Memory.

Back 165

-Dissociative DOs-

INTEGRATIVE

(Conciousness, Perception, Identity, and Memory: disrupted)

Front 166

-Dissociative DOs-
(differential Dx)

Dissociative Amnesia:

Dissociative Fugue:

Dissociative ID DO:

Depersonalization DO:

Back 166

-Dissociative DOs-
(differential Dx)

Dissociative Amnesia: PERSONAL info

Dissociative Fugue: TRAVEL, PAST (no recall)
(BRIEF: Hours - Days; usually confusion about or assuption of a new ID)

Dissociative ID DO: 2+ CONTROL Bx
(No recall of PERSONAL info).

Depersonalization DO: DETACHED
(But reality testing ok!)

Front 167

-Sexual Dysfunctions-

To be Dx, there must be
(1) a disruption of the _ and (2) _.

What are the 4 Categories?

Back 167

-Sexual Dysfunctions-

To be Dx, there must be
(1) SEX-RESPONSE CYCLE(2) DISTRESS

4 Categories:

DESIRE
AROUSAL
ORGASMIC
PAIN

Front 168

-Sexual Dysfunctions-

Name the Different DO under each Category:

DESIRE (2)

AROUSAL (1 for each)

*ORGASMIC (2)

PAIN (2)

The of course, Medical, Substance, and NOS.

Back 168

-Sexual Dysfunctions-

DESIRE (2)
Hypo-Active Desire DO
Sex-Aversion DO

AROUSAL (1 for each)
M/F Arousal DO

ORGASMIC (2)
*M/F Orgasmic DO (DELAY in orgzm)
Premature Ejaculation

PAIN (2)
Dyspareunia (M&F-pain IC)
Vaginismus (outer 3rd)

Front 169

***
What are the

2 techniques and the
*2 medications* used for

Premature Ejaculation?

Back 169

***

Techniques:

Squeeze & Stop-Start


Meds:

***
Anafranil (clomipramine)
Paxil (paroxetine)

Front 170

Of what Disorder category are these subtypes?

Lifelong
Acquired
Generalized
Situational
Psychological
Combined

Back 170

Sexual Dysfunctions

Front 171

MATCHING:

(1) DESIRE, (2) AROUSAL, (3) ORGASMIC, (4) PAIN

Sex-Aversion
Orgasmic (M/F)
Hypoactive Sex
Arousal (M/F)
Dyspareunia
Premature Ejaculation
Vaginismus

Back 171

MATCHING:

(1) DESIRE,
Sex-Aversion
Hypoactive Sex

(2) AROUSAL,
Arousal (M/F)

(3) ORGASMIC,
Orgasmic (M/F)
Premature Ejaculation

(4) PAIN
Vaginismus
Dyspareunia (M/F)

Front 172

Paraphillias involve:

Either (1) _
OR (2) _

Back 172

(1) NON-Human

(2) SUFFERING
of a non-consenting person.

Front 173

Under what category of disorders do these specifiers belong?

Attracted to:
Males, Females, Both;

Limited to:
Incest, Exclusive Type, Nonexclusive Type.

Back 173

PEDophellias

Front 174

The following fall under what category of mental disorders?

Exhibitionism, Fetishism, Frotteurism, Masochism, Sadism, Transvestic Fetishism, Voyeurism, NOS

Back 174

PARAphillias

Front 175

A Pedophile is someone who has fantasies, urges, or Bx involving sexual contact w/ a _ , which is below age _.

The perp must also be at least _ yrs old AND _ yrs older than the vic.

Back 175

...involving sexual contact w/ a PREPUBESCENT,
which is
v 13

The PERP = at least 16 YO! and
5 Yrs OLDER than the vic.

Front 176

With the exception of _ , paraphillias are almost exclusively Dx in MEN!

Back 176

Sexual Masochism!

Front 177

The 2 types of Tx (outside of Aversive Therapy) for Paraphillias are:

(1)
(2)

And this reduces recidivism rates by _ % (one study) over the course of 7 years.

Back 177

(1) Cog-Bx Therapy

WITH

(2) Hormonal Therapy

30% reduction in recidivism!

Front 178

A Gender ID Disorder is characterized by:

(1) Strong and Consistent cross-gender _ and

(2) _ with one's assigned sex.

Back 178

Gender ID DO

(1) cross-gender ID.

(2) DISCOMFORT w/ one's assigned sex.

Front 179

Gender ID DO is coded as either:

(1) Gender ID in _ or
(2) Gender ID in _.

Back 179

CHILDREN:
(repeatedly stating/insisting they are the other sex: may show preference for cross-dressing, playing role, stereotypical games, and playmates of the other sex.

or

ADULTS or ADOLESCENTS:
(preoccupation of getting rid of one's sex characteristics and the belief that they were born the "wrong sex".)

Front 180

***
Gender ID DO
(stats)

B:G

M:F

Ave AGE of Onset:

_ % of children will go on to meet this criteria as adults?

Back 180

***
Gender ID DO
(stats)

B:G = 5:1

M:F = 3:1

Ave Onset: 2 - 4
!!!

Only a SMALL% of children will go on to meet this Dx as adults!

Front 181

-Differential Dx-

Transvestites
vs
Gender ID DO

Back 181

Gender ID DO folks wish to BE the other sex,

while Transvestites do NOT!

Front 182

Other Gender ID DO include:

(1) Gender ID _
(2) _ DO NOS

(3)
*Little s known about the course of Gender ID DO in _.

Back 182

Other Gender ID DO include:

(1) Gender ID NOS

(2) SEXUAL DO NOS

(3)
*Little s known about the course of Gender ID DO in
WOMEN

Front 183

-Eating DO-
(differential Dx)

Anorexia:
v _ weight;
_ and _ (mindset);
_ OR _ seriousness
AMENORRHEA - for _ cycles
*_% F ; *Course:
***
_ and _ Type

Bulimia:
_ (# / time frame) _ (duration)
Where first they _, then they _ !
*_% F ; *Onset: _ (ballpark)
***
_ and _ Types

Back 183

(differential Dx)

Anorexia:
v 85% weight;
FEAR and DISTORTIONS;
undue influence OR denies seriousness
AMENORRHEA - 3 cycles (consecutive)
95% F ;
VARIABLE and FLUCTUATING
***
Restricting vs Binge-eating Type

Bulimia:
2/week; 3+ mo
Binge- then COMPENSATORY Bx!
*90% F
*Onset: LATE TEENS - Early Adult
***
Purging vs Non-purging Type!

Front 184

-Eating DO-


Tx of Anorexia is _, including:

Bulimia is Tx quite successfully with _.

Back 184

-Eating DO-


Tx of Anorexia is
MULTIDISCIPLINARY, including: Bx, Cog-Bx,
Structural FT, and Psychodynamic,
also Antidepressants!

Bulimia is quite successfully Tx with Antidepressants (SSRI's and TCA's).

Front 185

***

Dysomnia means _.

Back 185

Interference of sleep.

Front 186

***

Parasomnia means _.

Back 186

Abnormal sleep.

Front 187

Narcolepsy and
Breathing-related Sleep DO are

categorized as _.

Back 187

Dysomnia

Front 188

Nightmare DO
Sleep Terror DO
Sleep-walking DO

Are categorized as _.

Back 188

Parasomnias

Front 189

Narcolepsy is displayed via attacks of _ sleep, which must occur _ (time) for at least _ (duration),

And INCLUDES _ !

Back 189

Narcolepsy

attacks of REFRESHING sleep
DAILY for at least 3 MONTHS

And also CATAPLEXY!
(sudden loss of muscle tone W/ INTENSE EMO')

Front 190

Narcolepsy can also be displayed as sudden INTRUSIONS of _,

which can include hypnogogic or hypnopompic _

*OR sleep _.*

Back 190

-Narcolepsy-

Intrusions of REM Sleep!
(while awake)

hypnogogic or hypnopompic
HALLUCINATIONS

OR

sleep
PARALYSIS

Front 191

***
CATAPLEXY is a sudden loss of muscle tone WITH _.

Back 191

***

*Intense Emotions!*

Front 192

Primary Insomnia and Primary Hypersomnia are both categorized as _ (type of sleep disorder)

Back 192

Dysomnia

Front 193

Circadian Rhythm Sleep DO is categorized as a _ (type) sleep disorder.

_ is often used to Tx it.

Back 193

Dysomnia

Melatonin

Front 194

-Parasomnias-
(differential Dx)

Onset,
what part of the night,
REM or non-REM;
responsive or unresponsive; recall or amnesia upon awakening?

Nightmare DO:

Sleep Terror DO:

Sleep-Walking DO:

Back 194

-Parasomnias-
(differential Dx: AGE of onset)

Nightmare DO: 3-5
REM - towards end of the night.
(Upon Awakening: Detailed recall of nightmare and rapidly alert/oriented.)

Sleep Terror DO: 4-12
First-1/3 of the night; Non-REM (3&4)
^EEG: Delta activity!
Autonomic arousal, 1-10 min, unresponsive, cannot be comforted.
(Upon awakening: TOTAL AMNESIA)

Sleep-Walking DO: 4-8 !
First 1/3 of the night
(unresponsive; amnesia)

Front 195

With sleep disorders, the psychologist may note in the Dx that it may be
"related to another mental illness", such as ...

(a few examples)

Back 195

..."Insomnia Related to Major Depression"

..."Insomnia Related to GAD"

..."Insomnia Related to Axis I"

..."Insomnia Related to Axis II"

..."Insomnia Related to General Medical Condition"

...Etc...

Front 196

Trichotillomania is characterized as a _ DO.

Back 196

Impulse-Control DO
not elsewhere classified

Front 197

Intermittent Explosive DO is characterized as a _ DO.

Back 197

Impulse-Control DO
not elsewhere classified

Front 198

Kleptomania, Pyromania, and Pathological Gambling are all categorized as _ DO.

Back 198

Impulse-Control DO's
not elsewhere classified

Front 199

The defining characteristics of Impulse-Control DO's are that they all involve increased feelings of _ and _ where they feel an IMPULSE that must be considered _.

They act on this impulse in order to gain _.

Back 199

The defining characteristics of --Impulse-Control DO's-
ALL involve

TENSION and AROUSAL

Impulse = "HARMFUL"

They act on this impulse in order to gain RELIEF

Front 200

In order to Dx an Adjustment DO, one must first R/O that the Sx are not better explained by any _ or _ DO's!

Back 200

Adjustment DO's
*Not better accounted for by*

Axis I
or
Axis II

Front 201

In order to Dx an Adjustment DO, three criteria must be met, which include:

(1) Must _ a psychosocial stressor.

(2) Sx must occur within _ (time frame) of stressor's _.

(3) Sx must STOP within _ (time frame) after the stressor _.

Back 201

In order to Dx an Adjustment DO, three criteria must be met, which include:

(1) Must ID a psychosocial stressor.

(2) Sx must DV within 3 mo (time frame) of stressor's ONSET.

(3) Sx must STOP within 6 mo (time frame) after the stressor ENDS.

Front 202

Adjustment DO:

Acute vs Chronic
(duration)

Back 202

Adjustment DO:

Acute < 6mo < Chronic

(Duration of Sx; not onset)

Front 203

Of what category of mental disorders are the following specifiers:

"_" with...

Depressed Mood;
Anxiety;
Mixed Anxiety and Depression;
Disturbance of Conduct;
Mixed Disturbance of Emotions and Conduct;
Unspecified (NOT NOS!!!)

Back 203

Adjustnment DO's

Front 204

***
Adjustment Disorder's may be specified as:

a) NOS
b) Unspecified
c) Mixed Conduct and Mood
d) Mixed NOS

Back 204

b) Unspecified

No such Dx as Adjustment DO NOS!

(Nor Mixed Conduct and Mood
- it's correctly listed as -
Mixed Disturbance of Emotions and Conduct).

Front 205

Personality DO's are charactorized as displaying an enduring _ of _

that is _ and _

and causes functional _ or _.

(You can Dx someone who is under the age of 18 if they display these features for the duration of at least _ (time/duration), with the
exception of _ Personality DO!
where you must also have evidence of Conduct Disorder onset before age 15)

Back 205

Personality DO's

an enduring
PATTERN of RELATING

that is
MALADAPTIVE and INFLEXIBLE

and causes functional
Impairment or DISTRESS.

(You can Dx someone who is under the age of 18 if they display these above features for the duration of at least
ONE YEAR,

with the exception of
ANTISOCIAL Personality DO!
(where you must also have evidence of Conduct Disorder onset before age 15)

Front 206

****
Paranoid, Schizoid, and Schizotypal

all fall under Cluster _ and characterized as _ & _.

Back 206

****
Cluster A

ODD & ECCENTRIC

Front 207

****
Avoidant, Dependent, and OCPD

all fall under Cluster _ and characterized as _ & _.

Back 207

****
Cluster C

ANXIOUS & FEARFUL

Front 208

****
Antisocial, Borderline, Histrionic, Narcissistic.

all fall under Cluster _ and characterized as _ & _.

Back 208

****
Cluster B

DRAMATIC & EMOTIONALLY ERRATIC

Front 209

***
-Cluster A Differentials-

Paranoid

Schizoid

Schizotypal

Back 209

***
-Cluster A Differentials-

Paranoid
(Distrust & Suspicious)

Schizoid
(Detached & Indifferent)

Schizotypal
(Peculiar/Odd & Discomfort w/ Closeness)

Front 210

***
-Cluster B Differentials-

Antisocial

Borderline

Histrionic

Narcassistic

Back 210

***
-Cluster B Differentials-

Antisocial: Since AGE 15!
(Disregards & Violates rights)

Borderline
(Instability & Impulsivity)

Histrionic
(Emotionality & Attention)

Narcassistic
(Grandiosity & Admiration & vEmpathy)

Front 211

***
-Cluster C Differentials-

*Avoidant*
(How is this different than Schizoid and Schizotypal?)

Dependant

OCD

Back 211

***
-Cluster C Differentials-

*Avoidant*
(Social Discomfort & Inadequacy)
-Whereas Schizotypal/Schizoid are strange/fearful of closeness or indifferent!

Dependant
(Needs to be taken care of)

OCD
(Orderliness, Perfection, & Control)

Front 212

***
Psychological Factors Affecting a Medical Condition

are coded on Axis _.

Back 212

***
Psychological Factors Affecting a Medical Condition

are coded on
AXIS I

*while the accompanying medical condition is also listed on AXIS III*

Front 213

Mental DO ...
Psychological Sx ...
Personality Traits ...
Coping Style ...
Maladaptive Health Bx ...
Stress-Related Factor ...
Other ...

These 6 categories can all be types of Sx labeled in the DSM as

Factors Affecting a _

Back 213

Factors Affecting a
MEDICAL CONDITION

Mental DO ...
Psychological Sx ...
Personality Traits ...
Coping Style ...
Maladaptive Health Bx ...
Stress-Related Factor ...
Other ...