exam 2 abnormal psych

90 flashcardsby Meghan
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1
Whats the difference in duration of symptoms between breif psychotic disorder, schizophreniform disorder, and schiophrenia
breif psychotic: 1 day to one month schizophreniform: 1-6 months schizophrenia: 6+ months and include at least one month of active phase symptoms
2
what is schizoaffective disorder
person meets criteria for schizophrenia while also experiencing a mood disorder episode (major depressice, manic, or mixed episode) must have at least 2 week period with delusions or hallucinations without mood symptoms
3
what are the positive symptoms for schizophrenia
exaggerations or distortions of normal behavior: delusions, hallucinations, disorganized speech, and disturbed behavior
4
what are the negative symptoms of schizophrenia
functioning below normal levels: restricted affect, avolition, asociality
5
what is restricted affect
narrowing of outward emotional expression
6
what is avolition
lack of initiative or energy
7
what is asociality
lack of interest in social relationships
8
what is the difference between hallucination and a delusion
hallucination: a false perception (sensory experience) that does not correspond to real enviromental stimuli delusion: a deeply entrenched belief (thought) that is incosistent with the person's intelligence or culture
9
what is the usual biological treatment for schizophrenia and it's side effects
neuroleptics (antipsychotics: thorazine or haldol) symptoms: extrapyramidal symptoms (rigid muscles, tremors) and tardive dyskinesia (involutary movements of mouth and limbs)
10
What are bleuler's four A's of schizophrenia
Association, Affect, Ambivalence, and Autism
11
What does association mean
a disorder of thought
12
what is affect
an emotional disturbance
13
what is ambivalence
an inability to make or follow through on decisions
14
what is autism
a withdrawl from reality
15
what the progression called when schizophrenia drives people into poverty and interferes with work
downward drift
16
what's the difference between major depressive disorder (MDD) and persistent depressive disorder (PDD/dysthymia)
major depressive disorder: acute, time limited episode of intense sadness (at least 2 weeks) persistent depressive disorder: more chronic but less intense depression (at least 2 years)
17
what is the differnce between bipolar 1 and bipolar 2
bipolar 1: requires at least one full manic episode bipolar 2: requires at east one hypomanic episode and at least one major depressive episode
18
What is bipolar disorder
mood disorder involving manic or hypomanic episodes that often alternate with periods of major depression
19
what's the difference between mania and hypomania
mania: intense euphoria/energy lasting at least 1 week (any duration if hospitalized) hypomania: elated mood lasting at least 4 days. less severe and doesn't require hospitalization
20
what is cyclothymic disorder
a chronic condition lasting at least 2 years. person has hypomanic symptomps and depressive symptoms that never meet the full criteria for major depressive episdode
21
common biological treatments for depression
SSRIs (prozac) SNRIs, Tricyclics, and MAOIs
22
common biological treatments for Bipolar disorder
Lithium carbonate for acute mania and recurrance prevention
23
common side effects of SSRIs
agitation, nausea, and sleep disturbance
24
what is the difference between suicide ideation and sucide attempts
ideation: thinking about or planning to end one's life attempt: nofatal, self-inflicted act with the intent to die
25
Name the childhood disorder that involves chronic, severe irritability and frequent temper outbursts
Disruptive Mood Dysregulation disorder
26
What are the key components of the cognitive perspective on depression
cognitive triad and cognitive disortions
27
what is the cognitive triad?
represents a pattern of negative thought processes thhat contribute to the development and maintence of mood disorders
28
what are cognitive disortions
maladaptive thought patterns where a person misinterprets information in a negative or eaggerated way
29
What are the sex differences in mood disorders
females have higher prevalence of major depressive episodes (8.7%) than males (5.3%)
30
What is panic disorder
anxiety disorder where a person has panic attacks on a reccurrent basis and constant worry about future attacks
31
what is agoraphobia
intense anxiety triggered by the real or anticipated exposure to situations in which they might not be able to get help
32
what are the demographic differnces in anxiety disorders regarding gender and age
gender: women have a higher prevalence age: prevalence is highest in 18-44 yrs olds and significantly drops at age 60+
33
what is generalized anxiety disorder (GAD)
anxiety and worry that is not associated with a specific object or event but is constant in day-to-day life
34
what is obsessive compulsive disorder
involves recurrent obsessions and compulsions that are time-consuming or cause significant distress
35
obsessions vs compulsions
obsessions:persistent, unwanted thoughts, words, or images that caused marked anxiety compulsions: repetitive behaviors or mental rituals performed to neutralize the obsession
36
What is In vivo
the client is physically immersed in the feared situation
37
what is imaginal flooding
the client is immersed in the feared situation through imagination
38
what is habit reversal training
behavioral treatment that involves awarness training and learning a competing response to replace the urge
39
what is the difference between somatic symptom disorder and illness anxiety disorder
somatic symptom disorder: the person had actual physical symptoms that cause excessive distress/anxiety illness anxiety disorder: the person has no mild symptoms but is preoccupied with the fear they have a serious illness
40
what is common among people with dissociative disorders
history of early life trauma or physical/sexual abuse. person dissociates to deal with pain
41
what's the difference between malingering and factitious disorder
malingering: faking symptoms for and externallterior motive (money, getting out of work) known as primary gain factitious disorder: faking symptoms to adopt the sick role for internal needsv (sympathy/attention) known as secondary gain
42
problem-focused vs emotion-focused coping
problem-focused coping: taking action to change the stressful situation itself emotion-focused coping: improving ones feeling about the situation rather than changing the situation
43
What is the difference between bulimia nervosa and binge eating disorder
both involve binge eating but bulimia includes compensatory behavior (purging: vomiting or laxatives) to avoid weight gan while binge eating doesn't
44
define oppositional definat disorder
a childhood disorder involving angry/irritable moods and agrumentative/defiant behavior toward authority
45
define conduct disorder
severe disorder involving repeated violations of the rights of others (agression, theft, animal cruelty)
46
Effect treatments for sleep disorders
cognitive behavioral therapy (CBT) and new tech like implantable pulse generators for sleep apnea
47
what is Pica
a condition where a person eats inedible substances like dirt or feces
48
what is kleptomania
a persistent urge to steal, not for the object's value but for the excitement of the act
49
what are some negative outcomes associated with schizophrenia
increased morality, poor prognosis, chronic symptoms, downward drift, medication side effects, substance abuse
50
what is premenstrual dysphoric disorder (PMDD)
mood disorder characterized by changes in mood, irritability, dysphoria, and anxiety that occur duing the premenstrual phase. must occur for most cycles
51
what is behavioral activation
a psychotherapy technique for depressions that increases engagement in positive activities to improve mood
52
what is interpersonal therapy
a time-limited pychotherapy technique for major depressive disorder based on the idea that interpersonal stress triggers depression in vulnerable people
53
what is interpersonal and social rhythm therpay (IPSRT)
a therapy used for bipolar disorder to help people manage their social and biological rhythms
54
what is the focus of Beck's cognitive therapy for depression
identifying and changing the cognitve triad and correcting cognitive distortions
55
what is behavioral contracting
a psychotherapy technique often combined with self-reiforcement to change behavior patterns in mood disorders
56
define psychoeducation
a treatment component where clinicians educate the client about their disorder to help them manage symptoms
57
what is pharamcogenetics
using genetic testing to determine which mendication will be the most effective for a patient
58
what is light therapy
a treatment where the client sits in front of bright light to regulate circadian rhythms
59
define overgeneralizing
believing that is something is true in one case it applies to all other cases
60
define selective abstarction
focusing only on events that represent failures, loss, or frustration while ignoring successes
61
what is taking excessive responsibility
feeling personally repsonsible for everything bad that happens to yourself or those close to you
62
what is assuming temporal casuality
believing that is something was true in the past it will be true again
63
what is making excessive self-references
feeling like you are at the center of everyones attention and assuming everyone sees your flaws
64
what is catastrophizing
always thinking the worst and being certain the worst-case will happen
65
what is dichotomous thinking
seeing everything in extremes (all-or-nothing) rather than a middle ground
66
define specific phobia
an irrational an unabating fear of particular object, activity, or situation. must be present for at least 6 months (can inlcude animals/insects, natural enviroment, blood injection injury, situations)
67
what is seperation anxiety disordr
intense anxiety (at least 4 weeks) regarding seperation from home or attachent figures. inlcudes excessive distress and irrational fear of harm
68
what is selective mutism
a childhood disorder where a person refuses to talk in specific situations despite having normal language abilities
69
define social anxiety disorder
intense fear or anxiety in social situations where one might be scrutinized, humiliated, or embarassed
70
what is body dysmorphic disorder (BDD)
a preoccupation with a perceived defect or ugliness in one's body that is not visible to others.
71
define hording disorder
persistent difficulty discarding items regardless of value due to a percieved need to save them or belief they have utility
72
what is trichotillomania
a hair-pulling disorder involving the compulsive urge to pull out hair for relief or gratification. usually treated with habit reversal therapy
73
what is excoriation (skin-picking) disorder
recurrent picking at skin that causes distrss or shame. usually treated with habit reversal training
74
Acute stress disorder (ASD) vs Post-traumatic stress disorder (PTSD)
acute: symptoms last up to 1 month after trauma PTSD: symptoms last more than 1 month after trauma
75
what is systematic desensitization
clients learn to replace fear/anxiety with relaxation
76
define cognitive restructuring
clients learn to recognize anxious thoughts seek rational alternatives to worrying, and take action
77
define flooding
technique where client is fully immersed in the sensation of anxiety by being exposed to the feared situation
78
what is graded exposure
clients gradually expose themselves to increasingly challenging, anxiety-provoking situations. step-by-step rather than immediate immersion
79
what is conversion disorder
translation of psychological conflicts or unacceptable drives into physical symptoms. usually appear are neurological or sensory impairments such as paralysis, blindess, or loss of speech
80
what is psychological factors affecting other medical conditions (PFAOMC)
disorder where documented medical condition (asthma, diabetes etc) is made worse by psychological or behavioral factors
81
define dissociative idenitiy disorder (DID)
individual develops more than one self or personality. each identity has its own characteristc way of percieving, thinking, and relating to others
82
depersonalization vs derealization
depersonalization: feeling detached fro one's own body (watching yourself from the outside) derealization: feeling a sense of unreality or detachment from one's surroundings
83
what is dissaciative fugue
episode of amnesia involving loss of identity accompanied by bewildered wandering or traveling
84
what is anorexia nervosa
disorder involving severly restricted eating, an intense fear of gaining weight, and a distored body perception. leads to unhealthy low body weight and can cause life-threatening issues
85
what are elimination disorders
childhood disorders involing repeated involuntary or voluntary passing of urine (enuresis) or feces (encopresis) in inappropriate places after the age of 5
86
what is avoidantestrictive food intake order (AFRID)
lack of interest in food or avoidance based on sensory caracteristcs (texture, smell, or color) rather than body image. leads to significant weight loss but doesn't involve the fear of weight gain
87
what is intermittent explosive disorder (IED)
inability to control urgers to express strong anger through provoked and unpremeditated outbursts which can be verbal or physical (diagnosis requires physcal outburks 3 times in a 12-month period)
88
what is impulse control disorder
people feel a persistent, ahrmful urge they cannot stop. key features are feeling tension or anxiety before acting and feeling relief or gratification only after following through on impulse
89
what is hypochondriasis
misinterpretation of normal bodily functions as signs of serious life threatening illness. person usually has no physical symptoms but is consumed by fear of being sick
90
what age group has the highest prevalence for mood disorder episodes?
18-25 year olds
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