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56 Cards in this Set
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dissociative amnesia
DSM-5 Criteria |
1-inability to recall autobiographycal information, usually after a traumatic event
2-SOF impairment 3-make sure make its not due to head injury or substances use |
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specifier for dissociative amnesia
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dissociative fugue
-person completely forgets identity and wonders off |
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Gender difference for dissociative amnesia
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2female/1male
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selective amnesia
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part of aspect of event that a person can't remember
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localized amnesia
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forgets entire event or period of time
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generalized amnesia
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cannot remember ones identity or history
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comorbidity with dissociative amnesia
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PTSD and MDD (bc of guilt)
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suicide rate for for dissociative amnesia
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goes up after coming back from fugue state
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depersonalization/derealization disorder
DSM-5 criteria |
1-depersonalization(as tho one is in a dream)
2-derealization-experiences of unreality of surroundings 3-symptoms are persistent or recurrent 4-reality testing remain intact 4-symptoms are not explained by substance or other disorder/medical condition |
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comorbidity with depersonalization/derealization disorder
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anxiety and depression
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dissociative identity disorder
DSM-5 criteria |
1-2 or more distinct personalities within the same person or experience of possession(seem possessed)
2-recurrent gaps in recall of everyday important information 3-SOF impairment 4-bahvior is not excepted as ones culture or religion (rule out brain injury and substance abuse/very rare dx and takes a long time to diagnose) |
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etiology and trigger for DID
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90 percent of ppl have a hx of child abuse
trigger- usually stressful event |
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treatment for DID
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reintegration- to train to alters to go back to the host
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suicide rate for DID
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over 70% outpatient attempt suicide
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comorbidity of DID
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anxiety, depression and PTSD
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Somatic Symptom Disorder
DSM-5 |
1-at least one somatic symptom that is distressing or disrupts daily living
2-exessive thoughts, feelings and behaviors related to somatic symptoms or health concerns as indicated by at least one of the following: -health-related anxiety -disproportionate and persistent concerns about the medical seriousness of symptoms and excessive time -energy devoted to health concerns 3-duration of at least 6 months |
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specifier for somatic symptom disorder
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predominant pain
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illness anxiety disorder
DSM-5 |
1-preoccupation w/ having or acquiring a particular serious illness
2- symptoms ar absent or mild, but preoccupation is still present 3-high level of anxiety regarding health 4-excessive health related behavior (overly going to doc, taking temp etc.) 5-at least 6 month duration |
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specifier for illness anxiety disorder
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care seeking
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conversion disorder
DSM-5 criteria |
1-altered motor or sensory function
2-symptoms are not recognized as a medical dx 3-SOF impairment |
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factitious disorder
DSM-5 criteria |
1-purposely faking/forcing disorder
2-presenting oneself as ill 3-absent of external rewards |
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Malingering
DSM-5 |
1-fakes disorder/disease for external reward
ex: money, drugs |
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Factitious disorder imposed on other
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1-faking disorder on someone else or forcing it on someone else
2-presenting the victim as ill 3-absent of external reward |
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specifier for factious disorder
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w/ predominant pain
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positive symptoms of schizophrenia
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1-hallucinations
2-delusion |
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negative symptoms of schizophrenia
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-alogia (reduction in speech)
-asociality -blunt/flat affect(lack of emotional response) -anhedonia -avolition (no motivation) |
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disorganized symptoms for schizophrenia
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-loose association (off track)
-behavior doesn't make sense or is silly |
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movement symptoms for schizophrenia
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-abnormal psychomotor behavior (movements coming from the mind that don't make sense)
ex: catatonia- not moving at all for very long periods waxy flexibility-assumes an abnormal position and holds it for an unusually long time |
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schizophrenia
DSM-5 Criteria |
1- at least 2 of these for at least a month
-hallucination/delusions -negative symptoms or disorganized behavior 2-SOF impairment 3-at least 6 months duration |
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Phases
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-prodromal phase
-active phase -residual phase |
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onset for schizophrenia
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males- early/mid 20s
females- late 20s |
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comorbidity for schizophrenia
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substance abuse
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schizophreniform disorder
DSM-5 |
1-duration-last at least 1 month but no more than 6 months
2-at least 2 of the negative or positive sympotoms |
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brief psychotic disorder
DSM-5 |
1-duration of at least 1 day, but no longer than a month
2-hallucination, delusions or disorganized speech |
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delusional disorder
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troubled by persistent delusions of persecution or delusional jealousy
(someone following you, someone cheating on you, etc.) |
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Neurotransmitters in schizophrenia
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-related dopamine specific to the frontal lobe (low activity)
-dopamine receptors are too sensative |
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brain structure in schizophrenia
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-smaller hippocampus
-reduction in grey matter in prefrontal cortex -HPA axis (hypothalamic-pituitary adrenal) |
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what in the environment is related to schizophrenia
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marijuana
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medication for schizophrenia
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-antipsychotic (work for positive symptoms and block dopamine binding)
negative risks: higher rate of cardiovascular disease, weight gain, small risk of tardivesyskinesia, sedation |
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Psychoeducation/psychosocial treatment (therapy) in schizophrenia
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very useful after active phase is over in helping recover
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substance use disorder
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look for these within a 12 month period
-takes in larger amount or over a longer period of time that was intended -tried to cut down use or regulate use but unsuccessful in attempt -spends great deal of time obtaining, using, or recovering from effects -craves substances, especially in typical environment where substance is used (classical conditioning) -SOF impairment -risky use of substance -makes medical condition worse -puts self in harms way -tolerance -withdrawal |
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specify for substance abuse
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mild-2-3 symptoms
moderate- 4-5 severe- 6 or more |
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gambling disorder
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persistent/recurrent gambling problem within a 12month period as indicated by at least 4 of these symptoms
-needs to gamble -restless when tries to cut down -unsuccessful attempts to cut back -preoccupied with gambling -often gambles when feeling distressed -gambles to get even soon after losing -lies to cover up just how much gambling id going on -jeopardizes relationships/job for gambling -relies on others for money to help with finical hardship caused by gambling |
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neurotransmitters for substance use disorder
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dopamine
- people take it to feel pleasure of to feel 'less bad' |
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toxic affect model
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social isolation
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treatment for substance use disorder
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-detoxification
-alcoholics anonymous -CBT or other psychotherapy -medications /drug replacement -antabuse, naltiexone, campral, suboxone |
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prevention
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aims towards teens, DARE
social skills training (learning to say no) |
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Anorexia Nervose
DSM-5 |
1-calorie restriction resulting in significantly low body weight
2-intense fear of gaining weight or becoming fat or persistent behavior that interferes with weight gain ("fear is not reduced with weight loss) 3-disturbance in body perception (weight/shape) or lack of recognition of seriousness of current body weight |
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specifiers for anorexia nervosa
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-restricting type (how many cals)
-binge eating or purging type -mild, moderate or extreme |
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comorbidity for anorexia
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-depression, OCD, phobias, panic disorder, substance use, and personality disorders
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prognosis for anorexia
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50-70% recover, but can take 6-7 years
-it is very life threatening (10 times higher than normal population) |
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bulimia nervosa
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1-recurrent episodes of binge eating
2-recurrent inappropriate compensatory behavior in order to prevent weight gain (exersise) 3-binge eating and inappropriate compensatory behavior occur at least 1x a week for 3 months 3-self evaluation unduly influenced by body shape and weight (self worth based on body) 4-not anorexia nervosa |
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specifiers for bulimia
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mild:1-3 episodes
moderate:4-7 episodes severe: 8-13 extreme: more than 13 |
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comorbidity for bulimia
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depression, personality disorders, anxiety, substance abuse, conduct disorder
(men-mood disorder as well ) |
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prognosis in bulimia
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suicide risk lower than anorexia higher than population
recovery =75% |
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binge eating disorder
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1-recurrent episodes of binge eating
2-at least 3 of -eating faster than usual -uncomfortably full -eating large amounts -eating alone (embarrassment) -feeling depressed/disgusted/guilty after 3-distressregarding binge eating 4-at least 1 a week for 3 months 5-nothing else (anorexia etc.) |