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How is major depression diagnosed?
- need 5 "SIGE CAPS" >2 wks
- Sleep disturbance: wake in am
- Interest/ Libido loss
- Guilt
- Energy loss
- Concentration loss
- Appetite loss
- Psychomotor agitation
- Suicide: hopelessness
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What is Autism?
Repetitive movements, lack of verbal skills and bonding, sx since birth
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What is Asperger' s?
- Good communication, impaired
- relationships, no mental retardation
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What is Rett's?
Only in girls,dec head growth, lose motor skills, hand- wringing, normal until 5 mo
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What is Childhood Disintegrative Disorder?
Kid stops walking/ talking
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What is Selective Mutism?
Kid talks sometimes
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What is Separation Anxiety Disorder?
Kid screams when Mom leaves
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What is Conduct Disorder?
Aggressive, disregard for rules, no sense of guilt, harm animals, illegal activity "bite"
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What is Oppositional Defiant Disorder?
Defiant, noncompliant, directed at authority "bark"
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What is Attention Deficit Hyperactivity Disorder?
Overactivity , difficulty in school
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What is Dysthymia?
Low level sadness >2yr
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What is Cyclothymia?
Dysthymia w/ hypomania
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What is Double Depression?
Depression followed by dysthymia
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What is Bipolar I?
Depression and Mania (psychosis)
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What is Bipolar II?
Depression and hypomania (no psychosis)
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What are Loose associations?
Ideas switch subjects, incoherent
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What is Tangentiality?
Wanders off the point
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What is Circumstantiality?
Digresses, but fmally gets back to the point
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What is Clanging?
words that sound alike
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What is Word salad?
Unrelated combinations of words
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What is Perseveration?
Keeps repeating the same words
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What is Neologisms?
New words
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What is Delusion?
False belief
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What is Illusion?
misinterprets stimulus
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What is Hallucination?
False sensory perception , EtOH withdrawal/Cocaine intox => formication
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What is Nihilism?
Thinks the world has stopped
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What is Loss of ego boundaries?
Not knowing where I end and you begin
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What are Ideas of reference?
Believes the media is monitoring you
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What is Thought blocking?
Stops mid-sentence
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What is Thought broadcasting?
Believes everyone can read his thoughts
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What is Thought insertion?
Believes others are putting thoughts into his head
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What is Thought withdrawal?
Believes others are taking thoughts out of his head
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What is Concrete thinking?
Can't interpret abstract proverbs, just sees the facts
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What is Synesthesia?
Smell colors
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What is Cataplexy?
Loss of mm. tone due to strong emotions
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What is a Paranoid personality disorder?
Suspicious about everything, use projection
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What is Schizotypal personality disorder?
"Magical thinking", bizarre behavior
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What is Schizoid personality disorder?
"Recluse", don't want to fit in
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What is Antisocial personality disorder?
Lie, steal, cheat, destroy property,impulsive w/o remorse, illegal activity
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What is Conduct Disorder personality ?
< 15 y/o antisocial disorder
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What is Histrionic personality disorder?
Theatrical, sexually provocative, use repression
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What is Borderline personality disorder?
"Perpetual teenager", splitting (love/hate), projection, acting out, self-mutilation
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What is Narcissistic personality disorder?
Pompous, no empathy
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What is Dependent personality disorder?
Clingy, submissive, low self-confidence, regression
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What is Obsessive-Compulsive personality disorder?
Perfectionist, doesn't show feelings, dtail-oriented, uses isolation
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What is Avoidant personality disorder?
Socially "withdrawn, afraid of rejection but wants to fit in
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What is Kleptomania?
Steals for the fun of it
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What is Pyromania?
Starts fires
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What is Intermittent Explosive Disorder?
Loses self-control without adequate reason
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What is Pathological Gambling?
Can't stop gambling, affects others
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What is Trichotillomania?
Pull out their hair
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What is Lewy body dementia?
Stiff, visual hallucinations
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What is Normal Pressure Hydrocephalus?
- Triad = Incontinence, Ataxia "magnetic gait",
- Dementia
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What is Korsakoff psychosis?
Alcoholic Thiamine deficiency
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What is Vascular "multi-infarct" dementia?
- Sudden onset, uneven progression of deficits,
- "stair-step" decline
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What is Huntington' s?
In caudate/putamen, triplet repeat disorder, choreiform. movements, ?personality
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What is Creutzfeldt-Jacob?
Prion induced, die within 1 year, post-cornea transplant
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What is Pick's disease?
frontal lobe atrophy, disinhibition
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What is Alzheimer's?
dec ACh in nucleus basalis of Meynert, bad ApoE, amyloid plaques, tangles of tau
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What is Parkinson's ?
In substantia nigra, bradykinesia, pill-rolling tremor, shuffling gait, Lewy bodies
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What is Somatization?
Think they have a different illness all the time (at least 4 organ systems)
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What is Hypochondrias is?
Think they have the same illness all the time
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What is Body Dysmorphic Disorder?
Imagined physical defect
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What is Pain disorder?
Prolonged pain not explained by physical causes
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What is Conversion?
Neuro manifestation of internal conflict, indifferent to disability
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What is Malingering?
Fake illness for momentary gain, avoids medical treatment
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What is Factitious?
Fake illness to get attention, seeks medical treatment
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What is Munchausen?
Need to be the caregiver, Mom fakes child's illness to get attention
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What is Munchausen by proxy?
Mom makes child ill for gain, move a lot
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What is Amnesia?
Can't recall important facts
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What is Dissociative Fugue?
No past, travel to new place, usually due to trauma
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What is Multiple Personality Disorder?
Have 5-10 alters, usually associated w/ incest
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What is Depersonalization Disorder?
"Out of body" experiences, deja vu
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What is Sublimation?
Substitute acceptable for unacceptable (boxer vs. fighting)
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What is Imitation?
Dress like someone else
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What is Identification?
Act like someone else
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What is Displacement?
Take anger out on someone else
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What is Idealization?
Wait for "ideal spouse" while they are beating you up
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What is Transference?
Pt views doctor as parent
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What is Counter-transference?
Doctor views patient as child
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What is Acting out?
Expression of impulse, "tantrums"
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What is Regression?
immature behavior
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What is Rationalization?
Make excuses for all situations
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What is intellectualize?
Acts like a "know-it-all" to avoid feeling emotions
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What is Isolation of Affect?
isolate feelings to keep on functioning
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What is Suppression?
Consciously block memory
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What is Repression?
Subconsciously block memory
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What is Reaction Formation?
- Unconsciously act opposite to how you feel
- (tears of a clown)
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What is Undoing?
Doing exact opposite of what you used to do to fix a wrong
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What is Compensation?
Doing something different of what you used to do
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What is Sadism?
Gives pain
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What is Masochism?
Receives pain
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What is Exhibitionism?
Exposure to others
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What is Voyeurism?
Watching other people without their permission
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What is Telephone Scatologia?
Phone sex
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What is Frotteurism?
Rub penis against fully clothed women
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What is a Transvestite?
Dress up as opposite sex, no identity crisis
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What is a Transsexual?
Gender identity crisis "man trapped in a woman's body"
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What is a Fetish?
Objects (vibrators,dildos, shoes)
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What is a Pedophile?
Children (watching child pornography)
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What is a Necrophile?
Corpses
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What is a Beastophile?
Animals
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Can you die during EtOH withdrawal?
Yes
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Can you die during opiod withdrawal?
No; just very painful
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