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Abnormal Psych Unit 2
PSY 352 Spring 14
37
Psychology
Undergraduate 3
03/31/2014

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Term
Dysruptive Mood Dysregulation
Definition
Close to bipolar but isn't; Temper flareups beyond what you would expect of a child that age; 3x/more per week; Has been going on for at least 12 months; Replaces label of bipolar for those who mainly deal with anger
Term
Major Depressive Disorder
Definition
little affect, slow- lethargy, anhedonia- lack of interest in things;
Must have either anhedonia or depressed mood; 3. significant weight loss/gain (5% in a month); 4. Insomnia/hypersomnia; 5. Psychomotor agitation/retardation (must be noticeable to others
6. Fatigue or loss of energy
7.Worthlessness (inappropriate guilt)
8. Inability to concenctrate/indecisiveness
9. Thoughts of Death (passive or active)
Must have 5/9 symptoms
Must be present for 2 weeks
Most of day, nearly everyday
Must impair ability to function
Term
causes of MDD
Definition
Life Stress; Usually involves a loss of some kind; also humiliation; Kindling
Term
Kindling hypothesis
Definition
Life stress becomes less ciritical for onset of MDD as number of depressive episodes increases
Term
Cognitive therapy for MDD
Definition
Examine thought processes while depressed and correct errors; don't replace negative with psotive, replace with more correct thoughts; works, but controversial for severely depressed people; more durable than meds
Term
Bipolar 1
Definition
Major depressive episodes + manic- incredibly strong, very possitive affect, don't need sleep. Delusions of grandeur. You need to have jad a full blown manic, but not neccessarily a depressive episode. 3 or more of following symptoms: inflated self-esteem (grandiosity), decreased need for sleep, pressured speech, racing thoughts, easily distracted, highly goal directed, pleasureable activities with high risk for negative outcome
Term
Bipolar 2
Definition
Major depressive + hypomania, which is less than full blown manic. Up for three days rather than week. Time course is shorter. Manic is less severe. Sleep less but only for few nights rather than week. Hypomania plus one major depressive episode
Term
Cyclothymia
Definition
Hypomania with dysthymia. Minor manic without severe depression
Term
Age of onset for bipolar
Definition
18-19
Term
Pica
Definition
intake of non-food substances. Must happen daily for at least month. Could go into adolescence or even adulthoo,d but onset is in childhood
Term
Rumination disorder
Definition
Repeated regurgitation of food. Has to happen almost daily for a month
Term
Binge eating disorder
Definition
Binge eating characterized by both eating a much larger amount of food than most people and not being able to control overeating along with three of the following: eating more rapidly, eating until uncomfortably full, eating large amounts when not hungry, eating alone bc embarrassed about amount, feeling disgusted/guilty with self
Term
Bulimia Nervose
Definition
binge eating + compensatory behaviors (purging or excercising excessviely, fasting); must occur at least once/week for 3 months; self-eval unduly influenced by body image; most are within 10% of normal body weight (very different from anorexia
Term
Treatment for Bulimia
Definition
CBT: Altering dysfunctional thoughts about body shape, weight, eating; Coping strategies- do not spend time alone after eating in early stages; short-term: 5 months, not years;
Term
Anorexia Nervosa
Definition
Restriction of energy intake leading to low body weight (85% or less than what is expected)combined with intesne fear of gaining weight. Most people don't recognize as being underweight or too skinny
Term
Subtypes of anorexia
Definition
Restricting and binge and purge
Term
Restricting type of anorexia
Definition
Limit the amount of food they eat
Term
Binge eating and purging type
Definition
Sounds like bulimia but with low body weight
Term
Causes of anorexia
Definition
Not one single; mix of biological and sociolcultural and individual variables. Toxic family environment, early birth, young mother,
Term
Obesity
Definition
Having abnormally high portion of body fat; most common measure is BMI (ratio of height to weight); also there is waist-hip ratio; consequences- mortality, heart disease
Term
Substance abuse
Definition
pathaological; involves potentially hazaradous behavior or continued use despite persistent social, psychological, occupational or health problems
Term
Substance dependence
Definition
Increased tolerance combined with withdrawal symptoms in the absence of
Term
Acohol use disorder
Definition
Rated on severity by number of symptoms
2+ of follwing 11 symptoms during 12 month period:
Alcohol taken in larger amounts than was intended
Persistent desire to cut down or control alcohol use
Great deal of time spent in acticvities to obtain acohol, use it, and recover from its effects
Craving or strong desire or urge to use alcohol
Recurrent use resulting in failure to fulfill major obligations
Continued use despite
Term
Expressed emotion
Definition
Critical, hostile, or emotionally over involved attitudes towards a family member with a psychiatric disorder
Term
FFT
Definition
Family focused treatment of bipolar disorder, works on communication and problem solving within the family;
Term
Treatment of Bipolar
Definition
First with meds, then with either CM or FFT (FFT has less relapse). Only meds FDA approved for bipolar are lithium and lamotrigine
Term
Medicinal treatment of Bulimia
Definition
Prozac approved, antidepressants; these are short term
Term
Lanugo
Definition
Very soft, white hair that is symptom of Anorexia
Term
Treatment of Anorexia
Definition
First, patient must gain weight. This is often in hospital. Can be done by feeding tube. Then, feeding is scheduled and pt is monitored during meals. Once they gain weight, Out-patient is either nutrional counseling or CBT. CBT shown more effective in one study, but there was small sample size
Term
Regions affected by THC use
Definition
Hippocampus- learning and memory
Cerebral cortex
Nucleus Accumbens- reward
Basil Ganglia- movement
Term
Methamphetamine
Definition
Snorting gives high in 3-5 mins, lasts for 6-8 hours; reduces amount of dopamine receptors because there is so much dopamine being produced
Term
Treatment for heroine
Definition
methadone- a synthetic opiate
Term
Delirium
Definition
Impaired cognition and consciousness for several hours or days; symptoms come on quickly, problems with attention; 10-30% of ER cases;
Term
Dementia
Definition
characterized by brain shrinkage and tangled nerve cells; must be two brain functions disrupted; must be going on for 6 months; Difficulty problem solving, difficulty controlling emotions
Term
Cortical Dementia
Definition
language, problem solving, don't know proper social behavior
Term
Progressive dementia
Definition
Gets worse over time (Alzheimer's)
Term
Treatment of Dementia
Definition
Cholinesterase inhibitors try to increase levels of acetylcholine, which help memory and cognitive functions; Only improves quality of life, there is no cure
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