Term
| What labs are specifically indicated in new onset psychiatric work ups? |
|
Definition
| Blood Alchol Level, Ceruloplasmin, Heavy Metal Screen, Urinary/Fecal Porphyrins, PT/PTT/INR, Catecholamine levls |
|
|
Term
| what neuroimaging should you do in a psych work up? |
|
Definition
CT/MRI - assess brain damage and look at structure of the brain
PET - assess functioning/activity of the brain
EEG - visualize brain wave activity (awake and asleep)
also CKR,EKG, LP, and U/S |
|
|
Term
| Alcohol Abuse Pneumonic (RAPS4) |
|
Definition
Remorse
Amnesia
Perform
Starter
4
then add a qauntifier for each category.
More sensitive for females |
|
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Term
|
Definition
Cut Down
Annoyed
Guilt
Eye Opener |
|
|
Term
| this type of person leaves a social setting feeling drained |
|
Definition
|
|
Term
|
Definition
Rorschoch (Ink Blot Test)
Thematic Appreciation Test |
|
|
Term
| Pt is shown pictures and asked to interpret the scene/create a story based on what they see |
|
Definition
| Thematic Appreciation Test |
|
|
Term
| What is included in summation.... |
|
Definition
| diagnostic impression, formulation, and plan |
|
|
Term
| Minnesota Multiphase Personality Inventory includes how many questions and what type? |
|
Definition
|
|
Term
| psychodynamic psychotherapy (brief 2-3 months), two types.... |
|
Definition
| supportive and expressive |
|
|
Term
| emathetic, directive, and reality oriented therapy. Helps the pt define current problem, define and implement possible solutions, and "shore up" current ego defenses |
|
Definition
|
|
Term
| what is the goal of supportive psychotherapy? |
|
Definition
|
|
Term
| recognize conference/counterconference feelings, uncover unconsicous wishes and defenses that have caused maladaptive behavior. |
|
Definition
| Expressive or Insight-Oriented Therapy |
|
|
Term
| When is expressive psychotherapy indicated for tx? |
|
Definition
| anxiety, depression in all of it's forms, somatoform and dissociative disorders, personality disorders, neuroses, and trauma. |
|
|
Term
| what is integral to the success of expressive psychotherapy? |
|
Definition
| Pts insight and motivation |
|
|
Term
| extremely intensified version of expressive psychotherapy |
|
Definition
|
|
Term
| based on principals of classical conditioning, renforcement is used to promote desirable behaviors and reduce undesirable ones |
|
Definition
|
|
Term
| Methods of behavioral psychotherapy |
|
Definition
| systematic desensitization, exposure and response prevention, behavior modification, flooding, substitution, hypnosis, |
|
|
Term
| Pt is taught relaxation skills in order to control fear and anxiety responses to specific phobias, these skills are used to react in an established hierarchy of fears |
|
Definition
| Systematic Desensitization AKA Graduated Exposure Therapy |
|
|
Term
| based on the idea that a therapeutic effect is achieved as subjects confront their fears and discontinue their escape response |
|
Definition
| Exposure and Response Prevention |
|
|
Term
| intervention targets antecedents or consequences in order to increase or decrease a target behavior |
|
Definition
|
|
Term
| a patient is exposed to vast amounts of the feared stimulus |
|
Definition
|
|
Term
| what is the theory behind the flooding method? |
|
Definition
| Anxiety level will eventually decrease when nothing bad happens and the patient will associate a calm feeling with the previously feared object |
|
|
Term
| replacing an undesirable behvaior (smoking) with a more desirable behavior (chewing gum) |
|
Definition
|
|
Term
| Induction of an advanced state of relaxation during which suggestions can be made. |
|
Definition
|
|
Term
| combination of cognitive and behavior therapy |
|
Definition
| cognitive behavioral therapy (CBT) |
|
|
Term
| In what conditions is CBT used as tx? |
|
Definition
| Specfic phobias, Axiety disorders, Eating disorders, Sexual disorders, Depressive syndromes, Substance use disorders, Psychosomatic disorders |
|
|
Term
| dialectical behavioral therapy |
|
Definition
| a type of CBT. Key dialectic - acceptance and change. |
|
|
Term
| In what conditions is DBT used as tx? |
|
Definition
| Borderline personality, bipolar disorder, binge eating disorders, and recurrent depression |
|
|
Term
| induces seizures - releases catecholamines and many other neurotransmitters. Ultimate goal is down-regulation of beta-adrenergic response |
|
Definition
| Electroconvulsive Therapy (ECT), usually 3x weekly. Seizuers last 45-90 seconds (documented by EEG). |
|
|
Term
| What are the indications for ECT? |
|
Definition
| unipolar and bipolar depression, psychotic depression, intractable mania, intractable psychotic symptoms (often requirs a greater number of treatments), Catatonic syndromes, Parkinson's disease |
|
|
Term
| Indications for prefrontal lobotomy... (2) |
|
Definition
|
|
Term
| Indications for Cingulotomy.... (1) |
|
Definition
| tx of last resort for OCD |
|
|
Term
| Indications for tractotomy |
|
Definition
| resistant depressino, bipolar affective disorder |
|
|
Term
| using currents to change electrical environment of targeted nerves or brain tissue "hence reversible". Adapted from work in neurology |
|
Definition
|
|
Term
| types of nonsurgical neuromodulation |
|
Definition
rTMS - reptitive transcranial magnetic stimulation
Transcranial Electrical Stimulation |
|
|
Term
| What conditions is light therapy indicated for? |
|
Definition
| Seasonal Affective Disorder (SAD), Depression during pregnancy, Premenstrual Dysphoric Disorder (PMDD), Bulemia Nervosa, Jet Lag, Shift Work Adaptation, Day/Night abnormalities in Alzheimer's (Sundowning) |
|
|
Term
| increase levels of monoamines inteh synapse by reducing reuptake of Nor-Epi and serotonin |
|
Definition
| Tricyclics and Heterocyclics |
|
|
Term
|
Definition
| Tricyclics, Heterocyclics, SSRI, SNRI, MAOIs, Mood Stabilizers |
|
|
Term
| SE Gi disturbance, sexual dysfunction |
|
Definition
|
|
Term
| RX helpful in tx of depression with atypical features... |
|
Definition
|
|
Term
| what kind of diet should be followed while taking MAOIs? What happens if not? |
|
Definition
| Tyramine Free Diet, if not Hypertensive Crisis can result. |
|
|
Term
| What are the major mood stabilizers? |
|
Definition
| Lithium, Valproic Acid, Carbamezapine |
|
|
Term
| What medication is teratogenic? |
|
Definition
|
|
Term
| What should you monitor with Lithium? |
|
Definition
leukocytosis (every 3 months),
BUN/Cr, drug levels |
|
|
Term
| What should be monitored with valproic acid? |
|
Definition
| levels every 6-12 months and LFT's |
|
|
Term
| What should be monitored with Carbamezapine? |
|
Definition
assess pretx for agranulocytosis.
CBC q 2 weeks x 2 months then x3 months.
LFT and drug levels q month x 2 months then q 3 months. |
|
|
Term
| What meds are most effective are reducing hallucinations and delusions of schizophrenia? |
|
Definition
| First Generation (typical) Antipsychotics |
|
|
Term
| What are the side effects of first generation antipsychotics? |
|
Definition
| EPS, Parkinsonian Syndrome, Acute Dystonias, Akathisia, Tardive Dyskinesias, Sedation, Neuroleptic Malignant Syndrome, Anticholinergic effects, cardiovascular effects (orthostatic hypotension, prolonged QT interval), gynecomastia, galactorrhea, sexual dysfunction (decrease dopamine, increase prolactin), weight gain |
|
|
Term
| Which generation of antipsychotics are more likely to caues EPS? |
|
Definition
|
|
Term
| what is the major risk factor of 2nd Generation antipsychotics? |
|
Definition
| increased risk of Type 2 Diabetes |
|
|
Term
| Major side effect of clozapine |
|
Definition
|
|
Term
| major side effects of Benzos |
|
Definition
| sedation, behavioral disinhibition, psychomotor impairment, cognitive impairment, confusion, ataxia, ADDICTIVE |
|
|
Term
| after prolonged use, withdrawal from benzos can cause.... |
|
Definition
|
|
Term
| what is used to treat dystonias caused by antipsychotic meds? |
|
Definition
|
|
Term
| what is used to treat akasthesias from antipsychotic meds? |
|
Definition
|
|
Term
| what is used to treat the Parkinsonian SE from antipsychotic meds? |
|
Definition
|
|
Term
| symptoms of SSRI discontinuation syndrome (AMINES) |
|
Definition
Adrenergic Excess Symptoms
Mood Fluctuations
INtestinal Flu like illness
Extrapyramidal Symptoms
Sleep Disturbance (lethargy, lack of sleepiness).
If relief is in hrs = SSRI syndrome
If relief takes days = disorder recurrence |
|
|
Term
| How can you take into custody a pt who threatens harm to themself or someone else? |
|
Definition
|
|
Term
| How can you take into custody a pt incapable of caring for themselves due to substance abuse? |
|
Definition
|
|
Term
| The assessment period for a Marchman act is not to exceed? |
|
Definition
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