Abnormal Psych Final

michelleburkee2's version from 2015-12-14 20:19

Section 1

Question Answer
personality disorders cause what type of impairment?significant. They are chronic and long term
when did personality disorder get discovered?they showed up in the DSM 3 in 1980
Can personality disorder show up because of a recent stressful event?no
when do personality disorders show up?in childhood and continue throughout adulthood
what are the prevelance rates of personality disorders?4.4 to 14.8%
do personality disorders have a high rate of comorbidity with other disorders?yes
what type of disorders have the most misdiagnosis?personality disorders
what is a difficulty related to personality disorderslittle known about the etiology. more research needs to be done
what is the rate of comorbidity within personality disorders?85% who have one also have another personality disorder
avoidant personality disorderextreme sensitivity to opinions, avoid relationships, interpersonally anxious, fearful of rejection
how is avoidant personality disorder different from schizoid?in avoidant personality disorder, they avoid personal relationships because they are fearful of rejection but they want personal relationships. in schizoid, they do not care about having personal relationships
when does avoidant personality disorder occur?early adulthood
what is avoidant personality disorder treatment similar to?social phobia; increase social skills and reduce anxiety

Section 2

Question Answer
what other disorders do personality disorders have a high comorbidity with?anxiety, mood, substance use, and sexual deviation
what personality disorders are in cluster A (odd or eccentric)?paranoid, schizoid, and schizotypal
what personailty disorders are in cluster B (dramatic, emotional or erratic)?antisocial,narcissistic, borderline, and histrionic
what personality disorders are in cluster c (anxious or fearful)?avoident, dependent, and obsessive compulsive personality
A penis squirts semen cluster a: paranoid, schizoid, and schizotypal
Boobs are never bouncy herecluster b: antisocial, narcissistic, borderline, and histrionic
clay always dries ontimecluster c: avoident, dependent, and obsessive compulsive personality
show a detatchment from social relationships and a very low range of emotions in interpersonal relationships; lack of desire for either close or sexual relationship; preferance to solitary activities and few friends; takes little pleasure in most thingsschizoid
homlessness is prevalent in which type of disorder?*schizoid*
who is an example of a schizoid?#sheldon #
when does schizoid show up?early adulthood
what is the etiology of schizoid?unclear
what disorder resembles autisim in the sense of increased levels of dopamine@schizoid@
do schizoid patients often seek treatment?no. they usually only seek treatment if there is a crisis
what is schizoid therapy like?role playing to understand relationships,social skills and empathy skills
unstable mood and relationship; impulsivity; fear of abandonment; poor self image; lack of control over their emotions; suicidalborderline personality disorder
when does boderline personality disorder start?%by early adulthood%
what is the most common personality disorder in psychiatric settings?#borderline personality disorder#
what is the prevelance rate of borderline personality disorder?1-2%
high rate of suicide with this#borderline personality disorder#
what is borderline personality disorder comorbid with?mood disorders, bulimia, and substance use disorders
many between the age of 30 and 50 improve without treatment in which disorder?$borderline personality disorder$
runs in families+borderline personality disorder+
borderline personality disorder patients report moreearly trauma in lives
do people with borderline personality disorder often seek treatment?yes
what are two medications that help with borderline personality disorder?anticonvulsants and newer antipsychotics
what approach to therapy is useful in borderline personality disorder?dialectical behavior therapy
how is borderline personality disorder treatment complicated?by suicide attempts, drug abuse, and noncompliance
what are the three things in order that dialectical behavior therapy focuses on?suicidal behavior, therapy interviening behaviors, and quality of life
does dialetical behavior therapy work in reducing suicide attempts?yes
how can a person with borderline personality disorder learn how to regulate their emotions, problem solve, and cope with stressors? *dialetical behavior therapy*

Section 3

Question Answer
wavy flexibility is a symptom of schziophrenia
what is wavy flexibility?tendency to remain in an abnormal posture
echolaliaimmitating sounds of others
echopraxiaimmitating the movements of others
expressed emotiona specific family communication style. more stress=increased schizophrenic severity;
what was the best treatment for ADHD?behavioral and medication treatment combined
what was more effective alone: behavioral or medication treatment for ADHD?medication
IQ tests below what means your intellecturally disabled?70
dissociative identity disorder was known as multiple personality disorder until1994
what is dissociative identity disorder?a severe condition in which two or more distinct identities or personality states are present in and take control of the individual
how old is this disorder?very old. it was depicted in cave paintings
the _____ and the _______ are significantlly smalled in females who have dissociative identity disorderamygdala and the hippocampus
what is dissociative identity disorder comorbid with?PTSD
are the two identities aware of eachother in this disorder?no
how does the person decide which personality will take over?they don't. the emotional demands of the patient dictate which personality governs
can there only be two personalitites?no there can be more
what is the main cause of dissociative identity disorder believed to be?prolonged trauma during childhood
what is the cute for this?no deffinite cure
does this run in families?yes

Section 4

Question Answer
prevelance of schizophreniait effects 1 out of 100 people at some point in their life
complete recovery from schizophrenia is rare
______% of patients responsd to therapy and medications38%
how much does the US spend on schizophrenia annually?65 billion
positive symptons of schizophreniadelusions and halluctinations
negative symptoms of schizophreniaemotional or social withdrawal, apathy, and poverty of thought and speech
disorganized symptoms of schizophreniarambling speech, erratic behavior, innappropriate affect
positive symptomsActive manifestations of abnormal behavior or an excess or distortion of normal behavior
3 types of delusionsdelusions of grandeur, persecution, and unusual delusions
what are the most common hallucinations?auditory hallucinations
negative symptomsAbsence or insufficiency of normal behavior
what percent of ppl with schizophrenia expierence negative symptoms?25%
4 A's of negative symptomsAvolition, Alogia, Anhedonia and Affective Flattening
capgras syndromethe irrational belief that a familiar person or place has been replaced with an exact duplicate
cotards syndromethe person believes they are dead
avolitionlack of motivation
Alogiathe innability to speak
Anhedoniainnability to expierence pleasure
Affective Flatteningrestricted range of expressed emotion
disorganized symptomsRambling speech, erratic behavior, and inappropriate affect
tangentialityto speak about topics unrelated to the topic of discussion
cognitive slippage example: name types ot treesbirch, pine, maple, syrup, pancakes, breakfast
loose associationsthoughts do not go together or the person does not make sense answering a question
catatoniainnability to move
hallucinations and delusions, relative intact cognitive, do not show disorganized speech or flat defectparanoid schizophrenia
what type of schizophrenia has best prognosis?*paranoid*
marked disruptions in speech and behavior, problems develop early, problems tend to be chronic lacking periods of remissiondisorganized schizophrenia
unusual motor responses and mannurisms, often show echolia and echopraxia, rarecatatonic schizophrenia
experience one or more positive symptoms of Sz within one month; is brought on by stress; usually goes away on its ownbrief psychotic episode
Symptoms of Sz and a mood disorder; prognosis similar to Sz; do not get better on their own; presence of mood disorder and hallucinations or delusions for two weeksschizoaffective disorder
"I am the Queen of Eastern Europe"delusion of grandeur
"Oh, you want to know where i was, well, my brother called me to come over and he works on cars at a shop in town that has money problems"tangentiality
"voices tell me to jump out of windows"auditory hallucination
"I went to the store, but the violin was fixed so i could return to church and pray"loose association
"the flicker of candles communicated secret messages about me to aliens"delusion
"The CIA is tracking me and planning on assassinating me in my sleep"delusion of persecution or paranoid delusion
"I can see large spiders crawling up my walls"visual hallucination
"I feel little bugs crawling under my skin"tactile hallucination
"I smell my family's pets around me"olfactory hallucinaton

Section 5

Question Answer
what drugs are used to treat Sz?Antipsychotic neuroleptic drugs (dopamine antagonists). This blocks dopamine receptors because it is believed ppl with sz have too much dopamine
what type of drugs can make Sz worse? Amphetamines. they incrase dopamine levels
do neuroleptics help negative symptoms?no
positive symptoms may be related toexcess dopamine
negative symptoms may be related tostructural brain abnormalities
in the US and England who is more likely to be diagnosed with Sz?blacks
what countries have people that recover the best from sz?columbia, nigeria, and india
what percent of the world is diagnosed with sz?1%
the diatheis stress model of Sz statesSz is caused by genetics and the amount of stress a person expierences
brain ventricles are typically _______ for people with Szenlarged
having a sibling or parent with Sz increases your risk of having it by10%
having an identical twin with Sz gives you a _____ % chance of having it40-65%