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Abnormal Psych Exam 2
abnormal psych exam 2 u of utah
86
Psychology
Undergraduate 3
11/03/2013

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Term
What type of course is a dysthymic disorder over the course of someone's lifespan?
Definition
Chronic.
Term
Describe Dysthymic Disorder.
Definition
unipolar, symptoms for 2 years, no mood episodes for first 2 years.
Term
what are symptoms for dysthymic disorder?
Definition
depressed mood, 2+ depression symptoms (i.e. appetite change, sleep change, concentration or decision-making problems), no more than 2 months at a time without symptoms.
Term
what is the disorder in which individuals cycle between dysthymia and hypomania?
Definition
cyclothymic disorder
Term
How many Manic Episodes are required for a diagnosis of Bipolar II Disorder?
Definition
0
Term
How many Manic Episodes are required for a diagnosis of Bipolar I disorder?
Definition
at least one.
Term
how many manic episodes are required for a diagnosis of Major Depressive Disorder?
Definition
at least one, and you CAN'T have the presence of other types of episodes.
Term
what are the criterion for a manic episode?
Definition
feelings of a constant high, symptoms for at least 1 week (at least 4 symptoms required), inflated self-esteem or grandiosity, decreased need for sleep, racing thoughts, increase in goal-directed activity, impulsivity.
Term
what is criteria for major depressive EPISODES?
Definition
need at least one of these two symptoms: anhedonia (lack of interest, lack of pleasure), or depressed mood.
Term
what is cyclothymic disorder?
Definition
disorder in which individuals cycle between dysthymia AND hypomania.
Term
what is unique about hypomania compared to other mood episodes?
Definition
it does not require significant distress or impairment.
Term
what is a symptom of depression characterized by slowed movements?
Definition
psychomotor retardation.
Term
what is a symptom of depression characterized by fidgetiness or agitation?
Definition
psychomotor agitation.
Term
what is the gender ratio of unipolar (depressive) mood disorders?
Definition
more common in females than males.
Term
what is the gender ratio of bipolar mood disorders?
Definition
equally common across gender.
Term
how do hypomanic episodes differ from full manic episodes?
Definition
the duration is shorter and the symptoms are less severe.
Term
SSRI's are the primary drugs prescribed for what disorder?
Definition
major depressive disorder.
Term
when would we prescribe Lithim?
Definition
for Bipolar Disorder treatment.
Term
what is a drawback of ECT?
Definition
Relapse is very common.
Term
a positive stressor is strongly associated with what type of episode?
Definition
manic episodes.
Term
a negative stressor is more strongly associated with what kind of episode?
Definition
depression.
Term
Bipolar I has alternations between what episodes?
Definition
manic episodes and major depressive episodes.
Term
if a person has bipolar, their relatives:
Definition
will be diagnosed with either unipolar (depressive) mood disorder or bipolar disorder.
Term
if a person has a unipolar mood disorder, their relatives:
Definition
are likely to have a unipolar mood disorder, NOT bipolar.
Term
what treatment is best for mood disorders?
Definition
psychotherapy in combination with medication.
Term
what treatment is best for anorexia nervosa?
Definition
treatment is often ineffective over long term.
Term
what treatment is best for bulima?
Definition
CBT and antidepressants.
Term
what is purging?
Definition
inappropriately compensating for eating.
Term
what is bingeing?
Definition
eating excessive amounts of food and a perceived lack of control while doing so.
Term
what are all the effective treatments for bulimia?
Definition
IPT, CBT, medications.
Term
what criterion for anorexia nervosa was taken out of the DSM-5
Definition
amenorrhea.
Term
what two sleeping disorders only occur during REM sleep?
Definition
nightmare disorder and REM sleep behavior disorder.
Term
what two sleeping disorders occur during non-REM sleep?
Definition
sleepwalking disorder and sleep terror disorder.
Term
what is good sleep hygiene?
Definition
bedroom is a place for sleep, and sex.
Term
what is a primary sleep disorder?
Definition
it is not entirely in the context of another disorder. has to exist outside of a disorder.
Term
how can you diagnose a primary sleep disorder?
Definition
using a polysomnograph (PSG).
Term
what is narcolepsy?
Definition
someone who experiences sudden REM sleep brought on by strong emotion.
Term
what is a side effect from the use of sedative medications?
Definition
rebound insomnia.
Term
what are contributing factors to insomnia?
Definition
unrealistic expectations about sleep (i.e, i wont get enough sleep tonight and i wont get anything done tomorrow because of it).
poor habits around bedtime, biological vulnerability.
Term
individuals meeting diagnostic criteria for substance DEPENDENCE will experience what over time in relation to their symptoms?
Definition
progress in their dependence. (80%).
Term
what is withdrawal?
Definition
feeling physical side effects after discontinued use of a substance.
Term
what is tolerance?
Definition
needing more of the substance in order to get same effect.
Term
what is dependence?
Definition
psychological and physiological.
Term
what is reverse tolerance?
Definition
you need less of the substance to feel effect.
Term
who is more likely to report binge drinking?
Definition
college students.
Term
what is a negative potential consequence of alcohol dependence?
Definition
associated with brain conditions, i.e. dementia.
Term
what are the effects of opioids?
Definition
induce euphoria, drowsiness, and slowed breathing.
Term
what are the effects of stimulants?
Definition
increase mood/activity/ central nervous system
Term
what are the effects of depressants?
Definition
decrease activity in brain.
Term
what are the effects of hallucinogens?
Definition
create odd sensory experience.
Term
what are the two diagnostic criteria for substance dependence?
Definition
physiological dependence and psychological dependence.
Term
what is motivational interviewing?
Definition
a psychological intervention for substance use that aims to resolve ambivalence and increase desire for change.
Term
is treatment of substance-related disorders effective?
Definition
no.
Term
what effects do pharmacological treatments for substance use disorders have?
Definition
antagonistic, agonist, and aversive.
Term
what is an antagonistic effect?
Definition
prevents how the substance acts on the body
Term
what is an agonist effect?
Definition
replaces the substance with lower levels of the drug.
Term
what is an aversive effect?
Definition
having aversive consequence if the drug is used (like it hurts you).
Term
what diagnoses an impulse-control disorder?
Definition
increased tension/anxiety before an impulsive act, and decreased tension following impulsive act (i.e., relief.)
Term
mixed mood episodes include features of what disorders?
Definition
bipolar disorders and depressive disorders
Term
meeting criteria for what is not enough information to arrive at a mood disorder diagnosis?
Definition
mood episode.
Term
when are individuals not able to recall their nightmares?
Definition
sleep terror.
Term
when do individuals have memory of the nightmare/episode?
Definition
nightmare disorder.
Term
what two disorders have high lifetime comorbidity rates?
Definition
anxiety and bulimia
Term
when does sleep walking disorder occur?
Definition
non-REM sleep
Term
when does nightmare disorder occur?
Definition
REM sleep.
Term
spending a great deal of time obtaining a substance and continued use despite knowledge of aversive consequences are indicative of what type of dependence?
Definition
psychological dependence.
Term
what is community reinforcement?
Definition
bringing in someone close to the person struggling with dependence and having that person with reinforcing what we want them to be doing (staying clean, reducing substance use), acting like a coach.
Term
among psychological treatments for substance abuse, what changes the reward response?
Definition
contingency management.
Term
among psychological treatments for substance abuse, what changes the social environment?
Definition
community reinforcement.
Term
what is trichotillomania?
Definition
hair pulling that reduces anxiety.
Term
what is kleptomania?
Definition
theft.
Term
what is pyromania?
Definition
fire setting.
Term
what is a program helpful for alcohol abusers?
Definition
based on a moderation drinking approach to the treatment of substance problems.
Term
what type of approach do 12 step programs have?
Definition
abstinence only.
Term
what type of model are 12 step programs based on?
Definition
biological model.
Term
what are two strategies used in CBT for major depression?
Definition
activity scheduling and addressing cognitive distortions (errors in thinking.)
Term
what is a recurrent major depressive disorder?
Definition
having subsequent major depressive episodes following an initial MDE.
Term
what is a single episode?
Definition
prior to the Recurrent MDD, (if there is only one episode of MDE)
Term
when is the onset of bipolar disorder most likely?
Definition
in adolescence.
Term
when is the onset of depression most common?
Definition
early 30's.
Term
what disorder requires there be no more than 2 months at a time without symptoms?
Definition
dysthymic disorder.
Term
alcohol is what type of substance?
Definition
depressant.
Term
what is the most prevalent mood/anxiety disorder in the U.S.?
Definition
MDD (major depressive disorder)
Term
methamphetamines are what type of substance?
Definition
stimulant
Term
pain killers are what type of substance?
Definition
opioids
Term
LSD or acid are what type of substance?
Definition
hallucinogens.
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