Illicit drugs

Depressed mood
Anhedonia (Loss of interest)
Suicidal Ideation / Homicidal Ideation
Hallucinations
Elevated mood
Delusions
Anxiety

Cut down
Angry / Annoyed
Guilt
Eye opener

A.S. PASS A GRILLE

(A SPARE GLASS)

Adjustment Disorder w/Anxiety

Substance abuse w/Anxiety

Panic Disorder w/phobia

Agoraphobia

Social anxiety disorder aka Social Phobia

Separation anxiety disorder

Acute stress disorder/PTSD

Generalized Anxiety Disorder (GAD)

Repetitions (OCD)

ILL

Etc.

STOP, SHE IS AFRAID

(PTSD Symptoms)

Sympathetic

Thoughts that are recurrent, intrusive

Other: Nightmare, Flashbacks

Psychological distress at exposure

Startled response

Hypervigilance

Extraenous stimuli/concentration

Irritability

Sleep disruption

Avoidance of people, places, or things

Foreshortened future

Recall of important aspects impaired

Affective flattening

Interest is lost (anhedonia)

Detachment from others

A person must have deficits in two of four spheres to be considered for Personality Disorder.

What are the four spheres?

Cognition - processing environment in a negative way

Affectivity - inability to suppress one's emotion

Interpersonal Functioning - inability to get along with others

Impulse Control - not thinking before acting

Paranoid

(Cluster A)

pervasive distrust of others

defense: projection

Billy Joel - Pressure

"you call me paranoid"

Schizoid

(Cluster A)

emoitionally detached from social relationships with no desire for close relationships (hermit)

Defense: Fantasy

Billy Joel - Fantasy

Schizotypal

(Cluster A)

discomfort with close relationships eccentricities of behavior, and magical thinking...progression from schizoid, on the way towards becoming full-blown schizophrenia

Defense - Fantasy

Billy Joel - You May be Right

 "you may be right, i may be crazy

but it might just be a lunatic you are looking for"

Antisocial

(Cluster B)

black hole (RAIDERS FAN)

disregard for and violation of rights of others

*may remit with age

Defense: Acting out

Billy Joel - Billy the Kid

Borderline

(Cluster B)

Instability in relationships, unstable self image, impulsivity, affective instability, suicidal behavior

defense: splitting (objects are either good or bad)

 Billy Joel - I Go to Extremes

Passive Aggression

(Cluster B)

aggression toward others is expressed through passivitiy, maschocism towards self (often suicidal)

In the movie "Fatal Attraction," Michael Douglass is having an affair with Glenn Close. He wants to leave and she wants to spend the day with him. They get into an altercation where she is beat. She asks for a hug before he leaves. Her wrists have been cut and she stains him with her blood

Histrionic

(Cluster B)

Excessive and superficial emotionality, powerful need for attention; oedipal fixation

defense: dissociation

Billy Joel - Big Shot

"you had to be a big shot didn't cha"

"you had to have the last word last night"

Narcissitic

(Cluster B)

grandiosity, need for admiration, lack of empathy, extremely low self-esteem; interpersonally exploitative

Billy Joel - Entertainer

"Been all around the world

played all kinds of palaces

laid all kinds of girls

i can't remember faces"

"After a while it becomes all the same"

Avoidant

(Cluster C)

Defense against shame; feelings of inadequacy

Social inhibition

Desire for close relationships

Billy Joel - I don't want to be alone

Dependent

(Cluster C)

Need to be taken care of submissive and clinging behavior; defense against aggression

Defense: Separation anxiety

Billy Joel - Shameless

Obsessive-Compulsive

(Cluster C)

MISNOMER: micromanager, preoccupation with orderliness, perfectionist

Defense: Isolation of cognitive process from accompanying affect

Billy Joel - Angry Young Man

In response control,

Prepotent Inhibition

ability to delay appropriate responses before checking all alternatives

Matching Familiar figures test and continuous performance test

Psychomotor slowness and inattention -> low DA

Commission errors -> low 5-HT

In response control,

Interruptive inhibition

ability to stop an appropriate response after the context has changed (capacity to inhibit an act in progress)

Stop Signal Test

Ability to initiate and change behavior in relation to changing info is Anterior cingulate cortex

In response control,

Interference inhibition

ability to protect period of decision delay from disruption of competing events

Stroop Color-Word Test

Difficulty with working memory and slowness of response -> Prefrontal cortex

 Difficulty solving problems while weighing alternative solutions -> anterior cingulate cortex and basal ganglia

Depresses - GABA

Elevates - Glutamate, NE

Depresses - 5-HT

Elevates - DA

Depresses - NE, DA, ACh

Elevates - GABA

RADARR

(screening for domestic partner violence)

recurrent, sudden onset of memory loss

related to trauma and most common as sx than full diagnosis

identity issues, induced by stress

travel and amnesia

lasting or recurring feeling of being detached from body

feeling like an observer to your own experience

doubling

body distortion

Chronic most severe

multiple personalities

dissociative trance disorders

recovered memory syndrome

Ganser's syndrome (close but not right, ie 2+2=5)

Brainwashing (fear of not fitting in)

Delusions

Hallucinations (Bizzare or Non-bizzare)

Disorganized Speech

Disorganized Behavior

Apathy

Alogia

Affective flattening

Anhedonia

Attention Deficit

ANOSMIA

(delusional disorder characteristics)

Affective episodes

Nonbizarre delusions

One month duration

Schizophrenia never been diag.

Marked Impairment is Absent

JPEGS

(subtypes of delusional disorders)

Jealous

Persecutory

Erotomatic

Grandiose

Somatic

OSA (Obstructive Sleep Apnea)

RLS (Restless Leg Syndrome)

Narcolepsy

Sleep-walking/eating

REM Behavior Disorder