Term
| What potently motivates reinstatement of drug selfadministration after cessation? |
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Definition
| Reexposure cues, triggers and stress are more potent than withdrawel. |
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Term
| Most powerful predictor of future alcoholism |
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Definition
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Term
| Most robust neuroimaging findings in PTSD |
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Definition
| Impaired function in the pregenual Anterior Cingulate Cortex. This area is thought to inhibit the expression of the conditioned fear response. |
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Term
| Difference between axis I and axis II disorders |
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Definition
Axis I-transient disease states that can be differentiated from the patients normal state.
Axis II-Pervasive, persistant and inflexible patterns of experience and behavior that remain constant over time |
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Term
| Two examples of Axis II disorders |
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Definition
| Personality disorders and Mental retardation |
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Term
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Definition
| Do not care. Do not want to form meaningful relationships. Lead solitary lives. |
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Term
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Definition
| Dwight from the office: Odd, magical thinking, well developed fantasy lives. Desire close relationships but have difficulty achieving them. |
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Term
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Definition
| Chronic distrust, suspicion and paranoia even in the face of contradictory evidence. Usually not bizarre |
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Term
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Definition
| An extreme social anxiety |
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Term
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Definition
• Requires 5 of the following 9 symptoms:
o Frantic efforts to avoid real or imagined abandonment
o A pattern of unstable and intense interpersonal relationships
o Identity disturbance
o Impulsivity
o Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior
o Affective instability due to a marked reactivity of mood
o Chronic feelings of emptiness
o Inappropriate, intense anger or difficulty controlling anger
o Transient, stress-related paranoid ideation, or sever disassociative symptoms
• Common issues
o Splitting: overvaluing a specific member of a treatment team while undervaluing another causing split in team
o Black and white thinking: only being able to see people and issues as either good or bad, right or wrong
o Overvaluation/Devaluation of Clinicians: the BPD patient being unable to integrate simultaneous, yet dichotomous, thoughts and feelings
o Fear of abandonment: going on vacation, changing appointment times, or not providing desired medication may all be seen by a BPD patient as a betrayal, signal you will abandon them
o Destructive counter-transference: often present as helpless and can engender “rescue fantasies”. Idealization of clinician can be gratifying.
o Boundary violations: patients with BPD and care givers can become involved in severe and egregious boundary violations |
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Term
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Definition
• Requires at least 5 of the following criteria:
o A grandiose sense of self importance
o Preoccupation with fantasies of success, power, beauty, or ideal love
o Belief that he or she is “special” and unique, and can only be understood by, or associate with other special or high status people
o Requires excessive admiration
o Has a sense of entitlement or unreasonable expectations of especially favorable treatment, or automatic compliance with his or her expectations
o Is interpersonally exploitative
o Lacks empathy, is unwilling to recognize or identify with the feelings and needs of other
o Is often envious of others or believes that others are envious of him or her
o Shows arrogant or haughty behaviors or attitudes
• Common clinical issues:
o Devaluation
o Entitlement
o Attraction: people attracted to them because they appear confident |
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Term
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Definition
• Difference from narcissistic personality is that in HPD the externally validated traits are often idealized physical attractiveness, sexual desirability, and charm.
• Pervasive pattern of excessive emotionality and attention seeking, beginning in early adulthood and present in a variety of contexts, as indicated by 5 or more of the following:
o Is uncomfortable in situations in which he or she is not the center of attention
o Interaction with others is often characterized by inappropriate sexually seductive or provocative behavior
o Displays rapidly shifting and shallow expression of emotions
o Consistently uses physical appearance to draw attention to self
o Has a style of speech that is excessively impressionistic and lacking detail
o Shows self-dramatization, theatricality, and exaggerated expression of emotion
o Is suggestible; easily influenced by others or circumstances
o Considers relationships to be more intimate than they actually are
• Common Clinical issues:
o Exaggeration of symptoms
o Erotization of relationships |
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Term
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Definition
Not intentionally produced!!!
• Major goal is to communicate distress through recitation of symptoms
• History is often colorful and dramatic
• High risk of iatrogenic complications
• “doctor shoppers”
• History of physical complaints starting before age 30 that occur over several years and results in treatment being sought or impairment in social, occupational, and other areas
• One of the following must be met at some point during course:
o Pseudo-neurological symptom
o Two GI symptoms (other than pain)
o One sexual symptom (other than pain)
o Four pain symptoms in four different areas
• Disorder is not caused by known medical condition or direct effect of substances |
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Term
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Definition
Not intentionally produced!!!
• Involves symptoms or deficits that affect voluntary sensory or motor function that suggests neurological condition that can’t be explained by medical findings.
• Most common symptoms include: local weakness, akinesia, aphonia, urinary retention, difficulty swallowing, double vision, anesthesia, deafness, seizures, convulsions (if unilateral usually on left side for women)
• Most patients medically naïve and suggestible |
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Term
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Definition
• Preoccupation with fears of having, or the idea of having a serious disease based on misinterpretations of bodily symptoms
• Preoccupation persists despite appropriate medical evaluation and reassurance
• Not of delusional intensity or restricted to a concern about appearance
• Causes clinically significant distress or impairment in social, occupational or other important areas
• Duration is at least 6 months and not accounted for by another medical or psychiatric illness |
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Term
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Definition
| Intentionally produced!!! Wants to assume the sick role, no other external motivation. |
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Term
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Definition
| Factitious disorder by proxy. i.e Parents keeping the children sick. |
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Term
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Definition
| • The intentional production, faking, lying or exaggerating of psychological or physical signs or symptoms for a clear reason (secondary gain: military discharge, financial, legal, obtaining controlled substances) |
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Term
| Clues to symptoms being of organic origin |
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Definition
• Psychiatric symptoms first presenting late in life
• known underlying medical condition
• atypical psychiatric symptoms or presentation
• no previous psychiatric history
• active substance use
• currently on medications
• sudden onset of psychiatric symptoms
• a waxing and waning of mental status |
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Term
| Clues that make it more likely you are dealing with a functional psychiatric illness |
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Definition
• gradual onset of psychiatric symptoms
• past psychiatric history
• more typical presentation of psychiatric illness
• family history of psychiatric illness
• earlier age of onset or first symptoms
• responds more readily to psychiatric treatment
• normal physical examination and vital signs |
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Term
| GEN MED CONDIT for organic conditions that can present with psychiatric symptoms |
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Definition
Germs (infectious disease)
Epilepsy
Nutritional Deficits
Metabolic Encephalopathy
Endocrine Disorders
Demyelination
Cerebrovascular Disease
Offensive Toxins
Neoplasm
Degeneration
Immune Disease
Trauma |
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Term
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Definition
Axis I Primary Psychiatric Disorder
Axis II Developmental Disorders, Personality Disorders
Axis III Medical Disorders
Axis IV Psychosocial Stressors
Axis V Global Assessment of Functioning |
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