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Most commonly used anti-anxiety group of drugs |
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Examples of Benzodiazepine |
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Mechanism of action that produces desired effect with antipsychotic drugs |
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Decreases level or activity of dopamine: Dopamine Antagonist |
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Most commonly used antipsychotic group of drugs |
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Examples of Phenothiazine |
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Definition
Thorazine (Chlorpromazine) Prolixin (Fluphenazine) Trilafon (Perphenazine) |
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Adverse Hormonal Effects: Antipsychotic Drugs |
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Definition
Decreased libido Retrograde ejaculation Gynecomastia Amenorrhea Weight gain |
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Rare side effect of atypical antipsychotic: Clozapine |
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Symptoms of agranulocytosis |
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Definition
Sudden onset Fever Malaise Ulcerative sore throat Leukopenia |
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Idiosyncratic reaction to antipsychotic drugs |
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Definition
Neuroleptic Malignant Syndrome |
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Symptoms of neuroleptic malignant syndrome |
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Definition
Severe muscle rigidity Fever up to 107 Tachycardia Tachypnea Unstable BP Diaphoresis Rapid deterioration of mental status to stupor and coma |
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EPS: Extrapyramidal Side Effects of antipsychotic drugs |
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Definition
Acute dystonia Pseudoparkinsonism Akathisia Akinesia Oculogyric crisis Tardive dyskinesia |
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Class of medication prescribed for EPS |
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Definition
Anticholinergic/anti-parkinsonism agents: Cogentin Artane |
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Local clinic nurse wears many hats and does things case manager or other support personnel should do (usually due to budget cuts.) |
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Assertive Community Treatment: these folks are aware of the people in the community who need care |
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Personality structure according to Freud |
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Seeks instant gratification Causes impulsive, unthinking behavior No regard for rules of social convention |
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Reflects: Moral and ethical concepts Values Parental and social expectations |
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Balancing or mediating force between the other two components of the personality Represents mature and adaptive behaviors that allow a person to function successfully in the world. |
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Freud's belief about anxiety: |
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Definition
Result of ego's attempts to balance the impulsive instincts of the id with the stringent rules of the superego. |
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Freud's Levels of Awareness |
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Definition
Conscious Preconscious (subconscious) Unconscious |
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Perceptions, thoughts and emotions that exist in our awareness. We can control this, and it is immediately accessible. |
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Preconscious (subconscious) |
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Experiences, thoughts, feelings and desires that are not currently in our awareness, but we can recall them with some effort. (Smells or music may evoke these) |
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Memory, thoughts, feelings, wishes that aren't available to our conscious mind. They motivate us even though we are totally unaware of them. |
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Techniques of Psychoanalysis |
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Free Association Dream Analysis Hypnosis Ego Defense Mechanisms |
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Method of attempting to protect the self and cope with basic drives or emotionally painful thoughts, feelings, or events. |
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Overachievement in one area to offset real or perceived deficiencies in another. Ex: Nurse with low self-esteem working double shifts to earn a supervisor's approval. |
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Expression of an emotional conflict through development of a physical symptom, usually sensorimotor Ex: Teenager, forbidden to see porn, does it anyway and develops blindness. |
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Failure to acknowledge an unbearable condition; failure to admit the reality of a situation or how one enables the problem to continue. Ex: Diabetic eating chocolate candy. |
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Airing one's intense feelings toward persons less threatening than the ones who caused the original feelings Ex: Person mad at boss, yells at his wife instead. |
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Dealing with emotional conflict by a temporary alteration in consciousness or identity Ex: Adult remembers nothing of childhood sexual abuse. |
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Immobilization of a portion of the personality resulting from unsuccessful completion of tasks in a developmental stage. Ex: Oral fixation: overdependent on others and may seek oral stimulation through smoking, drinking or eating. |
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Modeling actions and opinions of influential others while searching for identity or aspiring to reach a personal, social or occupational goal Ex: Nursing student becomes a critical care nurse because this is the specialty of an instructor she admires. |
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Separation of the emotions of a painful event or situation from the facts involved; acknowledging the facts but not the emotions Ex: Person shows no emotion when discussing a serious car accident |
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Accepting another person's attitudes, beliefs, and values as one's own Ex: Person who dislikes guns becomes an avid hunter just like his best friend. |
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Unconscious blaming of unacceptable inclinations or thoughts on an external object. Ex: Man who has thought about same-sex sexual relationship but never had one, beats a man who is gay. |
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Excusing one's own behavior to avoid guilt, responsibility, conflict, anxiety or loss of self-respect Ex: Student blames failure on teacher being mean |
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Acting the opposite of what one thinks or feels Ex: Woman who never wanted children becomes a supermom |
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Moving back to a previous developmental stage to feel safe or have needs met Ex: 5-year-old asks for a bottle when new baby is fed. |
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Excluding emotionally painful or anxiety-provoking thoughts and feelings from the conscious awareness Ex: Woman has no memory of the mugging she suffered yesterday. |
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Overt or covert antagonism toward remembering or processing anxiety-producing info Ex: Nurse is too busy to spend time talking with a dying patient |
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Substituting a socially acceptable activity for an impulse that is unacceptable Ex: Person who quit smoking sucks on hard candy at the urge to smoke. |
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Replacing the desired gratification with one that is more readily available Ex: Woman who wants to have her own children opens a day care center |
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Conscious exclusion of unacceptable thoughts and feelings from conscious awareness Ex: Student decides not to think about a parent's illness in order to study for a big test. |
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Exhibiting acceptable behavior to make up for or negate unacceptable behavior Ex: Person who cheats on spouse brings the spouse a bouquet of roses. |
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Erik Erikson's Stages of Psychosocial Development: Theory |
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Definition
There are tasks to be accomplished to maintain well-being and mental health. |
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Stage: Trust versus Mistrust Virtue: Hope Task: View the world as safe and reliable, see relationships as nurturing, stable, dependable |
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Stage: Autonomy versus Shame & Doubt Virtue: Will Task: Achieve a sense of control and free will |
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Stage: Initiative versus Guilt Virtue: Purpose Task: Start developing a conscious; learning to manage anxiety/conflict |
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Stage: Industry versus Inferiority Virtue: Competence Task: Emerging confidence in own abilities; taking pleasure in accomplishments |
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Stage: Identity versus Role Confusion Virtue: Fidelity Task: Formulating a sense of self and belonging |
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Stage: Intimacy versus Isolation Virtue: Love Task: Forming adult, loving relationships and meaningful attachments to others |
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Stage: Generativity versus Stagnation Virtue: Care Task: Being creative and productive; establishing the next generation |
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Stage: Ego Integrity versus Despair Virtue: Wisdom Task: Accepting responsibility for one's self and life |
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Jean Piaget: Cognitive Stages of Development (Theory) |
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How intelligence and cognitive functioning develop |
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Birth to 2 * Sense of self as separate from environment * Concept of object permanence * Begins to form mental images |
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2-6 * Development of ability to express self with language * Understands meaning of symbolic gestures * Begins to classify objects |
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(Piaget) Concrete Operations |
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6-12 * Child begins to apply logic to thinking * Understands spatiality and reversibility * Increasingly social * Able to apply rules * Thinking is STILL concrete |
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(Piaget) Formal Operations |
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12-15 * Child learns to think and reason in abstract terms * Child further develops logical thinking and reasoning * Achieves cognitive maturity |
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Harry Stack Sullivan (theory) |
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Definition
Interpersonal Relationship Development |
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(Harry Stack Sullivan) Prototaxic Mode |
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Characteristic of infancy and early childhood Unconnected, brief experiences (*Adults with schizophrenia exhibit this mode) |
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(Harry Stack Sullivan) Parataxic Mode |
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Characteristic of early childhood Child begins to connect experiences in sequence; can be easily interrupted, not solidified *Paranoia and slips of the tongue |
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(Harry Stack Sullivan) Syntaxic Mode |
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Definition
Characteristic of school-aged children and becomes more predominant in preadolescence Child sees self and world in context of the environment Can analyze experiences in a variety of settings Maturity! |
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(Harry Stack Sullivan) Milieu |
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Definition
Therapeutic community where people come and work as a group to accomplish tasks. |
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Abraham Maslow: Hierarchy of Needs |
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Definition
Physiological: food, water, sleep, shelter Safety and security Love and belonging Self-esteem Self-actualization |
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(Carl Rogers) Central Concepts |
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* Unconditional positive regard: non-judgemental * Genuineness: congruence * Empathetic understanding: therapist sense the feelings and personal meaning from the client and communicates this understanding to the client. |
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Classical conditioning * Behavior can be changed through conditioning with external or environmental conditions or stimuli |
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Operant conditioning * People learn their behavior from their history or past experiences, especially those that were repeatedly reinforced. "All behavior is learned." |
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(B. F. Skinner) Positive reinforcers |
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Follow a behavior and increase the likelihood that the behavior will recur. |
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(B. F. Skinner) Negative reinforcers |
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Removed after a behavior and increase the likelihood that the behavior will recur |
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(B. F. Skinner) Systematic Desensitization |
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Definition
Used to help clients overcome irrational fears and anxiety associated with phobias. |
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focuses on immediate thought processing: *How a person perceives or interprets his experience determines how he feels and behaves. *Help them change how they think about experiences: "stinking thinking" |
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Rational Emotive Therapy (Albert Ellis) |
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Definition
11 irrational beliefs that people use to make themselves unhappy. *Client blames unhappiness on a person who doesn't return his/her love. |
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Therapy used WITH conventional medicine practices * Ex. Study on the use of chiropractic massage and antidepressant medication to treat depression. |
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Therapy used IN PLACE of conventional treatment *Traditional Chinese medicine * Naturopathic * Homeopathic |
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Partnership between the patient and the doctor, where the goal is to treat the mind, body and spirit, all at the same time. |
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