Term
| somatoform disorders (def) |
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Definition
characterized by physical symptoms suggesting medical disease
-with out demonstrable organic pathology or a known pathophysiological mechanism to account for them
--manifestations of disease without cause for them |
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Term
| somatization disorder (def) |
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Definition
chronic syndrome of multiple somatic symptoms that are not explained medically
associated with psychosocial distress and long-term seeking of assistance from health care professionals
-chronic, suicide, anxiety and depression common,
-drug use uncommon
-patients are emotionally sensitive and dependent on others |
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Term
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Definition
severe and prolonged pain that causes clinically significant distress or impair social, occupation and ect functioning
-may have physical cause but still related to stressful situations
-substance abuse and depression are common with pain disorder |
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Term
what potentates pain disorder
primary and secondary gains |
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Definition
primary gains: pain allows pt to avoid unpleasant activity
secondary gains: pain promotes emotional support or attention to client |
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Term
what potentates pain disorder
tertiary gains |
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Definition
in dysfunctional family
pain can take prescience over conflict |
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Term
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Definition
preoccupation with fear of contracting disease or belief of having a serious disease
-fear becomes debilitating, pt needs constant reassurance that they have no illness.
-exaggeration of sx of identified disease
-dep, anxiety and OCD common |
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Term
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Definition
loss or change in body function related to psychological conflict
-physical symptoms not explained by physiological disorder
-AKA hysteria |
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Term
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Definition
in conversion disorder
patient lack of concern related to symptoms, keys physician into psychological not physical origin |
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Term
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Definition
exaggerated belief that the body is dis-formed or defective in some way.
-depression anxiety and OCD are common |
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Term
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Definition
-genetic
-biochemical (dec serotonin and edorphins-pain)
-family theory (brings stability and focus on child)
-learning *primary gain and *secondary gain and 3rd gain |
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Term
| psychodynamic theory on hypochondriacs |
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Definition
| ego defense mechanism, low self-esteem, something is wrong with them so it must be physical not mental |
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Term
| psychodynamic theory on conversion disorder |
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Definition
emotions associated with traumatic event are too unacceptable
emotions converted to physical symptoms |
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Term
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Definition
false pregnancy
-associated with conversion disorder |
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Term
| dissociative disorders (def) |
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Definition
disruption in usually integrated functions of
-consciousness, identity, memory and perception of environment |
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Term
| depersonalization disorder (def) |
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Definition
-out of body experience
-depersonalization: disturbance in perception of ones self
-derealization: alteration in perception of external environment (heads are too big for body)
-occurs with hypochondriacs, anxiety and personality disorders |
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Term
depersonalization disorder
Sx |
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Definition
-anxiety and depression
-fear of going insane
-obsessive thoughts
-somatic complaints
-disturbance in subjective sense of time |
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Term
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Definition
-inability to recall important personal data (more intense than ordinary forgetfulness)
-not related to substance or medical condition
-occurs with conversion and personality disorders |
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Term
| what are the five steps in disturbance in recall? |
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Definition
localized amnesia
selective amnesia
continuous amnesia
generalized amnesia
systematized amnesia |
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Term
five steps in disturbance of recall
localized amnesia |
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Definition
| inability to recall allll incidents associated with the traumatic event for a specific period following the event |
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Term
five steps in disturbance of recall
selective amnesia |
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Definition
| inability to recall only certain incidents associated with traumatic event for a specific period following the event |
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Term
five steps in disturbance of recall
continuous amnesia |
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Definition
| inability to recall events occurring after a specific time up to and including the present |
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Term
five steps in disturbance of recall
generalized amnesia |
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Definition
inability to recall anything that has happened during the individual's entire life time,
-including personal identity |
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Term
five steps in disturbance of recall
systematized amnesia |
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Definition
inability to recall events relating to a specific category of information
-such as one's family or one person or event |
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Term
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Definition
sudden, unexpected travel away from home or workplace
-unable to recall identity and assumption of new identity is common
-common with war, natural disaster and intense stress (PTSD) |
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Term
| dissociative identity disorder (DID) |
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Definition
-existence of two or more personalities
-transition btwn personalities is sudden and dramatic
-related to stress (PTSD, borderline personality disorder, and sex eating or sleep disorders) |
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Term
| what are dissociative disorders associated with? |
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Definition
| all are associated with mood disorders and substance abuse |
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Term
| Etiology of dissociative disorders |
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Definition
-genetics
-neurobiological
-psychodynamic- repression and defense against unresolved pain
-physiological trauma |
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Term
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Definition
-disturbed thought process
-ineffective coping
-disturbed personal identity
-disturbed sensory perception
-risk for self mutilation |
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Term
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Definition
-individual psychotherapy
-hypnosis
-supportive care
-DID- integration therapy |
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Term
| Dialectical Behavioral Therapy (DBT) |
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Definition
treatment of choice for DID by Linehan (UW)
-teaches etiology of DID
-pts identify symptoms, how to cope with them and skills that are effective
-to decrease crisis, hospitalizations and length of stay |
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Term
| alcohol affects on the body |
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Definition
peripheral neuropathy
alcoholic myopathy
wernicke-korsakoff syndrome
alcoholic cardiomyopathy
esophagitis
gastritis
pancreatitis
alcoholic hepatitis
cirrhosis
leukopenia
thrombocytopenia
sexual dysfunction |
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Term
alcohol affects on the body
peripheral neuropathy |
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Definition
nerve damage resulting in pain, burning, tingling
r/t vit b deficiency
reversible with d/c drinking and administration of vit b |
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Term
alcohol affects on the body
alcoholic myopathy
acute |
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Definition
breakdown of muscle components
muscle pain, weakness and red urine
pain in calfs
r/t vit b deficiency |
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Term
alcohol affects on the body
alcoholic myopathy
chronic |
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Definition
gradual wasting and muscle weakness
no pain, tenderness or elevated enzymes
r/t vit b deficiency |
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Term
alcohol affects on the body
wernicke's |
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Definition
encephalopathy
THIAMINE deficiency
ocular muscle paralysis
ataxia
blurred vision
stupor and solemenence |
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Term
alcohol affects on the body
Korsakoff syndrome |
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Definition
| confusion, loss of memory, confabulation |
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Term
alcohol affects on the body
cardiomyopathy |
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Definition
alcohol causes accumulation of lipids in the heart
enlargement and weakness |
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Term
alcohol affects on the body
esophagitis |
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Definition
inflammation and pain
r/t errosion |
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Term
alcohol affects on the body
gastritis |
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Definition
inflammation of stomach lining
alcohol breaks down protective barrier and h attacks stomach wall |
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Term
alcohol affects on the body
pancreatitis |
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Definition
acute: 1-2 days post binge
chronic: r/t insufficiency |
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Term
alcohol affects on the body
hepatitis |
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Definition
inflammation of the liver
causes lethargy, abdominal pain and elevated WBC
also ascites and wt loss |
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Term
alcohol affects on the body
cirrhosis |
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Definition
r/t chronic liver injury
destruction of liver cells
causes: potral htn, ascities, esophageal varicies, hepatic encepha: amonia isnt flitered leading to brain abnormalities |
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Term
alcohol affects on the body
leukopenia |
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Definition
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Term
alcohol affects on the body
thrombocytopenia |
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Definition
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Term
alcohol affects on the body
sexual dysfunction |
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Definition
related to hormone dysfunction
women: dec mestration, dec pregnancy
men: dec labito, dec preformance |
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