Term
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Definition
| Learning in which a natural response is elicited by a learned stimulus |
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Term
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Definition
| drastic changes to personality to avoid emotional stress |
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Term
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Definition
Process whereby avoided areas and feelings are transferred to some neutral person or object
Husband > wife, Wife >child |
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Term
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Definition
| Partially remaining at a more childish level of development |
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Term
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Definition
| An unacceptable internal impulse is attributed to an external source |
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Term
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Definition
| Process whereby a warded off feeling or idea is replaced by an emphasis on its opposite |
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Definition
| Belief that people are either all good or all bad |
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Term
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Definition
| guilty feelings alleviated by unsolicited generosity towards others |
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Term
| Infant deprivation effects |
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Definition
| Weak, wordless, wanting, wary |
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Term
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Definition
| Failure to provide a child with adequate food, shelter, supervision, eduction or affection |
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Term
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Definition
Onset before Age 7
Decreased frontal lobe volumes
Tx: methylphenidate, atomoxetine, dextroamphetamine |
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Term
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Definition
Onset before age 18
Sudden, rapid, recurrent, nonrythmic, sterotyped motor and vocal tics that persist > 1yr
Tx: antipsychotics |
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Term
| Seperation anxiety disorder |
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Definition
Common onset at 7-9 years of age
Factitious physical complaints
SSRIs, relaxation techniques |
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Term
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Definition
X linked, exclusively in girls
Regression, loss of development around ages 1-4
Mental retardation, ataxia, stereotyped hand wringing |
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Term
| Child disintegrative disorder |
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Definition
Age of onset 3-4 yrs
Marked regression in multiple areas of functioning, after 2 years of normal development
More common in boys |
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Term
| NT changes in diff diseases |
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Definition
Anxiety: Inc NE; Dec GABA, serotonin
Depression: Dec NE, serotonin, and dopamine
Alzhemiers: Dec Ach
Huntingtons: Dec GABA, Ach; Inc Ach
Schizophrenia: Inc DA
Parkinsons: Dec DA; Inc serotonin and ach |
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Term
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Definition
Anterograde amnesion caused by thiamine deficiency, assoc destruction of the mammillary bodies.
Assoc with confabulations |
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Term
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Definition
| Inability to recall important personal information |
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Term
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Definition
Waxing and waning consciousness with acute onset
Disorganized thinking, hallucinations (often visual), disturbances in sleep wake cycle
*check for drugs with anticholinergic effects |
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Term
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Definition
Visual- most commonly from medical illness
Auditory- psych illness
olfactory- psychomotor epilepsy and brain tumors
Gustatoy- rare
Tactile- alcohol withdrawal, cocaine abusers
Hypnogogic - Occurs when going to sleep
Hypnopompic - occurs while waking from sleep |
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Term
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Definition
| Decline in mental status happening over 6 months |
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Term
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Definition
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Term
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Definition
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Term
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Definition
| At leat 2 weeks of stable mood with psychotic symptoms, plus a major depressive, manic or mixed episode |
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Term
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Definition
| Fixed, persistent non bizarre belief system lasting > 1 month |
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Term
| Dissociative identity disorder |
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Definition
Multiple personality disorder
History of sexual abuse |
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Term
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Definition
| Persistently elevated, expansive or irritable mood lasting over 1 week |
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Term
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Definition
At least one manic or hypomanic episode
*Do not use antidepressants
Tx: mood stabilizers, atypical antipsychotics |
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Term
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Definition
| Milder form of bipolar, lasting at least 2 years |
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Term
| Major depressive disorder |
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Definition
Self limited disorder with major depressive symptoms, lasting 6-12 months
At least 5 of the symptoms for 2 or more weeks
SIG E CAPS |
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Term
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Definition
Mood reactivity, reversed vegetative symptomts (hypersomnia, weight gain), leaden paralysis
Most common subtype
Tx: MAOIs, SSRIs |
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Term
| Maternal (postpartum) blues |
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Definition
Starts 2-3 days after delivery
Usually resolves within 10-14 days
Tx: supportive |
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Term
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Definition
Starts within 4 weeks of delivery, lasts 2 weeks to a year or more
Tx: antidepressants, psychotherapy |
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Term
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Definition
Delusions, hallucinations, possible homicidal, suicidal attemps
Lasts days to 4-6 weeks
Tx: antipsychotics, antidepressants |
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Term
| Risk factors for suicide completion |
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Definition
| Ethanol, sickness, no spouse, etc |
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Term
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Definition
Peaks in 10 min
Tx: SSRIs, venlafaxine, benzodiazepines |
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Term
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Definition
Associated with tourette's syndrome
Tx: SSRIs, clomipramine |
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Term
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Definition
Persisten reexperiencing of a traumatic event
Disturbance lasts >1 month
Tx: psychotherapy, SSRIs |
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Term
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Definition
| Lasts between 2 days and 1 month |
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Term
| Generalized anxiety disorder |
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Definition
Uncontrollable anxiety for at least 6 months
Assoc sleep disturbances, fatigue
Tx: SSRI's, SNRIs |
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Term
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Definition
emotional symptoms causing impairment
Lasting < 6 months |
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Term
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Definition
| Physical symptoms with no identifiable physical cause. Unconcious drives |
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Term
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Definition
| Multiple organ systems (at least 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic) over a period of years, developing before age 30 |
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Term
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Definition
Preoccupation with minor or imagined defect in appearance
Often seeks cosmetic surgery |
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Term
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Definition
Weird:
Paranoid- projection major defense
Schizoid- loner, voluntary withdrawal
Schizotypal- Odd beliefs or magical thinking |
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Term
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Definition
Wild:
Antisocial- conduct disorder for over 18yrs old
Borderline- Unstable mood, self mutilation
Histrionic- sexually provocative
Narcissistic- Grandiosity |
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Term
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Definition
Worried:
Avoidant- Hypersensitive to rejection, desires relationships
OCD
Dependent- submissive and clingy, low self confidence |
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Term
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Definition
Tox: GGT, AST>ALT
WD: DT, use Benzos |
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Term
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Definition
Tox: Dec gag reflex, pinpoint pupils. Tx: naloxone
WD: Sweating, dil pupils, flu like symptoms Tx: methadone |
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Term
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Definition
Tox: marked resp depression
WD: Life threatening cardiovascular collapse |
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Term
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Definition
Tox: Ataxia, Tx: flumazenil
WD: Rebound anxiety, seizure |
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Term
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Definition
Tox: Cardiac arrythmias, anxiety
WD: Depression, lethargy, weight gain, HA |
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Term
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Definition
Tox: Pupillary dilation
WD: increased appetite, hyper somnolence |
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Term
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Definition
Tox: Pupil dilation, sudden cardiac death Tx: benzos
WD: Malaise, craving |
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Term
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Definition
Tox: Agitation, analgesia Tx: benzos, rapid acting AP
WD: Depression, disturbance of thought and sleep |
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Term
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Definition
| Tox: perceptual distortion |
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Term
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Definition
At risk for Hepatitis, abscess, OD, hemorrhoids, AIDS, Right sided endocarditis
Tx: naloxone and buprenorphine- partial agonist, long acting with fewer WD symptoms than methadone |
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Term
| Wernicke Korsakoff Syndrome |
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Definition
Thiamine def.
Confusion, opthalmoplegia, and ataxia
May progress to irreversible memory loss, confabulation, personality change
Replace Vit B1- Thiamine |
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Term
| Treatment for certain conditions |
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Definition
Anxiety- SSRIs, SNRIs, buspirone
ADHD- Methylphenidate, amphetamines
Bipolar disorder- Lithium, VPA, Carbemazapine
OCD- Clomiprimine
Panic disorder- venlafaxine, benzodiazepines
Schizophrenia - Antipsychotics
Tourette's syndrome - Antipsychotics |
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Term
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Definition
Methylpehnidate, dextroamphetamine, methamphetamine
Inc catecholamines in the synaptic cleft
ADHD, narcolepsy, appetite control |
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Term
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Definition
Trifluoperazine, Fluphenazine, Haloperidol
"Tri to fly high"
EPS side effects |
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Term
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Definition
Chlorpromazine, thiroidazine
Anticholinergic, antihistamine, and a1 blockade
Chlor- corneal deposits
Thior - retinal deposits |
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Term
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Definition
Block dopamine D2 receptors
Highly lipid soluble and stored in body fats
Hyperprolactinemia from DA antagonism
NMS- rigidity, myoglobinuria, autonomic instability, hyperpyrexia Tx: Dantrolene, bromocriptine |
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Term
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Definition
Olanzapine, clozapine, quetiapine, risperidone, aripiprazole, ziprasidone
Varied effects on serotonin, DA and a and H1 receptors
Both positive and negative symptoms
Olan/Cloz- significant weight gain
Cloz - agranulocytosis and seizure
Ziprasidone - prolong the QT |
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Term
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Definition
Mood stabilizer for Bipolar - blocks relapse and acute manic events, also SIADH
Cause polyuria (AHD nephrogenic DI), teratogenesis (Ebsteins), |
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Term
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Definition
Stim serotonin Rs
Generalized anxiety disorder
*Takes 1-2 weeks to have an effect |
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Term
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Definition
Fluoxetine, Paroxetine, Sertraline, Citalopram
Can cause GI distress, Sexual dysfunction
Serotonin syndrome - (inc risk with MAOI, SNRI, TCA) Hyperthermia, confusion, myoclonus, cardiovascular collapse, flushing, diarrhea, seizures Tx: cyproheptadine |
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Term
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Definition
Venlafaxine, duloxetine, Nefazodone
Depression, GAD, panic disorders
Increased BP, sedation, nausea |
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Term
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Definition
Amitryptiline, doxepin, amoxepine
Block reuptake of NE and serotonin
Major depression, bedwetting (imipramine), OCD (clomiprimine)
Sedation, atropine like side effect
Convulsions, coma, cardiotoxicity (Tx with NaHCO3) |
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Term
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Definition
Trancypromine, Phenelzine, Isocarboxyzid, Selegiline
Increase levels of amine NTs (NE, 5HT, DA)
Use - atypical depression, anxiety, hypochondiasis
Tox - hypertensive crisis with ingestion of tyramine containing foods |
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Term
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Definition
Smoking cessation
Inc NE and DA
Tox: stimulant effects, no sexual side effects |
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Term
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Definition
a2 antagonist - Inc release of NE and serotonin
Tox- sedation, inc appetite
*good for elderly and anorexics |
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Term
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Definition
Blocks NE reuptake
Orthostatic htn side effect |
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Term
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Definition
Blocks serotonin reuptake
Primarily for insomnia
Pripaism, nausea, postural Hypotension |
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