Psych Exam

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  1. Major depression
  2. Adjustment disorder
  3. Persistent depressive disorder (dysthymia)
  4. Bipolar disorder
    • probably overdiagnosed
    • 2.6% of US adults, 89% of those are severe

    • Mania: type 1
    • Hypomania: type 2
  5. Tri-partite model
    • ID: instinctual drives
    • fully unconscious
    • pleasure¬†
    • Ego: mediates ID's drive with reality
    • ego defenses - lessen pain of inner conflict
    • super-ego: internal moral compass
    • right and wrong
    • from parents and society
  6. Object relations theory
    • Object- person who is target of emotions, usually mother
    • relations- interpersonal relationships, often past
    • individual carries childhood dynamics into adult and uses to predict others
    • helpful for some personality disorders

    • "good enough" mother for development
    • "not me" object (blanket or doll) to lesson separation
  7. self theory - Kohut
    • understand ourselves through empathy toward others
    • development of "self object"
    • pathology when emotional deprivation in relationships, especially early
    • ex- depressed mother can't provide connection with child, child doesn't develop self object
  8. Conditioning
    • Classical: Pavlov's dogs
    • trains involuntary response to neutral stimuls by association
    • stimulus comes BEFORE the behavior
    • Operant: Skinner
    • applies reinforcement or punishment after a behavior
    • goal is to increase/dec behavior
    • reinforcement- increase
    • punishment - decrease
  9. Humanistic perspective
    • Carl Rogers, abraham maslow
    • person is center of their universe
    • people are basically good
    • understand their frame of reference and offer unconditional positive regard
  10. existential perspective
    • people struggle with meaninglessness, lack of purpose, death, freedom
    • focus on helping person live in line with their values, talk about personal meaning
    • "what kind of life do you want to live?"
  11. Maslow's hierarchy of needs
    • physiological- breathing food, water, sex, sleep, excretion
    • safety- security¬†
    • love/belonging- friends, family, sex
    • esteem- self, confidence
    • self-actualization- morality, creativity, problem solving, acceptance

    people need to meet basic needs before solving higher problems
  12. cognitive behavioral perspective
    • thoughts lead to feelings which lead to behaviors
    • automatic thoughts- spontaneous neg streaming thoughts
    • irrational assumptions- incorrect interpretations
    • errors in logic - cognitive distortions, usually neg

    • CBT: therapy
    • help identify thoughts which are separate from feelings, and id behaviors that follow
    • useful in depression, anxiety, and substance abuse
    • be careful about telling patients they're wrong and to change thoughts/feelings
  13. anorexia nervosa
    • low body weight
    • fear of weight gain, behavior to prevent it
    • body image disturbance
  14. bulimia nervosa
    • Part 1: the binge
    • eating more than someone would in 2 hrs
    • lack of control during that time
    • no pleasure in the binge, secret, guilt
    • Part 2: the compensatory part of it
    • binge-purge cycle 1x/week for 3 months
    • sometimes calluses on knuckles from teeth
    • restriction- eating a lot one day
    • laxatives
    • over exercising
    • compensating b/c you binged
  15. binge eating disorder
    • binging but with no compensatory behavior
    • 1x/week for 3 months
    • very common
    • male dominates
  16. avoidant/restrictive food intake disorder
    • little interest in food
    • can be sensory related, texture, temp, color of food
    • aversive experience- choked before, afraid of something happening again

    • Weight loss
    • nutritional deficiency
    • psychosocial impairment
    • need for alternative feeding
    • not related to body image, availability, culture
  17. Other specified eating disorders
    • purging disorder
    • atypical anorexia
    • subthreshold bulimia
    • subthreshold binge eating disorder
    • night eating syndrom

    taken out in DSM V and added these categories
  18. purging disorder
    bulimia w/o the binge
  19. atypical anorexia
    axorexia but not under weight
  20. subthreshold bulimia or binge eating disorder
    lower frequency of bulimia/binge
  21. night eating syndrome
    • awakenings from sleep that require food to sleep
    • >25% of eating after dinner
    • not explained by other disorder
    • doesn't have to be every night
  22. Medical problems of anorexia, ARFID
    not getting enough calories for energy

    • Metabolic: problems
    • refeeding syndrome- stop breaking down stuff and begin building, insulin, phosphate into cell, push too hard, heart freaks out, heart failure
    • plateau effect
    • hypercortisolemia
    • GI: problems
    • slowing down
    • SMA syndrome- small bowel obstruction from SMA hitting duodenum
    • Cardiac: problems
    • heartrate changes, hypotension
    • hyponatremia
    • Endocrine: problems
    • bone problems
  23. Med complications of BN/ purging
    • related to methods of purging or binging
  24. Med complications of BED, NES
    • more related to obesity

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Psych Exam
2015-09-25 14:41:00

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