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GNRS 534 Test 1
Question | Answer |
---|---|
Case formulation | Biopsychosocial Formulations - “a creative synthesis of a clinical case, drawing on elements from the levels of biology, psychology, and sociology and expressed chronologically.” (Ross, 2000). |
4 primary tasks for the diagnostic interview: | Build a therapeutic alliance * Obtain the psychiatric database Interview for diagnosis Negotiate a treatment plan with your patient. (p.2) |
The 4 P’s of case formulation: | Predisposing factors * Precipitating factors Perpetuating Factors Protective Factors |
Serotonin (5-hydroxytryptamine or 5-HT)- serotonin regulates | sleep, appetite, and libido. A dysfunction in the serotonin-circuit can result in disruptions in sleep, decrease in the ability to sleep, low sex-drive, irritability and poor impulse control. |
Norepinephrine - | When an individual has a deficiency of this neurotransmitter it can result in apathy, reduced responsiveness, or slowed psychomotor activity |
About ___ of individuals evaluated for depression have previously undetected thyroid dysfunction | 5-10% |
Risk factors for depressive disorders | Risk factors for depressive disorders Female gender Being unmarried Low socioeconomic class Early childhood trauma Presence of a negative life event (loss & humiliation) Family hx of depression (1st degree relatives). lives alone? |
dysthymic d/o | * Characterized by chronic depressive syndrome usually present for most of day, more days than not, for at least a 2-year period (APA, 2000b) |
manic episode | persistently elevated, expansive, or irritable mood and abnormally and persistently increased goal-directed activity or energylasting at least 1 week and present most of the day, nearly every day (or any duration of hospitalization is necessary). |
no insight | ANOSOGNOSIA |
Moderate anxiety is… | likely to focus exclusively on the stressful situation directly in front of you and ignore other tasks- might experience a faster heartbeat, dry mouth, sweating and stomach pain or nausea. Your speech may be rapid and high-pitched |
What is the dopamine hypothesis? | attributes symptoms of schizophrenia (like psychoses) to a disturbed and hyperactive dopaminergic signal transduction. The model draws evidence from the observation that a large number of antipsychotics have dopamine-receptor antagonistic effects |
Schizophrenia: CHARACTERISTIC SYMPTOMS (2 or more for 1-month). Each present for a significant portion of time during a 1 month period. | -Delusions -Hallucinations -Disorganized speech -Grossly disorganized or catatonic behavior -Negative symptom |
Anxiety- Neurotransmitters involved in suppressing the Hypothalamus-Pituitary Axis (HPA) are | SEROTONIN and GABA- for decreasing anxietyà none of the above answer |
Anxiety does what? | serotonin ↓ anxiety |
MSE a lot of questions on this- what is the purpose of it? | two purposes 1. Helps make a diagnosis 2. create a thorough picture of your patient for charting |
Psychiatric interview- when to introduce HIPPA | The opening Phase:Building the therapeutic alliance |
Know purpose of each part of the interview | A. Build therapeutic alliance B. Obtain the psychiatric data base C. Interview for diagnosis D. Negotiate a tx plan |
case scenario- mass shooting | PTSD |
Bipolar and thyroid- what % of pts have thyroid issues | ? |
case scenario with heart palpitations…chest pain | Panic d/o |
Last part of the interview is called… | Pros...The only thing I can find is Closing phase |
DSM is divided into 7 chunks to help dx easier T/F | F- divided- 3 Sections, using Roman numerals for Sections- also divided into: *Neurodevelopmental disorders. •Schizophrenia spectrum/psychotic d/o. •Bipolar * Depressive d/o. •Anxiety disorders. •Obsessive-compulsive •Trauma •Dissociative disorders. |
2 biggest anxiety d/o- | GAD and SAD |
What is the purpose of the case formulation? – | a. Helps us understand our patients B. Provides a foundation for treatment C.provides a written record of communication. |
Question on GABA | ? |
Tp/TC—what is thought content include: | Thought Content: SI/HI/Hallucinations, delusions, psychotic ideation (all of the above) Thought Process: Flow of thoughts- coherent vs. incoherent |
TP/TC in r/t MSA | ? |
schizophrenia to be dx has to be present for... | 6 months-- (schizophreniform is from 1 and <6 months) |
MSE is done when | The Body of the Interview: Interviewing for a diagnosis |
Components of MSE | Appearance, Behavior, Speech, Affect, Thought Process, Thought Content, Cognitive Examination |