Lecture 1 | DSM-5, Psychiatric Terms | Silk

What is a psychiatrist?

an M.D. or D.O

require a med school and a 4-yr residency

specializes in mental health and can prescribe medications

who is that top of the hierarch in the clinically responsible for the overall mental healthcare of the patient?

Psychiatrists.

Who are psychologists?

someone who gets a Ph.D. (research based) or Psy.D (clinical focus)

typically takes 6-8 years to complete

trained in psychological testing/assessment

can psychologists prescribe?

only in certain states - Idaho included

Define psychiatric mental health nurse practitioner

a registered nurse who specializes in mental health

can perform psychological therapy and administer psychiatric medication

define psychotherapist/clinician

a generic terms for mental health professionals

define mental health couselor

broad term who provides counseling

typically denotes master level clinician

define family and marriage couselor

someone who specializes in common problems

licensed professionals

typically has a master’s level

define social worker

someone who helps people cope with and solve issues in their lives

can specialize as licensed clinical social worker

typically master’s level

define addiction counselor

someone who specializes in substance abuse or gambling problems

wide range of educational backgrounds

define religious/pastoral couselor

someone who focuses on faith related issues

not licensed

define psychiatric pharmacist

specialized through post-graduate residency, training, clinical experience, or a combination

Affect

experiencing of feeling or emotion

i.e. how you respond to an experience

akathisia

a feeling of restlessness

anhedonia

inability to experience pleasure

anosognosia

person is unaware of the existence of his/her disability

typical of dementia

belle indifference

lack of concern and/or feeling of indifference about a disability or symptom

-they are aware of the issue, they just don’t care

cataplexy

sudden loss of muscle tone

catatonia

psychomotor disturbance

tuck in a position or stuck in a repetitive movement

circumstantial speech

unable to answer a question w/o giving excessive, unnecessary detail

clang association

ideas that are related only by similar or rhyming sounds rather than actual meaning

confabulation

confusionof imagination with memory or of true w/ false memories

Coprolalia

involuntary utterance of socially inappropriate phrases

latin translation is poop talking

delusion

firmly held false belief systems

enuresis

repeated inability to control urination

encopresis

repeated voluntary or involuntary inappropriate passage of feces

folie a deux

delusional disorder shared by two or more people

hallucination

sensory experience in the absence of stimulus

mania

abnormally elevated or irritable mood associated w/ bipolar disorder

neologism

nonsensical words or phrases

neurotic or neurosis

mental disorders involving distress but neither delusions nor hallucinations

psychotic or psychosis

mental disorder involving impairment in perceiving reality, marked by hallucinations and/or delusions

paraphilia

intense sexual arousals to atypical objections, situations, fantasies, behaviors, or individulas

perseveration

uncontrollable repetition of a particular response

i.e., people get stuck in the same thing

pica

disorder characterized by an appetite for substances that are largely non-nutritive

synethesia

perception of two or more bodily senses coupled

trichotillomania

hair pulling disorder

waxy flexibility

catatonia where the person can be posed like they were made of wax

word-salad

confused and repetitious language with no apparent meaning

who publishes the DSM-5?

the American psychiatric association

t/f DS-5 and ICD codes typically overlap

true

what is the WHODAS 2.0?

a scale used to indicate how well an individual is functioning in their daily lives

Schizophrenia spectrum and other psychotic disorders

defines by abnormalities in one of the following domains:

delusions

hallucinations

disorganized thinking

grossly disorganized or abnormal motor behavior

negative symptoms

Depressive disorders

common feature is presence of sad, empty or irritable mood, accompanied by somatic and cognitive changes

anxiety disorders

disorders that share features of excessive fear and anxiety and related behavioral disturbances

what is the MSE?

Mental status exam

the psychological equivalent of a physical exam that describes the mental state and behaviors of the patient

standardized neuropsychological test