Psych Exam 3

illness anxiety disorder/hypochondriasis

client experiences constant thoughts about having a significant illness for at least 6 months

functional neurological symptom/conversion disorder

motor weakness, tremors, reduced tactile, visual, auditory but no actual biological cause

onset precipitated by extreme stress

factitious disorder/munchausen syndrome

client falsifies their symptoms and self-induces symptoms but seperate from malingering (think the act)

dissociative amnesia

largely associated with traumatic events and described as the client being unable to recall events related to their history

dissociative identity disorder

sudden and temporary changes in consciousness, behavior and identity- characterized by two or more distinct personality states (alters)

personality disorders

inflexible, maladaptive, and cause significant functional impairment or subjective distress

cluster a “eccentric”

paranoid, schizoid, schizotypal

cluster b “erratic”

borderline, narcissistic, histrionic, antisocial

cluster c “anxious”

avoidant, dependent, obsessive-compulsive

paranoid PD A

apparent in childhood

social anxiety, jealous

tend to reject treatment

minimal group therapy; adhere to schedule

schizoid PD A

“i prefer to be alone”

appear in childhood- loners

poor academic performance; no close relationship

nurse don’t be too nice

schizotypal PD A

“leave me alone or I will make you disappear”

severe social deficits

vulnerable to cults

may have brief hallucinations, suspiciousness

histrionic PD B

“look at me!”

excitable, dramatic, high functioning

excessive emotions

seductive behavior

narcissistic PD B

entitlement, lack of empathy

remain neutral; avoid power struggles

not likely to seek help

antisocial PD B

profound lack of empathy

absence of remorse or guilt

patients are dishonest

look for deceit and manipulative

high-risk taking, disregard

borderline personality disorder PD B

“I hate you, don’t leave me”

10% suicide and mortlity rate 85% BPD patients have comorbid

instability in emotional control/regulation, impulsive

avoidant PD C

low self esteem

shyness worse with age

preoccuppied with rejection, humiliation, failure

dependent PD C

“my husband handles everything for me”

submissive; fears seperation

obsessive-compulsive PD C

rigid; inflexible

constant rehearsals of social responses

tend to seek help because of disruptions

clomipramine or fluoxetine

cluster a solutions

finding and maintaining interpersonal relationships

cluster b solutions

safety and maintaining boundaries

cluster c solutions

decrease anxiety

anorexia nervosa

self induced starvation

restriction of energy intake

intense fear of gaining weight

disturbance of which ones body weight/shape

thin, hypotensive, bradycardia, dysrhythmias

dry skin, mottled or orange-yellow skin cast, LANUGO

down electrolytes

bulimia nervosa

binge eating followed by purging

maintain weight within normal range

one a week for 3 months at least

DENTAL EROSION, russels sign (calc on knuckles)

binge-eating disorder

repeated rapid consumption of large amounts food, unrelated to hunger

67% of obese Americans

avoidant restrictive food intake disorder

inflexible eating habits, strong sensory aversion/fear of certain foods

orthorexia

obsesses with clean food

diabulimia

diabetics stop taking insulin in order to lose weight

pica

eating non-edible foods and common in children

rumination

chewing, reswallowing, or spitting out regurgitated food

refeeding syndrome

dangerous, fatal complication

starvation causes muscle atrophy → cardiac collapse from edema and electrolyte imbalance occurring due to restoration of fluid and nutritional intake