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MODULE 1: MOOD DISORDERS
OCD difference in children vs adults - ANSWER ✓ children and adolescents with
OCD usually do not consider their obsessional thoughts or repetitive behaviors to
be unreasonable
describe EMDR - ANSWER ✓ Eye Movement Desensitization and Reprocessing
Therapy includes repeatedly recalling distressing images while receiving sensory
inputs
risk factors for development of PTSD - ANSWER ✓ childhood emotional
problems by age 6, childhood adversity, family psychiatric history, female gender
and younger age at time of trauma exposure
sexual behavior between a child and an adult or between two children when one of
them is significantly older or uses coercion - ANSWER ✓ sexual abuse
the failure to provide adequate care and protection for children - ANSWER ✓
physical neglect
when a person conveys to a child that he or she is worthless, flawed, unloved,
unwanted, or endangered - ANSWER ✓ physiological neglect
4 dimensions of OCD - ANSWER ✓ contamination, pathological doubt, intrusive
thoughts, symmetry
, ideas of reference believing that other people take special notice of them or mock
them because of how they look - ANSWER ✓ body dysmorphic disorder
experiences of unreality, detachment, or being an outside observer with respect to
one's thoughts, feelings, sensations, body, or actions - ANSWER ✓
depersonalization
repetitive behaviors or mental acts that the individual feels driven to perform in
response to an obsession or according to rules that must be applied rigidly -
ANSWER ✓ compulsions
continuous amnesia - ANSWER ✓ failure to recall successive events as they
occur
generalized amnesia - ANSWER ✓ failure to recall one's entire life
localized amnesia - ANSWER ✓ inability to recall events related to a
circumscribed period of time
5 phases of intrafamilial sexual abuse - ANSWER ✓ engagement phase, sexual
interaction, secrecy phase, disclosure phase, suppression phase,
engagement phase: - ANSWER ✓ adult induces child into a special relationship
sexual interaction phase - ANSWER ✓ progress from less to more intrusive
secrecy phase - ANSWER ✓ threatens victim not to tell, perpetrator becomes
possessive
disclosure phase - ANSWER ✓ accidental or when clinician asks the right
questions
suppression phase - ANSWER ✓ child often retracts statements due to pressure
from family or own mental processes.
state of sleep wherein nightmares occur in PTSD - ANSWER ✓ rapid eye
movement (REM) sleep
, complications of trichotillomania - ANSWER ✓ social and occupational
impairment, irreversible damage to hair growth or hair quality, digit purpura,
musculoskeletal injury such as carpal tunnel syndrome, blepharitis, dental damage
swallowing of hair - ANSWER ✓ trichophagia
appropriate treatment for insomnia in a patient with PTSD - ANSWER ✓
Prazosin
3 medications appropriate for use in patients with co-occurring PTSD and OCD -
ANSWER ✓ sertraline, clonidine, propranolol
appropriate psychopharmacological agents for improving PTSD symptoms in
pediatric patients - ANSWER ✓ SSRIs like Zoloft or Paxil, Buspirone, Tofranil
and Elavil, Clonidine, Propranolol
which SSRI has been FDA approved for the treatment of PTSD - ANSWER ✓
Sertraline and Paroxetine
long term insomnia in PTSD may be treated with what - ANSWER ✓ CBTI
MODULE 4: SCHIZOPHRENIA SPECTRUM AND OTHER PSYCHOTIC
DISORDERS - ANSWER ✓
Risk factors for development of acute akathisia - ANSWER ✓ elderly female,
young adults, high caffeine intake, high potency FGA; lower risk with SGAs and
TGAs, genetic predisposition, anxiety, diagnosis of mood disorder, microcytic
anemia, low serum ferritin, concurrent use of SSRI
diminished speech output - ANSWER ✓ alogia
decreased ability to experience pleasure - ANSWER ✓ anhedonia
purposeless and excessive motor activity without obvious cause - ANSWER ✓
catatonic excitement
overactivation of what area of the brain is thought to be the origin of auditory
hallucinations - ANSWER ✓ auditory system (Wernicke's area)
, best characteristic of psychosis and most common type of hallucinations -
ANSWER ✓ auditory hallucinations
seeing that which is not there in reality, usually more limited in duration; more
common in children than adults; predictive of a more severe illness - ANSWER ✓
visual hallucinations
strange tastes, fairly common in those with epilepsy - ANSWER ✓ gustatory
hallucinations
What are some common comorbid disorders co-occurring in patients with Bipolar
II? - ANSWER ✓ Anxiety
Substance abuse.
26. What specifiers are used with Bipolar Disorders and what are their
symptoms/features/characteristics? - ANSWER ✓
How do adolescents typically present with a manic episode? Why is this often
misdiagnosed? - ANSWER ✓ Symptoms may include psychosis, alcohol or other
substance abuse, suicide attempts, academic problems, philosophical brooding,
OCD symptoms, multiple somatic complaints, marked irritability resulting in
fights, and other antisocial behaviors severe or persistent.
High incidence of psychotic features including both delusions and hallucinations,
which most typically involve grandiose notions about their power, worth, and
relationships. Persecutory delusions and flight of ideas are also common. Overall,
gross impairment of reality testing is common in adolescent manic episodes.
Often misdiagnosed as antisocial personality disorder or schizophrenia.
How does the clinician distinguish between a manic episode and schizophrenia? -
ANSWER ✓ Manic episodes = Merriment, elation, and infectiousness of mood
and also the combination of a manic mood, rapid or pressured speech, and
hyperactivity. The onset in a manic episode is often rapid and is perceived as a
marked change from a patient's previous behavior. Manic symptoms in persons
from minority groups (particularly blacks and Hispanics) are often misdiagnosed
as schizophrenic symptoms.