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Questions and Answers

What distinguishes substance abuse from substance use?

  • Substance abuse occurs outside of sociocultural norms. (correct)
  • Substance use leads to personal problems.
  • Substance abuse occurs within sociocultural norms.
  • Substance use is a habitual pattern of behavior.
  • Which of the following risk factors is NOT associated with ETOH dependence?

  • Higher levels of gray matter in the hippocampus (correct)
  • Early initiation of drinking before age 15
  • Presence of unstable personality disorders
  • Having a family history of alcohol dependence
  • What symptom is characteristic of delirium tremens due to ETOH withdrawal?

  • Hallucinations and disorientation (correct)
  • Loss of consciousness
  • Muscle cramping
  • Severe headaches
  • Which of the following is a recommended strategy for managing the current opioid crisis?

    <p>Training physicians to limit opiate prescriptions to no more than 30 days (B)</p> Signup and view all the answers

    Which is a common personality change associated with Complex Partial Seizures?

    <p>Hyperreligiosity (C)</p> Signup and view all the answers

    What is a common modality used during the rehabilitation phase of addiction treatment?

    <p>Outpatient therapy where they don't acknowledge that they have an issue (D)</p> Signup and view all the answers

    What characterizes grandiose delusions in psychotic disorders?

    <p>Belief of special status or abilities (B)</p> Signup and view all the answers

    Which type of delusion involves belief in underlying health issues?

    <p>Somatic (C)</p> Signup and view all the answers

    What is a defining characteristic of Brief Psychotic Disorder?

    <p>Delusions and hallucinations for less than a month (C)</p> Signup and view all the answers

    What is a hallmark of disorganized thinking in psychotic disorders?

    <p>Derailment or 'word salad' (C)</p> Signup and view all the answers

    Which of the following best describes schizoaffective disorder?

    <p>Combination of schizophrenic symptoms and mood disorder (D)</p> Signup and view all the answers

    What is a characteristic behavior of individuals with Avoidant/Restrictive Food Intake Disorder (ARFID)?

    <p>Picky eating leading to significant weight loss (A)</p> Signup and view all the answers

    Which population is most at risk for developing anorexia nervosa?

    <p>Gay males and female athletes/dancers (B)</p> Signup and view all the answers

    What impact does dieting typically have on long-term weight management?

    <p>Results in resetting of metabolic rate, with weight gain (D)</p> Signup and view all the answers

    What did Bleuler refer to schizophrenia as?

    <p>Shattered mind (B)</p> Signup and view all the answers

    Semaglutide is primarily used to treat which condition?

    <p>Binge eating disorder (A), Bulimia Nervosa (D)</p> Signup and view all the answers

    What is the relationship between dieting and emotional reactivity in anorexia nervosa?

    <p>Emotionally reactive individuals often exhibit perfectionism in dieting (A)</p> Signup and view all the answers

    Which of the following is a primary symptom of schizophrenia?

    <p>Disordered thinking (D)</p> Signup and view all the answers

    Which of the following factors is considered a risk factor for developing schizophrenia?

    <p>Genetic predisposition (A)</p> Signup and view all the answers

    Which statement about body-image distortion in anorexia nervosa is accurate?

    <p>Those suffering feel fat despite being underweight (D)</p> Signup and view all the answers

    During which months is an increased likelihood of being born with schizophrenia noted?

    <p>February-March (C)</p> Signup and view all the answers

    Which of the following is a common demographic finding related to eating disorders?

    <p>Females are more likely to experience dieting than males (B)</p> Signup and view all the answers

    Which of the following correctly describes one of the types of eating habits seen in anorexia nervosa?

    <p>Restrictive food intake leading to a low BMI (B)</p> Signup and view all the answers

    What is a significant mutagenic factor linked to schizophrenia as men age?

    <p>Older sperm (D)</p> Signup and view all the answers

    Which of the following represents positive symptoms of schizophrenia?

    <p>Delusions (B)</p> Signup and view all the answers

    What is a primary concern for males involved in sports related to eating disorders?

    <p>Seeking muscularity at the expense of nutrition (A)</p> Signup and view all the answers

    Which symptom is commonly associated with Anorexia Nervosa?

    <p>Amenorrhea (B)</p> Signup and view all the answers

    What historical belief did Kraeplin associate with schizophrenia?

    <p>Metabolic disorder (A)</p> Signup and view all the answers

    What are the 'Two P's' associated with anorexia nervosa?

    <p>Powerlessness and perfectionism (A)</p> Signup and view all the answers

    What is closely linked to an increased risk of schizophrenia according to adolescent cannabis use?

    <p>Having smoked over 50 times (A)</p> Signup and view all the answers

    What is the primary method of treatment for Bulimia Nervosa?

    <p>High doses of SSRIs (B)</p> Signup and view all the answers

    What type of schizophrenia is characterized by a predominance of social withdrawal and inactivity?

    <p>Negative symptom-predominant (B)</p> Signup and view all the answers

    Which of the following is a consequence of repeated vomiting in Bulimia Nervosa?

    <p>Heart damage (B)</p> Signup and view all the answers

    What distinguishes Binge Eating Disorder from Bulimia Nervosa?

    <p>Individuals are typically medically obese (D)</p> Signup and view all the answers

    Which treatment is less commonly effective for Anorexia Nervosa compared to Bulimia Nervosa?

    <p>Medication with SSRIs (C)</p> Signup and view all the answers

    What does the moral view of addiction emphasize?

    <p>Self-control and personal responsibility (A)</p> Signup and view all the answers

    Which of the following is a potential psychological effect of Binge Eating Disorder?

    <p>Shame and guilt (D)</p> Signup and view all the answers

    In the context of Anorexia Nervosa, which physical symptom reflects the severe impact of the disorder?

    <p>Cyanosis of toes and fingernails (C)</p> Signup and view all the answers

    Relapse in Bulimia Nervosa treatment is considered to be:

    <p>Common and challenging (D)</p> Signup and view all the answers

    Which bodily damage is associated with Anorexia Nervosa?

    <p>Loss of muscle and osteoporosis (C)</p> Signup and view all the answers

    Which of the following is a characteristic feature of Paranoid Personality Disorder?

    <p>Persistent distrust of others (C)</p> Signup and view all the answers

    Which therapy method is aimed at reducing anxiety to facilitate discussions about trauma?

    <p>Polyvagal therapy (C)</p> Signup and view all the answers

    Which personality disorder is characterized by a consistent pattern of instability in relationships and impulsivity?

    <p>Borderline Personality Disorder (A)</p> Signup and view all the answers

    What therapeutic approach involves writing letters to abuser(s) for realigning one's relationship with them?

    <p>Expressive writing (C)</p> Signup and view all the answers

    Which of the following personality disorders is part of Cluster A and is associated with odd or eccentric behavior?

    <p>Schizotypal Personality Disorder (C)</p> Signup and view all the answers

    Which personality disorder is characterized by hypersensitivity to rejection and a desire for relationships despite social withdrawal?

    <p>Avoidant Personality Disorder (C)</p> Signup and view all the answers

    What is a common reason individuals with Borderline Personality Disorder may engage in self-mutilation?

    <p>To focus mental pain onto a physical act (D)</p> Signup and view all the answers

    In terms of long-term treatment for personality disorders, which approach is often utilized?

    <p>Long-term psychotherapy (B)</p> Signup and view all the answers

    Which of the following traits best characterizes Obsessive-Compulsive Personality Disorder?

    <p>Preoccupation with details that hinders overall goal achievement (A)</p> Signup and view all the answers

    What underlying factor is commonly associated with the development of Borderline Personality Disorder?

    <p>Invalidating environments during childhood (C)</p> Signup and view all the answers

    What is a significant risk factor for developing ETOH dependence in younger individuals?

    <p>Drinking before the age of 15 (A)</p> Signup and view all the answers

    Which withdrawal symptom is associated with severe ETOH dependence?

    <p>Delirium tremens (D)</p> Signup and view all the answers

    Which change is commonly associated with Complex Partial Seizures?

    <p>Obsessive focus on minute details (B)</p> Signup and view all the answers

    Which treatment option is considered a substitution therapy in the management of opioid use disorders?

    <p>Methadone (C)</p> Signup and view all the answers

    What type of delusion involves a belief that one has special abilities or status?

    <p>Grandiose delusion (D)</p> Signup and view all the answers

    What characteristic is indicative of substance abuse rather than mere use?

    <p>Ineffective management of personal and social problems (D)</p> Signup and view all the answers

    Which symptom is indicative of disorganized thinking in psychotic disorders?

    <p>Disjointed speech resembling 'word salad' (A)</p> Signup and view all the answers

    Which demographic is notably affected by the current opioid crisis due to factors like smuggling?

    <p>Residents near border states (A)</p> Signup and view all the answers

    Which group is identified as experiencing more severe health problems associated with alcohol use disorders?

    <p>Females with a history of substance abuse (A)</p> Signup and view all the answers

    Which of the following best describes Brief Psychotic Disorder?

    <p>Delusions and hallucinations lasting less than one month (B)</p> Signup and view all the answers

    What describes the typical management approach for ETOH withdrawal symptoms?

    <p>Supervised treatment in a hospital or detox facility is necessary (A)</p> Signup and view all the answers

    What distinguishes schizoaffective disorder from schizophrenia?

    <p>History of mood episodes such as depression or mania (A)</p> Signup and view all the answers

    What misconception did early observers have about schizophrenia, labeling it as 'premature dementia'?

    <p>Kraeplin's view (A)</p> Signup and view all the answers

    What is an example of nihlistic delusion in psychotic disorders?

    <p>Conviction that the world does not exist (B)</p> Signup and view all the answers

    Which level of functioning in Autistic Spectrum Disorder (ASD) requires 24/7 care due to serious communication difficulties?

    <p>Level 3 (B)</p> Signup and view all the answers

    What is a common characteristic shared among individuals diagnosed with Autistic Spectrum Disorder?

    <p>Repetitive and stereotyped behavior patterns (B)</p> Signup and view all the answers

    Which gender has a higher prevalence rate for Autistic Spectrum Disorder according to the given data?

    <p>Males (C)</p> Signup and view all the answers

    In the classification of Autistic Spectrum Disorder, which category includes various intellectual, perceptual, and communication disorders?

    <p>Neurodevelopmental Disorders (A)</p> Signup and view all the answers

    Which symptom is NOT typically associated with lower-functioning ASD in children?

    <p>Initiative in social interactions (C)</p> Signup and view all the answers

    Which genetic condition is commonly associated with lower-functioning ASD?

    <p>Fragile X Syndrome (D)</p> Signup and view all the answers

    What diagnosis may be given to individuals who show typical development until middle childhood, then undergo a significant decline in function?

    <p>Childhood Disintegrative Disorder (C)</p> Signup and view all the answers

    In lower-functioning ASD, what is a common characteristic regarding sensory processing?

    <p>Lack of startle response to loud sounds (C)</p> Signup and view all the answers

    Which classification is no longer diagnosed separately under DSM-5 and DSM-5-TR?

    <p>Asperger's Syndrome (D)</p> Signup and view all the answers

    Flashcards

    Complex Partial Seizures (Geschwind Syndrome)

    A type of seizure that can cause changes in personality, such as focusing on details, excessive talking, and diminished humor.

    Delusions

    Fixed false beliefs without evidence, common in psychotic disorders.

    Grandiose Delusions

    Delusions about having special abilities or a special status.

    Hallucinations

    Experiences perceived as real but with no external cause.

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    Brief Psychotic Disorder

    Psychotic symptoms (delusions, hallucinations) lasting less than a month, not caused by drug use.

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    Schizoaffective Disorder

    Schizophrenia symptoms alongside depression or mania.

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    Dementia Praecox

    Historical term for schizophrenia, meaning "premature dementia."

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    Schizophrenia's shattered mind

    Bleuler's concept of schizophrenia as a mind fractured into disjointed parts, often manifesting in disordered thinking; opposite to being coherent.

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    Positive symptoms of Schizophrenia

    Symptoms like paranoia, delusions, and hallucinations, often marked by the presence of abnormal thoughts or perceptions.

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    Negative symptoms of Schizophrenia

    Symptoms like social withdrawal, flat affect, inertia, or catatonia, often marked by the absence of normal behaviors.

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    Schizophrenia risk factors

    A combination of genetic predisposition, birth complications, maternal infections, or infections during fetal development, older sperm, etc.

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    Genetic predisposition (schizophrenia)

    Higher likelihood of developing schizophrenia if one or both parents have it.

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    Maternal infections (schizophrenia)

    Exposure to infections like influenza, rubella, toxoplasmosis, or other agents during pregnancy as a risk factor for schizophrenia.

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    Cannabis and Schizophrenia

    Cannabis use, especially excessive use during adolescence, may correlate with an increased risk of schizophrenia.

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    Seasonality and Schizophrenia

    The increased likelihood of schizophrenia diagnosis births during certain seasons, often linked to maternal infection exposure during pregnancy.

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    Neurodevelopmental Disorder

    Modern view of schizophrenia; starts with mis-wiring in the brain during fetal development.

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    Drug Use vs. Abuse

    Use refers to ingesting a drug within accepted social norms, while abuse involves using a drug outside those norms, causing personal and social problems.

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    Substance Dependence

    The most severe form of substance use disorder, characterized by habitual abuse, cravings, and tolerance, leading to a strong need for the substance despite negative consequences.

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    Risk Factors for Alcohol Dependence

    Factors increasing the likelihood of developing alcohol dependence include family history, younger drinking age, ethnicity, and certain personality disorders.

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    Alcohol Withdrawal Symptoms

    Symptoms include shakes, sweating, nausea, vomiting, seizures, hallucinations, and delirium tremens (confusion, disorientation, agitation, frightening visual hallucinations).

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    Opioid Crisis Contributors

    The opioid crisis is fueled by smuggled drugs like fentanyl, highly addictive prescription pain relievers, and a black market for potent synthetic opioids.

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    Avoidant/Restrictive Food Intake Disorder (ARFID)

    A feeding and eating disorder characterized by picky eating or disinterest in food, leading to significant weight loss.

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    Prevalence of ARFID

    ARFID prevalence varies by sex and geographic location, with males sometimes having differing characteristics (e.g., obesity).

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    Anorexia Nervosa

    An eating disorder characterized by a relentless fear of gaining weight and a distorted body image (believing one is overweight when underweight).

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    Body Image Distortion (Anorexia)

    A core characteristic of Anorexia Nervosa where individuals have a significant mismatch between their perceived body image and reality, often seeing themselves as overweight.

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    Anorexia Types

    Anorexia can be restrictive (limiting food intake) or binge-eating/purging (more severe).

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    Anorexia Risk Groups

    High-income countries and specific groups (female athletes/dancers, gay males, male wrestlers, models) are at higher risk of anorexia.

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    Causes of Anorexia

    Anorexia is likely influenced by a complex interaction of both emotional reactivity and personality traits involving powerlessness and perfectionism.

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    Effectiveness of Dieting

    Most dieting methods are unsuccessful for long-term weight loss due to metabolic rate adjustments and the return to prior weight.

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    Semaglutide

    A medication classified as a GLP-1 receptor agonist, used to treat obesity and potentially eating disorders by mimicking peptides that manage blood sugar and reduce appetite.

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    Successful Weight Loss

    Long-term weight loss is most successful with a combination of healthy habits (nutrition, exercise and sleep) as a life-long pattern.

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    Anorexia Nervosa: Dry Skin

    People with Anorexia Nervosa often experience dry skin, thinning hair, and hair loss due to nutritional deficiencies.

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    Anorexia Nervosa: Amenorrhea

    Amenorrhea refers to the loss of menstruation in females with Anorexia Nervosa, caused by hormonal imbalances due to malnutrition.

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    Anorexia Nervosa: Cyanosis

    Cyanosis, characterized by bluish discoloration of toes and fingernails, can occur in Anorexia Nervosa due to poor circulation caused by malnutrition.

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    Anorexia Nervosa: Enlarged Salivary Glands

    Enlarged salivary glands and tooth erosion can result from frequent forced vomiting in Anorexia Nervosa.

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    Anorexia Nervosa: Treatment

    Anorexia Nervosa treatment often involves hospitalization for refeeding, family therapy, and sometimes medication, including SSRIs, but not always.

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    Bulimia Nervosa: Susceptible Populations

    Bulimia Nervosa is more prevalent among females between 15 to 18 years old and college students, particularly during the 'freshman 15' period.

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    Bulimia Nervosa: Purging

    One common compensatory behavior in Bulimia Nervosa involves purging, which refers to self-induced vomiting after binge eating.

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    Bulimia Nervosa: Non-Purging

    Non-purging compensatory behaviors in Bulimia Nervosa include engaging in excessive exercise or temporary fasting after binge-eating.

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    Bulimia Nervosa: Eroded Teeth

    Repeated vomiting in Bulimia Nervosa can lead to tooth erosion, osteoporosis, heart damage, and other serious health complications.

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    Bulimia Nervosa: Treatment

    Bulimia Nervosa treatment typically involves high doses of SSRIs, therapy, and has a good response rate, though relapses are common.

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    Avoidant Personality Disorder

    A personality disorder characterized by a fear of rejection or ridicule, leading to social withdrawal and low self-esteem. Individuals with Avoidant PD often desire relationships but find it difficult to form and maintain them.

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    Dependent Personality Disorder

    A personality disorder characterized by a deep need to be taken care of, leading to submissiveness, a fear of separation, and a belief in their own helplessness. Individuals with Dependent PD often tolerate abusive relationships due to their fear of being alone.

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    Obsessive-Compulsive Personality Disorder

    A personality disorder marked by an extreme focus on orderliness, perfectionism, and control. Individuals with Obsessive-Compulsive PD may find it difficult to relax, delegate tasks, and may be indecisive due to a fear of making mistakes.

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    Borderline Personality Disorder (BPD)

    A personality disorder characterized by intense emotions, unstable relationships, impulsive behaviors, and a distorted sense of self. Individuals with BPD often struggle with feelings of emptiness, abandonment, and self-harm.

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    Self-Mutilation in BPD

    People with BPD may engage in self-harm as a way to cope with overwhelming emotions. They may cut, burn, or otherwise injure themselves to shift their mental pain to a physical experience, or to seek attention from those who are leaving them.

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    Geschwind Syndrome

    A set of personality changes sometimes seen in people with complex partial seizures, including obsessions with details, excessive talking, and a diminished sense of humor.

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    What are positive symptoms of Schizophrenia?

    Symptoms that involve an excess or distortion of normal functions, such as hallucinations, delusions, and disorganized thinking.

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    What are negative symptoms of Schizophrenia?

    Symptoms that involve a deficit of normal functions, such as flat affect, social withdrawal, and lack of motivation.

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    Alcohol Dependence Risk Factors

    Factors increasing alcohol dependence risk: family history, early drinking, specific ethnicities, and unstable personality traits.

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    Acute vs. Rehabilitation Addiction Treatment

    Acute treatment focuses on detoxifying (stopping the drug) while rehabilitation helps address the underlying addiction through therapy, education, and support groups.

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    What are strategies to combat the opioid crisis?

    Strategies to address the opioid crisis include better pain management training for doctors, substitute treatments like methadone or Suboxone, rapid overdose response training, and readily available Narcan.

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    Paranoid PD

    A personality disorder characterized by persistent distrust and suspicion of others, believing they are being exploited, harmed, or deceived. They often interpret neutral events as being threatening and hold grudges.

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    Borderline PD

    A personality disorder marked by intense emotions, unstable relationships, impulsive behaviors, and a distorted sense of self. They experience intense fear of abandonment, engage in self-harm, and have difficulty controlling anger.

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    Antisocial PD

    A personality disorder characterized by a disregard for social norms and the rights of others. They may engage in criminal activity, lack empathy, and have a history of deceitfulness.

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    Narcissistic PD

    A personality disorder marked by a grandiose sense of self-importance, need for admiration, and a lack of empathy. They possess a strong sense of entitlement and believe they are special and unique.

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    Histrionic PD

    A personality disorder characterized by excessive emotionality and attention-seeking behaviors, often through dramatic displays and seductive actions. They thrive on being the center of attention and fear being ignored.

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    Autistic Spectrum Disorder (ASD)

    A neurodevelopmental disorder characterized by early-onset impairments in social interaction and communication, as well as restricted, repetitive behaviors and interests.

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    DSM-5-TR

    The latest edition of the Diagnostic and Statistical Manual of Mental Disorders, used by mental health professionals to diagnose and classify mental disorders.

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    What are the levels of ASD functioning?

    ASD in DSM-5-TR includes a wide range of functioning levels, from Level 1 (relatively high-functioning, independent living) to Level 3 (serious communication difficulties and repetitive behavior, requires medication and 24/7 care).

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    Lower-functioning ASD

    Autism Spectrum Disorder with significant communication, social, and sensory challenges, often accompanied by intellectual disability.

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    Fragile X Syndrome

    The most common genetic cause of ASD and intellectual disability, caused by a mutation in the FMR1 gene on the X chromosome.

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    Rett Syndrome

    A rare genetic disorder affecting mostly females, caused by mutations in the MECP2 gene on the X chromosome, leading to developmental regression and severe intellectual disability.

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    Social Withdrawal in ASD

    Individuals with lower-functioning ASD may show reduced interest in social interactions, struggling to make friends or engage in joint play, often preferring solitary activities.

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    Sensory Issues in ASD

    People with ASD may experience over-sensitivity or under-sensitivity to touch, smells, sounds, and other sensory input, making them react differently to everyday stimuli.

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    Study Notes

    Stress Disorders

    • Intrusive recollections of trauma include flashbacks, nightmares, illusions, and acute distress.
    • Dissociative symptoms, such as psychic numbing, are associated with greater impairment.
    • Emotional detachment and being in a daze are common dissociative symptoms.
    • Avoidance of trauma-related topics and dissociative amnesia are frequent in combat veterans.
    • Time distortion, feeling the current setting is dreamlike, and not registering events are dissociative experiences.
    • Depersonalization is the feeling of detachment from one's body.
    • Chronic hyperarousal includes exaggerated startle, insomnia, hypervigilance, and motor restlessness.
    • Irritability and aggressiveness are common, especially in males.
    • Survival guilt/shame, and reckless, impulsive behaviors are indicators.

    Acute Stress Disorder and PTSD

    • Acute Stress Disorder (ASD) is characterized by extreme levels of anxiety, inability to concentrate, and withdrawal from life and work.
    • PTSD symptoms last for more than one month after the initial stressor.
    • Common risk factors in developing PTSD include sexual violence (particularly in women aged 18-24), military combat, physical/emotional abuse, and human calamities.
    • Complex PTSD involves repeated or continuous trauma over months or years, with more extreme and longer-lasting symptoms than simple PTSD.
    • Risk factors vary and include severity, duration of trauma, family history, current mental health conditions (depression and anxiety), coping strategies, and minority ethnic background.

    Personality Disorders

    • Personality disorders are characterized by persistent patterns of thoughts, feelings, and behaviors that differ significantly from societal expectations.
    • Avoidant, dependent, and obsessive-compulsive personality disorders are included in cluster C.
    • Cluster A includes paranoid, schizoid, and schizotypal personality disorders. These are characterized by unusual or eccentric behaviors.
    • Cluster B includes borderline, antisocial, narcissistic, and histrionic personality disorders. They often involve dramatic, emotional, and unstable behaviors.

    Critical Incident Stress Debriefing

    • Fact phase: victims tell their stories.
    • Reaction phase: report thoughts and feelings about the incident.
    • Symptom phase: suggest coping strategies.
    • Teaching phase: educate victims regarding trauma and reactions.
    • Reentry phase: Wrap-up, answer questions, provide referrals, and develop action plans.

    Other Information

    • Complex PTSD: a special case of PTSD characterized by repeated or continuous trauma.
    • Etiological hypotheses focus on early trauma, family boundaries, and childhood experiences.
    • Psychopathy and sociopathy have links to antisocial personality disorder.
    • Antisocial personality disorder is characterized by disregard for the rights of others and repeated illegal behaviors.
    • Psychopathy is a neurodivergent condition that may not be considered a disorder in all cases. Sociopathy is often associated with criminal lifestyles.
    • Schizophrenia is a mental illness with various symptoms like delusions, hallucinations, disorganized thinking, and motor problems.
    • Schizoaffective disorder is characterized by symptoms of schizophrenia and mood disorders.
    • There are subtypes of schizophrenia, including positive and negative symptoms. Positive symptoms include hallucinations, delusions, and disorganized thoughts, while negative symptoms include social withdrawal, flat affect, and lack of motivation.
    • Characteristics of some personality disorders include paranoid personality disorder characterized by distrust and suspicion of others; schizoid personality disorder, which is characterized by detachment from social relationships and a restricted range of emotional expression; and schizotypal personality disorder, which is characterized by social deficits and eccentricities.

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