Substance Abuse and Addiction
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Questions and Answers

Which symptom is characterized by an inability to start and maintain activities?

  • Asociality
  • Flat Affect
  • Anhedonia
  • Avolition (correct)
  • Which type of hallucination occurs as a person is falling asleep?

  • Hypnopompic Hallucination
  • Hypnagogic Hallucination (correct)
  • Autoscopic Hallucination
  • Ictal Hallucination
  • Which of the following describes 'Neologism' in schizophrenia?

  • A loose connection between unrelated thoughts
  • A newly created word with meaning relevant only to that person (correct)
  • Choice of words based on how they sound, not their meaning
  • Combinations of words that don't make sense
  • Which view of delusions attributes them to brain dysfunction?

    <p>Deficit View</p> Signup and view all the answers

    What behavior is characterized by using excessive detail in speech that eventually leads to the point?

    <p>Circumstantiality</p> Signup and view all the answers

    What term describes laughing or crying at inappropriate times?

    <p>Inappropriate Affect</p> Signup and view all the answers

    Which is the most common type of hallucination experienced by people with schizophrenia?

    <p>Auditory Hallucinations</p> Signup and view all the answers

    What describes a speech pattern where words are chosen based on their sound rather than their meaning?

    <p>Clang Associations</p> Signup and view all the answers

    Which substance is associated with an increased risk of both depression and becoming dependent on it?

    <p>Tobacco</p> Signup and view all the answers

    What is the expected duration for symptoms of acute alcohol withdrawal?

    <p>4-5 days</p> Signup and view all the answers

    What is true about genetic factors in substance use?

    <p>They may affect how people experience and metabolize certain drugs.</p> Signup and view all the answers

    Which treatment is specifically used for alcohol dependence?

    <p>Naltrexone</p> Signup and view all the answers

    What describes the Expectancy Effect in substance use?

    <p>The development of drug use expectancies prior to actual use, influenced by loved ones or advertising.</p> Signup and view all the answers

    Which is not a common co-occurring disorder with Oppositional Defiant Disorder (ODD)?

    <p>Generalized Anxiety Disorder</p> Signup and view all the answers

    At what age can the onset of Gambling Disorder occur?

    <p>Both b and c</p> Signup and view all the answers

    What symptom is associated with Intermittent Explosive Disorder in brain structure?

    <p>Reduced gray matter volume in several frontolimbic regions</p> Signup and view all the answers

    For a diagnosis of Oppositional Defiant Disorder, symptoms should be present for at least how long?

    <p>6 months</p> Signup and view all the answers

    Which of the following is true about the progression of gambling disorder?

    <p>It progresses more rapidly in women than in men.</p> Signup and view all the answers

    Which therapy is focused on the acceptance of thoughts and improving self-motivation for behavioral change?

    <p>Motivational Interviewing</p> Signup and view all the answers

    Which therapy involves clients discussing their reactions with a therapist in the context of a single problem?

    <p>Short-Term Psychodynamic Therapies</p> Signup and view all the answers

    Which of the following therapies is based on the belief that clarifying and changing one's interpersonal problems will help lead to recovery?

    <p>Interpersonal Psychotherapy</p> Signup and view all the answers

    What type of therapy uses a mixture of acceptance and change to assist clients?

    <p>Motivational Interviewing</p> Signup and view all the answers

    Which therapy does not blame either the parents or the child for the disorder?

    <p>Maudsley Model of Family Therapy</p> Signup and view all the answers

    Which therapy helps people in crisis talk about their reactions to traumatic experiences?

    <p>Psychological Debriefing</p> Signup and view all the answers

    Which characteristic is most commonly associated with ADHD?

    <p>Generalized fidgetiness and restlessness</p> Signup and view all the answers

    For a diagnosis of Specific Learning Disorder, how long must difficulties in academic skills persist?

    <p>At least 6 months</p> Signup and view all the answers

    Which of the following best describes Stereotypic Movement Disorder?

    <p>Repetitive, seemingly driven, and apparently purposeless motor behavior</p> Signup and view all the answers

    What term describes the often self-soothing, pleasurable, and predictable movements associated with Tic Disorders?

    <p>Motor Stereotypies</p> Signup and view all the answers

    What cognitive condition is typically characterized by confusion, disorientation, and disturbance in sleep-wake cycles?

    <p>Delirium</p> Signup and view all the answers

    Which neurocognitive disorder includes gradual and steady development of multiple cognitive deficits?

    <p>Alzheimer's disease</p> Signup and view all the answers

    What type of damage involves widespread areas of brain structure abnormalities?

    <p>Diffuse</p> Signup and view all the answers

    Which disorder is characterized by both motor and vocal tics lasting for more than 1 year?

    <p>Tourette's Disorder</p> Signup and view all the answers

    Which of the following disorders often involves declines in executive functioning due to blocked blood vessels in the brain?

    <p>Vascular Injury</p> Signup and view all the answers

    What is the typical age of onset for Alzheimer's disease?

    <p>After the age of 65</p> Signup and view all the answers

    Which of the following best describes a delusional disorder?

    <p>Presence of one or more delusions for at least 1 month without other schizophrenia characteristics</p> Signup and view all the answers

    What is the typical duration of schizopreniform disorder?

    <p>At least 1 month but less than 6 months</p> Signup and view all the answers

    Which of the following is NOT a characteristic of Brief Psychotic Disorder?

    <p>Duration of at least 1 month but less than 6 months</p> Signup and view all the answers

    What condition involves delusions developed as a result of a close relationship with a delusional individual?

    <p>Shared Psychotic Disorder (Folie à Deux)</p> Signup and view all the answers

    What is typically NOT observed in individuals with delusional disorders?

    <p>Flat affect</p> Signup and view all the answers

    Which diagnosis could be appropriate if psychotic symptoms persist for at least 1 day in PD?

    <p>Brief Psychotic Disorder</p> Signup and view all the answers

    For a diagnosis of schizophrenia, how long must symptoms be present?

    <p>At least 6 months</p> Signup and view all the answers

    What intellectual developmental disorder is associated with a nonprogressive course and periods of worsening?

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

    Which of the following is a primary feature of Schizoaffective Disorder?

    <p>Major mood episodes along with delusions or hallucinations for at least 2 weeks</p> Signup and view all the answers

    What level of intellectual functioning requires daily assistance and extensive support?

    <p>IQ 20-35 Severe</p> Signup and view all the answers

    At what age should a diagnosis of DMDD first be given?

    <p>At age 18 or older</p> Signup and view all the answers

    Which disorder is characterized by a repetitive and persistent pattern of behavior that violates the basic rights of others or societal norms?

    <p>Conduct Disorder</p> Signup and view all the answers

    Which statement is true about aggression in Oppositional Defiant Disorder (ODD) compared to Intermittent Explosive Disorder (IED)?

    <p>Aggression in ODD is primarily characterized by temper tantrums and verbal arguments with authority figures.</p> Signup and view all the answers

    What is the most common precursor to the childhood-onset type of Conduct Disorder?

    <p>Oppositional Defiant Disorder (ODD)</p> Signup and view all the answers

    Which symptom is typically presented during adolescence in individuals with Conduct Disorder?

    <p>Nonaggressive conduct</p> Signup and view all the answers

    In which context is a separate diagnosis of Pyromania not given?

    <p>When fire setting occurs as part of a manic episode</p> Signup and view all the answers

    Which of the following disorders is co-morbid with depressive and anxiety disorders, eating and substance use disorders?

    <p>Kleptomania</p> Signup and view all the answers

    Which personality disorder is characterized by excessive mistrust and suspicion of others without justification?

    <p>Paranoid Personality Disorder</p> Signup and view all the answers

    For which disorder is agitation and excitement experienced before the act?

    <p>Kleptomania</p> Signup and view all the answers

    What is a common behavioral trait in those diagnosed with Pyromania?

    <p>Making considerable advance preparation for starting fires</p> Signup and view all the answers

    What is a common symptom of Speech Sound Disorder?

    <p>Difficulty in speech sound production</p> Signup and view all the answers

    Which symptom is usually present in pre-school age children with Attention-Deficit/Hyperactivity Disorder?

    <p>Fidgets constantly</p> Signup and view all the answers

    Which disorder is characterized by hand wringing and poor coordination?

    <p>Rett Disorder</p> Signup and view all the answers

    What differentiates Autism Spectrum Disorder from ADHD?

    <p>Presence of restrictive and repetitive behaviors</p> Signup and view all the answers

    When is a diagnosis of Intellectual Developmental Disorder (IDD) appropriate?

    <p>When social communication and intellectual skills are equally deficient</p> Signup and view all the answers

    Which disorder is defined by disturbances in normal fluency and time patterning of speech?

    <p>Childhood-Onset Fluency Disorder</p> Signup and view all the answers

    What is a key characteristic of Social (Pragmatic) Communication Disorder?

    <p>Deficits in following the rules of conversation</p> Signup and view all the answers

    Which symptom is NOT typically associated with Attention-Deficit/Hyperactivity Disorder?

    <p>Underdeveloped vocabulary</p> Signup and view all the answers

    What is a key characteristic of individuals with avoidant personality disorder?

    <p>They have an extremely low self-esteem and are hypersensitive to rejection.</p> Signup and view all the answers

    Which of the following symptoms is NOT a part of dementia praecox according to Emil Kraepelin?

    <p>Persecutory delusions</p> Signup and view all the answers

    Which personality disorder is characterized by a need for perfection and control?

    <p>Obsessive-Compulsive</p> Signup and view all the answers

    Which delusional belief involves the conviction that one's thoughts are being removed by an outside force?

    <p>Thought Withdrawal</p> Signup and view all the answers

    Which of the following statements is true about individuals with a dependent personality?

    <p>They rely on others to make even ordinary decisions.</p> Signup and view all the answers

    Who introduced the term 'schizophrenia'?

    <p>Eugen Bleuler</p> Signup and view all the answers

    What does the term 'demence precoce,' used by Benedict Morel, refer to?

    <p>Early or premature loss of mind</p> Signup and view all the answers

    Which of the following is a positive symptom of schizophrenia?

    <p>Thought Withdrawal</p> Signup and view all the answers

    Which type of delusion involves the belief that environmental cues are directed at oneself?

    <p>Referential</p> Signup and view all the answers

    Which psychologist outlined a description of schizophrenia symptoms in the book 'Observations on Madness and Melancholy'?

    <p>John Haslam</p> Signup and view all the answers

    Which statement best describes individuals with an avoidant personality disorder?

    <p>They experience detachment from social relationships and have a limited range of emotions.</p> Signup and view all the answers

    What is a common precursor to avoidant personality disorder in childhood?

    <p>Childhood shyness</p> Signup and view all the answers

    Which personality disorder is associated with the Underarousal Hypothesis?

    <p>Antisocial</p> Signup and view all the answers

    Which personality disorder is characterized by a higher threshold for experiencing fear?

    <p>Antisocial</p> Signup and view all the answers

    Which of the following beliefs is commonly associated with schizotypal personality disorder?

    <p>It is better to be isolated from others</p> Signup and view all the answers

    Which personality disorder is often associated with dramatic behavior and a tendency to seek attention?

    <p>Histrionic</p> Signup and view all the answers

    What trait is commonly found in individuals with narcissistic personality disorder?

    <p>Grandiosity and self-importance</p> Signup and view all the answers

    Which personality disorder is more common among males than females?

    <p>Schizotypal</p> Signup and view all the answers

    Which type of personality disorder involves significant instability in moods and relationships?

    <p>Borderline</p> Signup and view all the answers

    What typical behavior is associated with antisocial personality disorder?

    <p>Taking what they want, violating social norms, and lacking empathy</p> Signup and view all the answers

    Which symptom is NOT typically associated with Traumatic Brain Injury?

    <p>Visual hallucinations</p> Signup and view all the answers

    What distinguishes Lewy Body Disease from other neurocognitive disorders?

    <p>Clumps of protein deposits within neurons</p> Signup and view all the answers

    Which of the following is a key characteristic of Huntington's Disease?

    <p>It is an inherited progressive disease</p> Signup and view all the answers

    Which psychological intervention involves the patient describing any thought, feeling, or image that comes to mind?

    <p>Free Association</p> Signup and view all the answers

    What is an early symptom of cognitive decline in HIV infection?

    <p>Cognitive slowness</p> Signup and view all the answers

    What is a commonly reported symptom of Prion Diseases like Creutzfeldt-Jakob Disease?

    <p>Body spasms</p> Signup and view all the answers

    Which neurological disease is directly associated with the loss of dopamine neurons in the substantia nigra?

    <p>Parkinson's Disease</p> Signup and view all the answers

    Which cognitive disorder involves changes like generalized atrophy, edema, inflammation, and patches of demyelination in the brain?

    <p>HIV Infection</p> Signup and view all the answers

    Which symptom is common in both Parkinson's Disease and Lewy Body Disease?

    <p>Motor impairment</p> Signup and view all the answers

    Which term refers to specific details and background information related to psychological treatment?

    <p>Idiographic</p> Signup and view all the answers

    Study Notes

    Here are the study notes for the provided text:

    • Cocaine: increases alertness, produces euphoria, increases blood pressure and pulse, and causes insomnia and loss of appetite.
    • Tobacco: contains nicotine, linked to negative affect, depression, anxiety, and anger.
    • Alcohol: acute withdrawal lasts 4-5 days, rare in individuals under 30, symptoms of alcohol-induced mental disorder remain clinically relevant with continued intoxication or withdrawal.

    Treatment for Substance Abuse

    • Nicotine replacement therapy
    • Bupropion
    • Naltrexone
    • Acamprosate
    • Disulfiram
    • Methadone
    • Buprenorphine
    • Aversion Therapy
    • In-patient treatments
    • Cross-tolerance: tolerance for one substance develops due to use of another similar substance.
    • Synergistic Effect: increase of effects occurs when more than one substance is active at the same time.

    Other Disorders

    • Gambling Disorder: persistent and recurring gambling behavior, onset can occur during adolescence, young adulthood, or middle/older adulthood.
    • Oppositional Defiant Disorder: diagnosed when angry, irritable mood, argumentative/defiant behavior against authority figures is present for at least 6 months.
    • Intermittent Explosive Disorder: diagnosed when behavioral outbursts, failure to control aggressive impulses, verbal aggression, and physical aggression occur twice weekly for 3 months.
    • Conduct Disorder: repetitive and persistent pattern of behavior in which basic rights of others or major age-appropriate societal norms or rules are violated.
    • Pyromania: purposeful fire setting on more than one occasion, with considerable advance preparation.
    • Kleptomania: failure to resist impulses to steal objects not needed for personal use, with increased tension before committing the theft and pleasure after.

    Personality Disorders

    Cluster A

    • Paranoid: excessively mistrustful and suspicious of others, problems with close relationships, overt argumentativeness.
    • Schizoid: detachment from social relationships, limited range of emotions, difficulty expressing anger.

    Cluster B

    • Histrionic: overly dramatic, exaggerated expression of emotions, characterized by social dominance.
    • Borderline: unstable moods and relationships, poor self-image, pattern of undermining oneself at the moment of goal attainment.
    • Narcissistic: grandiose, entitled, lacks empathy, selfishly takes what they want.

    Cluster C

    • Avoidant: socially isolated, limited range of emotions, hypersensitive to rejection, extremely low self-esteem.
    • Dependent: relies on others to make decisions, pessimistic, self-doubt, uncomfortable when alone.
    • Obsessive-Compulsive: perfectionist, fixated on details, needs to control, uncomfortable with imperfection.

    Schizophrenia

    • History: described by John Haslam, Philippe Pinel, Benedict Morel, Emil Kraepelin, and Eugen Bleuler.
    • Symptoms:
      • Positive Symptoms: delusions, hallucinations, disorganized speech, and grossly disorganized behavior.
      • Negative Symptoms: avolition, anhedonia, asociality, and flat affect.
      • Disorganized Symptoms: disorganized speech, circumstantiality, and concrete thinking.

    Note: These study notes are a summary of the provided text and are not intended to be a comprehensive guide to these topics.### Delusional Disorders

    • One or more delusions persisting for at least 1 month, not characteristic of schizophrenia
    • No flat affect, anhedonia, or other negative symptoms
    • Socially isolated due to suspiciousness
    • Types:
      • Erotomanic, Grandiose, Jealous, Persecutory, Somatic, Mixed, Unspecified

    Brief Psychotic Disorder

    • Presence of delusions, hallucinations, disorganized speech, or catatonic behavior for at least 1 day and less than 1 month
    • Emotional turmoil or overwhelming confusion
    • Can relapse
    • May be diagnosed in addition to another psychotic disorder

    Schizophreniform Disorder

    • Presence of two or more psychotic symptoms for at least 1 month but less than 6 months
    • Develops similarly to schizophrenia

    Schizophrenia

    • Presence of two or more psychotic symptoms for at least 6 months
    • Disturbance in one or more major areas
    • Abrupt or insidious onset
    • Influenced by duration and severity of illness, as well as gender

    Schizoaffective Disorder

    • Presence of a major mood episode plus delusions or hallucinations for at least 2 weeks
    • Some individuals tend to change diagnosis into mood disorder or schizophrenia over time
    • Anosognosia (poor insight) common in Schizoaffective, but less severe than in Schizophrenia

    Neurodevelopmental Disorders

    Intellectual Developmental Disorder

    • Includes both intellectual and adaptive functioning deficits in conceptual, social, and practical domains
    • Difficulties with day-to-day activities and adaptive skills
    • Causes: deprivation, abuse, neglect, prenatal, labor, and delivery complications, infections, and head injury
    • Examples: Phenylketonuria, Lesch-Nyhan Syndrome, Down Syndrome, Fragile X Syndrome

    Components of Intellectual Functioning

    • Verbal Comprehension
    • Working Memory
    • Perceptual Reasoning
    • Quantitative Reasoning
    • Abstract Thought
    • Cognitive Efficacy

    DSM-IV Criteria Intellectual Disability Severity

    • Mild (IQ 50-69): can live independently with intermittent support
    • Moderate (IQ 36-64): requires moderate levels of support in daily situations
    • Severe (IQ 20-35): requires daily assistance and extensive support
    • Profound (IQ < 20): requires pervasive and continuous support

    Developmental Disorders

    Language Disorder

    • Difficulties in the acquisition and use of language
    • Deficits in comprehension and production

    Speech Sound Disorder

    • Difficulty in speech sound production
    • Children's speech sound production should develop by age 3

    Childhood-Onset Fluency Disorder (Stuttering)

    • Disturbances in normal fluency and time patterning of speech
    • Can be sudden or insidious

    Social (Pragmatic) Communication Disorder

    • Difficulties in the social use of verbal and nonverbal communication
    • Deficits in following conversation rules
    • Trouble understanding metaphors
    • No restrictive or repetitive behavioral patterns

    Autism Spectrum Disorder

    • Deficient communication, restrictive repetitive actions, and impaired social interaction
    • Failure to develop social relationships, social reciprocity, nonverbal communication, initiating social events, and maintaining social relationships

    Neurocognitive Disorders

    Delirium

    • Impaired consciousness and cognition during several hours or days
    • Confusion, disorientation, and sleep disturbances
    • Often associated with disturbance in sleep-wake cycle

    Reversible Cognitive Disorder

    • Occurs during the course of dementia
    • Full recovery with or without treatment

    Major Neurocognitive Disorder

    • Gradual deterioration of brain functioning affecting memory, judgment, language, and other advanced cognitive processes

    Mild Neurocognitive Disorder

    • Early stages of cognitive decline
    • Most impairments in cognitive abilities, can function with accommodations

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    This quiz covers the effects of cocaine, tobacco, and alcohol on the human body and mind, including physical and psychological dependence.

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