Psychopathology Midterm (Random)

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created 1 year ago by Katie_Koo
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1

Goals of a treatment plan

  • The goals of each treatment should be specified- where treatments is going, when it should end, and whether it has succeeded.
  • An organized program of one or more treatments for helping the patient achieve specified objectives
2

locus of responsibility

  • Where do they see the responsibility fall? On them or other people? How does that play into their potential issues?
3

Suggestions for no treatment

  • People at risk for a negative effect- severe narcicissitic, borderline, masochistic or ODD
  • People at risk for no response- poorly motivated, malingering or factitious disorder
  • People likely to show spontaneous improvement- healthy people in crisis or with minor concerns
  • People likely to benefit from a no treatment strategy- oppositional patterns or reverse psychology
4

Therapist related variables

    • Gender, age, ethnicity, professional background, personal background
5

Client related variable

    • Personal characteristics (open, in touch with emotions, expressive, etc.), diagnosis, perceptions of psychotherapy, readiness for Tx, role induction (ethical introduction)
6

The insanity defense

  • Mental state at the time of the crime, a defendant should not be held responsible for an illegal act, the act is attributable to a mental illness that interferes with rationality or that results from some other excusing condition (not knowing right from wrong)
7

Diagnostic Red flags and Hidden clues

Red flags: DUI’s or being stopped, health problems, hospitilizations, suicide attempts, arrests

Hidden clues: ketosis, thick tongue, gait, pallor, blood vessels broken in nose (rosacea)

8

Phases of chemical addiction

Phase 1: Prodromal Phase (increased tolerance, preoccupation, sneaking)

Phase 2: Crucial Phase (loss of control, denial, confrontation)

Phase 3: Chronic Phase (continuous ue, impaired judgment, tremors, overdose, obsessive use)

9

Minnesota Model of addiction treatment

Detoxification, rehabilitation, aftercare

Clients all have the disease, and the disease is the primary problem, denial and loss of control, recovery staff, education and therapy are essential, families not included, self-help groups are essential (AA)

10

Treatment for gambling addiction

Gambler’s anonymous

Medications don’t seem to work

Psychotherapy

Residential and inpatient facilities

11

Know the definitions of the components of a drug (medication) profile

Name, classification, mechanism of action, indications, pharmacokinetics, side effects, routes of administration, contraindications, dosage, how supplied, special considerations

12

Dose response and time response relationships

Potency, threshold dose, maximum effect, loading dose, maintenance dose

13

What is a therapeutic index, what does it mean (implications), how would you calculate it?

A ration of the drug’s therapeutic dosage vs the drug’s lethal level in the body (a index of lethality)

Lower therapeutic index- drugs that have a narrow margin between no effect and toxic

High therapeutic index- drugs that have a wide margin between no effect and toxic

14

Pharmacology in action - all the ways drugs can impact at the neuronal level

  • Serving as a precursor for the neurotransmitter
  • Inhibiting NT synthesis
  • Preventing storage of NT in the presynaptic vesicle
  • Stimulating or inhibiting NT release
  • Stimulating or block postsynaptic receptors
  • Stimulating autoreceptors, inhibiting NT release
  • Blocking autoreceptors, increasing NT release
  • Inhibiting neurotransmission breakdown
  • Blocking NT reuptake by the presynaptic neuron
15

Delirium

  • disturbance of consciousness and a change in cognition over a short period of time (due to general medical condition, substance-induced delirium, due to multiple etiologies, not otherwise specified)
16

Dementia

  • memory impairment, aphasia, apraxia, agnosia, gradual onset