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Abnormal Psych Exam 3

front 1

Priyanka is highly restrictive of her calorie intake and exercises vigorously each day. Despite having a severely low body weight, Priyanka believes she is overweight and needs to continue losing weight. When Priyanka goes to a doctor, she is MOST likely to be diagnosed with

back 1

Anorexia nervosa

front 2

Mel has been diagnosed with anorexia nervosa. His body weight is 15
percent below its ideal weight. Mel will often tell his parents that he
isn’t hungry because he ate at school or work. Mel claims to have
stopped on the way home at a fast-food place. He can even produce a
receipt and the wrapping paper of the food he ate. When Mel does eat
at home he just moves food around on the plate. Based on this
description, Mel was most likely diagnosed with _____ type of anorexia
nervosa.

back 2

Restricting

front 3

Research indicates that approximately _____ percent of individuals who struggle
with anorexia nervosa are male.

back 3

25%

front 4

Which of the following symptoms is NOT characteristic of anorexia nervosa?

back 4

lack of interest in food

(symptoms: distorted body image, amenorrhea, fear of gaining weight)

front 5

Research indicates that approximately _____ percent of individuals who struggle
with bulimia nervosa are female.

back 5

75%

front 6

Which of the following symptoms is characteristic of bulimia nervosa but is NOT
characteristic of anorexia nervosa?

back 6

concern about pleasing others

(distorted body perception, disturbed eating attitudes, feelings of anxiety, depression, obsessiveness, and perfectionism)

front 7

Which of the following is true about the prevalence rates of anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED)?

back 7

BED>BN>AN

front 8

Which of these is NOT true about anorexia nervosa, bulimia nervosa, and binge-eating disorder?

back 8

The age of onset is typically over the age of 20

front 9

Relatives of people with eating disorders are up to _____ times more likely to develop one of these disorders themselves.

back 9

6

front 10

While many individuals with anorexia nervosa benefit from treatment, studies indicate that this disorder continues to be a chronic, serious problem for at least _____ percent of these people, even after treatment.

back 10

20%

front 11

The drugs receiving the most attention recently for reducing binge eating and
purging behaviors are:

back 11

antidepressants

front 12

Treatment is shown to provide immediate, significant improvement in about _____ of cases of bulimia nervosa.

back 12

40%

front 13

What are some key features of an Anorexia Nervosa diagnosis?

back 13

The individual purposely takes in too little food, resulting in a low BMI, fear of gaining weight, and seeks to prevent it, distorted body perception, and places inappropriate emphasis on weight or shape in self-judgements or does not consider the implications of their low weight

front 14

What are the two main subtypes of Anorexia Nervosa?

back 14

Restricting type and Binge-eating/purging type

front 15

What are the traits of the restricting type

back 15

Lose weight by cutting out sweets and fattening snacks, and eventually eliminating all food.

front 16

What are the traits of the binge-eating/purging type?

back 16

Lose weight by forcing themselves to vomit after meals or by abusing laxatives or diuretics.

front 17

What are some key features of Bulimia Nervosa

back 17

Repeated binge-eating episodes, repeated performance of ill-advised compensatory behaviors to prevent weight gain (vomiting), symptoms take place at least weekly for 3 months, and inappropriate influence of weight and shape on appraisal of oneself.

front 18

What are some key features of Binge-eating disorder to obtain a diagnosis?

back 18

Recurrent binge-eating episodes, binge eating episodes can contain at least three of these features ( really fast eating, absence of hunger, uncomfortably full, secret eating cause of shame, feelings of disgust, guilt, depressed, significant distress, binge eating episodes take place at least weekly over the course of 3 months, absence of excessive compensatory behaviors.

front 19

What are the specifiers and their criteria for Anorexia Nervosa?

back 19

Severe and Extreme usually treated in hospital settings

front 20

Escalation toward anorexia nervosa ______________________________________

back 20

may follow a stressful event

front 21

What are some key points about the clinical picture of anorexia nervosa?

back 21

- fear driving motivation

- Thinking is distorted

-potential psychological problems

-substance misuse

front 22

What are some medical problems that can occur as a result of anorexia nervosa?

back 22

Amenorrhea and Lanugo (thin hairs)

front 23

In bulimia nervosa, weight is _____________________________________________

back 23

Typically in the normal range, but can fluctuate.

front 24

What are some similarities between anorexia and bulimia nervosa?

back 24

- DISTURBED EATING ATTITUDES

- distorted body perception

- fear of becoming obese

-preoccupied with food, weight, and appearance

front 25

What are some differences between anorexia and bulimia nervosa?

back 25

AMENORRHEA is LESS likely, different medical complications, dental problems more likely

front 26

What are some key points about the Dx checklist for Binge-eating disorder.

back 26

- recurrent binge-eating episodes

- episodes consist of at least three of these features (usually fast eating, absence of hunger, uncomfortably full, secret eating due to shame, feelings of disgust, depression, or guilt

- significant distress

-take place weekly over the course of 3 months

- absence of excessive compensatory behaviors

front 27

What are the specifiers for binge eating disorder?

back 27

Mild: 1-3 episodes per week

Moderate: 4-7 episodes per week

Severe: 8-13 episodes per week

Extreme: 14 or more binge eating episodes per week

front 28

What is the main cause of eating disorders?

back 28

Multidimensional risk perspective

- more factors = greater likelihood of developing a disorder

(psychodynamic, CB, biological, societal pressures, family environment, multicultural)

front 29

Psychodynamic factors of eating disorders:

back 29

Ego deficiencies

*Bruch: psychodynamic theory of eating disorders

- disturbed mother-child interactions

- People with eating disorders inaccurately perceive internal cues, including emotional cues, and are more likely to worry about how they are viewed by others.

front 30

Cognitive-behavioral factors of ED's

back 30

- improper labeling of internal sensations and needs

-Little control over life may result in excess control of body size.

front 31

How does depression contribute to eating disorders?

back 31

Helps set the stage for eating disorders

- Similar brain circuit abnormalities are involved in those with eating disorders and depression

- Antidepressant drugs

front 32

Biological factors of ED's

back 32

Genetics, brain circuit dysfunction, WEIGHT SET POINT

- Larger and more active insula, orbitofrontal cortex, and striatum; smaller prefrontal cortex.

front 33

How do societal pressures contribute to eating disorders?

back 33

- Western standards for female attractiveness

- socially accepted prejudice against overweight people

- social networking, internet activity, TV

front 34

How does family environment contribute to eating disorders?

back 34

- History of emphasis on thinness, appearances, or dieting

- Dieting and perfectionistic mothers

front 35

What multicultural factors cause ED's ?

back 35

Racial and ethnic differences, Gender differences

- Eating behaviors, values, and goals of women in minority groups in the United States were considerably healthier than those of non-Hispanic white American women

front 36

What are the specifiers for bulimia nervosa?

back 36

front 37

What is the Dx checklist for substance use disorders?

back 37

front 38

In any given year, ____ percent of all teens and adults in the United States, more than 20 million people, have a substance use disorder.

back 38

7.4

front 39

Only ____ percent of all those with substance use disorders receive treatment from a mental health professional.

back 39

18.4

front 40

What are some drugs that fall under depressants?

back 40

- alcohol

- sedative/hypnotics anxiolytics (benzos, barbs)

- opioids

front 41

What are some examples of stimulants?

back 41

-caffeine

- amphetamines (legals, meths)

- cocaine

front 42

What are some examples of hallucinogens?

back 42

MDMA, Ectasy, Molly, LSD

front 43

What is the main example of cannabis?

back 43

THC, used recreationally typically, relaxing and stimulates.

front 44

What is an important symptom of withdrawal, especially from prolonged use?

back 44

DTs, deliurium tremens

front 45

What are the personal and social impacts of alcoholism?

back 45

- it destroys families, social relationships, and careers

front 46

What are examples of opioids?

back 46

opium, heroin, morphine, codeine, methadone

front 47

Medical opioids are:

back 47

morphine, codeine, oxycodone

front 48

Why are opioids dangerous?

back 48

overdose, ignorance of tolerance, mixing with other substances

front 49

What are the physical dangers of cocaine?

back 49

Overdose, death

front 50

Hallucinogens produce-

back 50

powerful changes primarily in sensory perception, natural hallucinogens

front 51

Effects of polysubstance use

back 51

Synergistic effects ( they add )

Antagonistic effects ( they counteract each other)

front 52

What are the causes for substance-related disorders?

back 52

- sociocultural views

- psychodynamic views

- CB views

- Bio views

COMBINATION

front 53

What is the sociocultural view of SUD

back 53

- people who live in socioeconomic conditions

- families that value or tolerate drug use

- other stress

front 54

Psychodynamic views of SUD

back 54

-powerful early years dependency needs

- display substance abuse personality

front 55

CB views of SUD?

back 55

Operant conditioning by tension reduction, the rewarding effects of drugs

all related to conditioning

front 56

Bio views of SUD?

back 56

genetics, NTs, Pleasure Pathway

* Incentive-sensitization theory

* reward deficiency syndrome

front 57

What are the types of treatments for SUD

back 57

Detox, antagonist drugs, and drug maintenance therapy.

front 58

Antabuse is used for (antagonist)

back 58

Alcoholism

front 59

Narcan is used for (antagonist)

back 59

Opioids

front 60

Methadone is used for (drug maintenence therapy)

back 60

pain killers and heroin

front 61

Cramps, anxiety attacks, sweating, and
nausea as a result of stopping or cutting
back alcohol use are examples of:

back 61

Withdrawal

front 62

Epidemiological studies indicate that ____
percent of the population has a substance
use disorder in any given year.

back 62

7.4

front 63

Studies indicate that no more than _____
percent of individuals with substance use
disorders receive treatment from a mental
health professional.

back 63

20

front 64

Which racial or ethnic group has the lowest rates of substance use disorders

back 64

Asian americans

front 65

What percentage of the American
population, over the age of 11, binge-drink each month?

back 65

25%

front 66

Long-term excessive alcohol use can lead to____, a disease involving memory loss,
confusion, and other neurological
symptoms.

back 66

Korsakoff's syndrome

front 67

Despite long established links between
alcohol use during pregnancy and fetal
alcohol spectrum disorders, about _____
percent of pregnant women have consumed
alcohol in the past month.

back 67

10%

front 68

The sedative-hypnotic drugs Xanax, Ativan, and Valium are all classified as:

back 68

benzodiazepines

front 69

Unlike the withdrawal symptoms that are
associated with alcohol use disorder,
withdrawal from opioid use does NOT run
the risk of

back 69

death

front 70

Cocaine increases the available supplies of
all of the following neurotransmitters
EXCEPT:

back 70

acetylcholine

front 71

Studies indicate that approximately 1 in
_____ college students misuse stimulants,
such as Adderall or Ritalin, for weight loss,
to enhance academic performance, or
simply to get high.

back 71

10

front 72

Opioids are an example of a

back 72

depressant

front 73

Tolerance to stimulant drugs is in part
caused by cutbacks in the brain’s
production of certain neurotransmitters,
specifically lower _____ production.

back 73

dopamine

front 74

People are MOST likely to obtain
prescription pain killers for nonmedical
drug use from:

back 74

a friend or relative

front 75

_________ is known as an increase of effects
when multiple substances are acting on the
body at the same time.

back 75

A synergistic effect

front 76

Teaching clients to identify high-risk
situations, learn from mistakes and lapses,
and modify their lifestyle is MOST likely to
happen in:

back 76

relapse-prevention training