abnormal psych chart 7 & 8 – Flashcards
Flashcard maker : Rebecca Baker
question
Bipolar I
answer
Full manic and depressive episodes; severe
question
Bipolar II
answer
Mildly manic, episodes alternate, not as severe
question
______ % of adults in the US suffer from severe depression
answer
9
question
What rate is depression higher among people?
answer
poor people
question
5 main areas of functioning in unipolar depression
answer
1. emotional 2. motivational 3. behavior 4. cognitive 5. physical symptoms
question
endogenous depression
answer
internal, don’t know where it came from
question
Dysthymic disorder
answer
Symptoms “mild but chronic”
question
diagnosing unipolar depression criteria 2:
answer
no history of mania
question
What biochemical factors play a role in depression?
answer
serotonin & norephinephrine
question
in the 1950s, what caused depression?
answer
high blood pressure medicine
question
what areas in the brain does depression come from?
answer
prefrontal cortex, hippocampus, anyglada, brodman area 25
question
3 main psychological views on unipolar depression
answer
Psychodynamic, behavioral, cognitive
question
describe the behavioral view of unipolar depression
answer
depression results in changes in rewards and punishments people receive. Social rewards are important
question
What scientist believes that positive rewards in life dwindle for some people leading to preform fewer constructive behaviors?
answer
Lewinsohn
question
What are limitations of behavioral view of unipolar depression?
answer
research relied heavily on person
question
Describe cognitive view of unipolar depression
answer
Negative thinking, learned helplessness
question
Maria describes herself as “miserable,” has lost her sense of humor, and is displaying _____, or the inability to experience any pleasure at all.
answer
anhedonia
question
According to DSM-5, a major depressive episode is a period marked by at least _____ symptoms of depression and lasts for _____ weeks or more.
answer
five; two
question
Concerning whether a predisposition to depression is inherited, researchers have found that as many as _____ percent of the relatives of those with unipolar depression are depressed.
answer
30
question
These theorists emphasize relationships and propose that depression results when people’s relationships leave them feeling unsafe and insecure
answer
object relations
question
According to Beck, individuals repeatedly interpret their experiences, themselves, and their futures in negative ways that lead them to feel depressed. He calls this the cognitive
answer
triad
question
Sharon experiences mild manic episodes that alternate with major depressive episodes over the course of time. She would be diagnosed with _____ disorder.
answer
bipolar II
question
The symptoms of this milder form of bipolar disorder continue for two or more years, interrupted occasionally by normal moods that may last for only days or weeks.
answer
cyclothymic disorder
question
research suggests that mania may be linked to low _____ activity
answer
serotonin
question
Sociocultural view of unipolar depression
answer
greatly influenced by social context that surrounds people, depression is triggered by outside stressors
question
2 types of stressors in sociocultural view
answer
family-social and multicultural
question
Describe family social in sociocultural view
answer
connection between declining social rewards & depression is a two way street, uncomfortability in social contract
question
divorced people are ___ times as likely to be depressed that married or widowed
answer
3
question
describe multicultural in sociocultural view
answer
gender & depression. women are twice as likely to receive a diagnosis
question
Artifact theory (multicultural)
answer
men don’t get help, so that side isn’t recorded
question
life stress theory (multicultural)
answer
women in society experience more stress than men
question
2 kinds of relationship in multiculutral view
answer
gender & depression cultural background & depression
question
how many episode and how long does it have to last to be diagnosed as bipolar?
answer
3 or more episodes; a week +
question
what is the permissive theory?
answer
low serotonin+low norephrinephrine=depression high serotonin+ high nor=manic
question
between ____ and _____ of all adults in the world suffer from a bipolar disorder at any given time
answer
1% and 2.6%
question
what causes bipolar disorder?
answer
These insights have come from research into NT activity, ion activity, brain structure, and genetic factors
question
If ions fire too easily what does it cause? if it fires too slowly what does that cause?
answer
mania, depression
question
around ____ of people with unipolar depression recieve treatment
answer
1/2
question
Psychdynamic therapy for treating unipolar depression
answer
free association, therapist interpretation
question
What can go wrong with psychodynamic therapy for unipolar depression?
answer
1. depressed clients may be too passive to fully participate 2. depressed clients may become discouraged and end treatment too early
question
behavioral therapy in treating unipolar depression
answer
-reintroduce clients to pleasurable activities and events -appropratily reinforce their depressive and non behaviors -improve social skills
question
what can go wrong with behavioral therapy in treating unipolar depression?
answer
too limited with people in severe cases
question
cognitive therapy in treating unipolar depression
answer
increase activity, challenge automatic thought, identify negative thinking, challenge primary attitude
question
How does Becks cognitive therapy work?
answer
uses 4 phases and lasts 20 sessions
question
asociocultural therapy for treating unipolar depression
answer
multicultural treatments family social treatments interpersonal therapy
question
studies show that ____ therapy is just as effective as cognitive therapy
answer
interpersonal therapy
question
biological approach to unipolar depression
answer
electroconvulsion therapy (ECT), antidepressant drugs
question
what does electrocunvulsion therapy (ECT) do?
answer
causes seizure in brain, 6-12 sessions
question
In the 1950s 2 types of antidepressant drugs were found
answer
1. monoamine 2. tricyclics
question
what were these antidepressant drugs originally treated with?
answer
TB
question
how does monoamine (MAO) work?
answer
-breaks down norepinephrine -MAO inhibitors stop this breakdown from occurring -This leads to a rise in norepinephrine activity and a reduction in depressive symptoms -Approximately half of patients who take these drugs are helped by them
question
Monamine(MAO) pose potentental danger. How?
answer
People who take MAOIs experience a dangerous rise in blood pressure if they eat foods containing tyramine (cheese, bananas, wine)
question
how does tricyclics work?
answer
Tricyclics are believed to reduce depression by affecting neurotransmitter (NT) reuptake mechanisms
question
how early do tricyclics have to be taken before improvement?
answer
10 days
question
how do second generation antidepressants work?
answer
-These drugs increase serotonin activity specifically (no other NTs are affected) -Selective norepinephrine reuptake inhibitors and serotonin-norepinephrine reuptake inhibitors are also now available
question
In recent years, three additional biological approaches have been developed:
answer
Vagus nerve stimulation Transcranial magnetic stimulation Deep brain stimulation
question
how does Vagus nerve stimulation work?
answer
Depression researchers surmised they might be able to stimulate the brain by electrically stimulating the vagus nerve through the use of a pulse generator implanted under the skin of the chest Research has found that the procedure brings significant relief to as many as 40% of those with treatment-resistant depression
question
how does Transcranial magnetic stimulation work?
answer
Another technique designed to stimulate the brain without the undesired effects of ECT, TMS has been found to reduce depression when administered daily for 2 to 4 weeks
question
how does deep brains stimulation work?
answer
Theorizing a “depression switch” located deep within the brain, researchers have successfully experimented with electrode implantation in the brain’s Brodman Area 25
question
In treating bipolar, what did antidepressants do?
answer
made it worse for the individual
question
what actually helps treat bipolar disorder?
answer
lithium
question
What do doctors add on to the treatment with lithium to help a little more?
answer
psychotherapy
question
People with _____ disorder experience excessive anxiety under most circumstances and worry about practically anything.
answer
generalized anxiety
question
This theory suggests that people with generalized anxiety disorder cannot tolerate the knowledge that a negative event may occur, no matter how slim the possibility.
answer
intolerance of uncertainty theory
question
Kevin suffers from _____ and is afraid to leave the house and travel to public places or other locations where escape might be difficult for him.
answer
agoraphobia
question
When talking about phobias, what does “stimulus generalization” mean?
answer
You become scared of things similar to the original phobia-producing stimulus.
question
Dr. Napolitano is petting a cat in front of her client and then encourages Maria, her client, to pet the cat as well. This is known as:
answer
modeling
question
Jill has been experiencing recurring periods of shortness of breath, sweating, trembling, faintness, and a feeling of unreality for over a month. She may be suffering from:
answer
panic disorder
question
Studies have found that people who scored high on anxiety-sensitivity surveys are up to _____ times more likely than others to develop panic disorder.
answer
5
question
This type of therapy has been found as least as helpful as medication for panic disorder.
answer
cognitive
question
What is it called when you have persistent thoughts, ideas, impulses, or images that seem to invade your mind?
answer
obsession
question
As much as _____ percent of people in the United States and other countries throughout the world develop OCD at some point during their lives.
answer
3
question
This is an ego defense mechanism in which people unconsciously cancel out an unacceptable desire or act by performing another act.
answer
undoing
question
Persons with OCD tend to have all of the following characteristics EXCEPT: -the belief that their intrusive negative thoughts are equivalent to actions. -to have exceptionally high standards of conduct and mortality. -lower rates of depression than other people. -the general belief that they should have perfect control over their thoughts and actions.
answer
c
question
What is NOT expected to happen during psychodynamic therapy?
answer
Clients will forget the losses in their lives.
question
Cognitive therapy follows four phases and usually requires fewer than _____ sessions.
answer
20
question
This is a treatment for unipolar depression that is based on the belief that clarifying and changing one’s interpersonal problems will help lead to recovery.
answer
interpersonal psychotherapy
question
The brain seizure caused by ECT lasts from _____ seconds to a few minutes.
answer
25
question
People who take _____ may experience a dangerous rise in blood pressure if they eat foods containing the chemical tyramine.
answer
MAO inhibitors
question
In a practice called _____ therapy, clinicians typically keep patients on tricyclics for five months or more after being free of depressive symptoms.
answer
continuation
question
In studies of severely depressed people who have not responded to any other form of treatment, as many as 40 percent improve significantly when treated with:
answer
vagus nerve stimulation.
question
What procedure to treat depression was first developed in 1985 in order to help patients without the undesired effects or trauma of ECT?
answer
transcranial magnetic stimulation
question
What procedure to treat depression was modeled after techniques used successfully to treat Parkinson’s disease?
answer
deep brain stimulation
question
This was a watershed medication for bipolar disorder when it was approved by the FDA in 1970.
answer
lithium
question
The risk of relapse is _____ times greater if patients stop taking a mood stabilizer.
answer
28
question
What is an important reason for those with bipolar disorder to participate in psychotherapy?
answer
to emphasize the importance of continuing to take their medication