Psychopathology Midterm (Random)

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

locus of responsibility

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

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

Therapist related variables

Gender, age, ethnicity, professional background, personal
background

Client related variable

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

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)

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)

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)

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)

Treatment for gambling addiction

Gambler�s anonymous
Medications don�t seem to work
Psychotherapy
Residential and inpatient facilities

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

Dose response and time response relationships

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

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

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

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)

Dementia

memory impairment, aphasia, apraxia, agnosia, gradual
onset