Behavioral Medicine > Intro > Flashcards

Intro Flashcards

(46 cards)

Study These Flashcards
1
Q

Define the biopsychosocial model

A

Bio, psycho & social factors that merge together forming a trifecta of importance to a patient’s perceptions, beliefs, relationships, and social situations.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

3 overlapping factors of biopsychosocial model

A
  1. Bio-Medical (Risk factors): physical, genetic, biomechanical
  2. Psycho: Mental status, emotions, personality, behavior
  3. Social: Culture, socioeconomics, family, ethics, values
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the difference between a counselor and a therapist

A
  • counselors give advise
  • therapist help the patient come up with solutions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Education for MFT?

A

grad degree + internship

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Licensed alcohol & drug abuse counselor: training

A

master’s degree + 2 years field work

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Substance Abuse Counselor: education

A

bachelors in social science

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Social work: credentialing

A

LCSW (MSW, DSW, PhD)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Psychiatris: education

A

DO or MD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Psychologist: education

A

PhD, PsyD, EdD

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Examples of social influence on Behavior

A
  1. Socioeconomic Factor
  2. Work environment
  3. Family relationships and social support
  4. Access to care (some can’t wait 2 mo. for appt)
  5. Personnel Resources
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Behaviors influenced by psychosocial factors

A
  1. Stress Management
  2. Risk factor management / lifestyle change
  3. Compliance with treatment
  4. Treatment response
  5. Help seeking or help rejecting behaviors
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is the purpose of the DSM-5?

A
  1. Communication between clinicians
  2. Predict outcome of disorders
  3. Monitor treatment
  4. Litigation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define mental disorder

A

A syndrome characterized by a significant disturbance in an individual’s cognition, emotion regulation, or behavior that reflects a dysfunction in the psychological, biological, or developmental processes that regulate mental function. Usually these are associated w/ a significant distress or disability in social, occupational or other important activities. The behavior deviancy must be unexpected to one’s culture and social deviance is not necessarily a MD unless if results from the individual.

(TQ!!!)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Psychiatric illness: what info supports diagnosis?

A
  1. Symptoms
  2. Genetics
  3. Course of illness (onset, cycling)
  4. Response to tx

(meds are non-specific and may work on healthy pts, that doesn’t mean that they need it.)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Psych Exam: Differences from H & P

A
  1. Focus on psychiatric symptoms
  2. Focus on psychiatric and developmental history
  3. Mental status exam fully described
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the identifying information in an evaluation?

A
  1. age/sex/race
  2. setting
  3. reason
  4. consent
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

HPI: what questions should you ask about sleep?

A
  • increased/decreased
  • restorative/nonrestorative
  • initial/terminal insomnia
  • periods of decreased sleep needs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

HPI: questions about apetite (2)

A
  1. increased/decreaased
  2. weight gain/loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

HPI: questions to ask about concentration?

Study These Flashcards
A
  1. impairment
  2. racing thoughts
  3. distracted
  4. difficulty in decision making
20
Q

HPI: questions to ask about memory?

Study These Flashcards
A

deficits in long or short term

21
Q

HPI: questions to ask about energy?

22
Q

HPI: questions to ask about interest/motivation?

Study These Flashcards
A

have gained or lost interest in hobbies

23
Q

HPI: questions to ask about suicidal ideation (5)

Study These Flashcards
A
  1. thoughts
  2. plans
  3. intent
  4. means
  5. self-control or urges
24
Q

HPI: questions to ask about homicidal ideation (7)

Study These Flashcards
A
  1. target
  2. thoughts
  3. intent
  4. plans
  5. means
  6. control
  7. urges
25
HPI: thoughts to ask about hallucinations (8)?
1. auditory 2. visual 3. tactile 4. olfactory 5. nature 6. frequency 7. reality testing 8. command hallucinations
26
HPI: delution types
1. grandiose 2. paranoid 3. erotomanic 4. bizarre
27
HPI: self-destructive behaviors (5)
1. self-cutting 2. self-induced emesis 3. binging 4. skin-picking 5. hair-pulling
28
HPI: anger problems
1. verbal or physical 2. duration
29
HPI: reckless behavior
1. overspending 2. promiscuity (libido) 3. substance use
30
HPI: questions to ask about mood
1. depression 2. anxiety 3. mood swings
31
HPI: questions to ask about pain (2)
1. does it interfere w/their life 2. what would life be like if you didn't have pain
32
HPI: questions to ask about life circumstances (3)
1. guilt 2. stressors 3. self-confidence/self-esteem
33
HPI: for all symptoms that are positive you should also assess _____ (6).
1. severity 2. duration 3. importance to pts well-being 4. degree of disabiltiy 5. palliative 6. provocative
34
Past psych Hx (PPH) (4)
1. past hospitalizations 2. past suicides 3. past psychotherapy trials and response 4. past medications (therapy and side effects)
35
HPI: questions to ask about substance use (8)
1. 1st use age 2. periods of abstinence 3. Illicit drugs that are not associated in a tox screen 4. amounts and frequency 5. blackouts - associated w/abnormal use 6. Siezures 7. Withdrawl 8. Legal problems
36
HPI: past medical Hx (3)
1. OLDCARTS 2. Hx of head injury 3. Allergies
37
Lab tests for psych eval
1. Brain imaging 2. EEG 3. Sleep study 4. MD labs: CMP, CBC, TSH, Lipid panel, B12, folate (B9)
38
Fam Hx for psych eval
1. marital status 2. children 3. family w/conditions 4. who do they live with
39
What questions should you ask about the patient's family of origin?
1. parents: marital status & occupation 2. siblings 3. family hx of pscy illness 4. Hx of abuse
40
Social Hx questions
1. Occupation: how long, satisfaction, dream as a tenn 2. Education: how far, academic prowess, problems at school (hyper, trouble, distractibility) 3. Military 4. Legal 5. Rec activities 6. Support system
41
Military Hx questions
1. exposure to combat 2. type of discharge 3. rank at discharge
42
Pros & cons to DSM5
* **Pros**: improves reliabiltiy of dx, clarifies dx process & hx taking * **Cons**: increases dx precisions may give false certainty, may sacrifice validity for reliability, depersonalize the dx process
43
When does a patient meet inpatient criteria?
1. danger to self or others 2. unable to care for self 3. medical detox 4. failure to improve in outpatient (Usually the most popular in rural centers due to lack of psychiatrists and specialists of any type in the areas)
44
Partial Hospital Program Criteria
Need for intensive Tx w/o dangerousness (Typically meets for 6 hours a day/ 5x a week)
45
Intensive Outpatient Program Criteria
1. Able to care for self 2. Stable levels of dangerousness 3. Need for active support (Typically meets 3 hours a day/ 3-5x a week)
46
Outpatient psychiatric care (30
1. Most common type of Tx 2. Typically meets 1/week 3. Periodic medical management to maintain patient stability.
Behavioral Medicine
flashcards
Decks in class (35)
# Cards
Brainscape helps you reach your goals faster, through stronger study habits.
© 2026 Bold Learning Solutions. Terms and Conditions