Psychiatric Terminology
Course                Rationale
Medical               Healthcare professionals must have a comprehensive medical vocabulary in
Terminology           order to communicate effectively with other health professionals. They
                      should be able to use terminology related to psychiatry when discussing
                      medications.
Unit XV
Diagnostic            Objectives
Procedures and
                      Upon completion of this lesson, the student will be able to:
Pharmacology
                        • Know the difference between a psychiatrist, a psychologist, and other
                            mental health specialist
Essential               • Define and decipher common terms that describe psychiatric
Question                    symptoms
What medical            • Analyze unfamiliar terms using the knowledge of word roots, suffixes
terms are used              and prefixes gained in the course
in psychiatry?          • Apply new knowledge to understanding medical terms in their proper
                            contexts
TEKS
                      Engage
130.203 (c)(1)
                      Show the ink blots to the class one at a time. Have students write what they
(A), (B), (C), (F).
                      think the ink blots resemble. After all ink blots have been shown and
2(B), 4 (A), (B),
                      students have recorded their thoughts, have a few students share
5 (B), (C),(D),
                      observations as you again hold up each ink blot. Explain to the class that
(E)
                      during this lesson, they will be learning works associated with the field of
                      psychiatry.
Prior Student         Key Points
Learning
                         I.     Psychiatry -- The branch of medicine that deals with the diagnosis,
Basic medical                   treatment and prevention of mental illness
terminology:             II. Psychiatrist
roots, prefixes                    a. Completes the same medical training as physicians and
and suffixes                          receives an MD degree
                                   b. Then spends a variable number of years training in the
                                      methods and practice of psychotherapy and
Estimated time                        psychopharmacology
6-8 hours                          c. 4 years of residency training
                                   d. Extra years of fellowship training
                           III. Psychotherapy
                                   a. Psychological techniques for treating mental disorders
                                   b. Psychopharmacology
                                   c. Drug therapy
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                                                                                         Page 1 of 35
 IV. Types of Psychiatrists
         a. Child Psychiatrists – Specializes in the treatment of children
         b. Forensic psychiatrists – Specializes in the legal aspects of
             psychiatry, such as the determination of mental competence in
             criminal cases
         c. Psychoanalysts
                  i. Completes 3-5 years of training in a special
                     psychotherapeutic technique called psychoanalysis
                 ii. A patient freely relates his or her thoughts and
                     associations to the analyst, who does not interfere
                iii. Interpretations are offered at appropriate times
 V. Psychologist
         a. Nonmedical professional
         b. Trained in methods of psychotherapy, analysis and research
         c. PhD or EdD degree program in a specific field of interest
                  i. Clinical psychology (patient –oriented)
                 ii. Experimental research
                iii. Social psychology (focusing on social interaction and
                     the ways the actions of others influence the behavior of
                     the individual)
 VI. Clinical psychologist
         a. Can use various methods of psychotherapy to treat patients
         b. Cannot prescribe drugs
         c. Cannot prescribe electroconvulsive therapy
         d. Trained in the use of tests to evaluate various aspects of
             mental health and intelligence
         e. IQ test
                  i. Wechsler Adult Intelligence Scale
                 ii. Stanford-Binet intelligence Scale
         f. Personality Test
 VII. Rorschach technique (Inkblots)
 VIII. Thematic Apperception Test (Pictures used to stimulate stories)
 IX. Graphomotor projection test (Draw a person test)
 X. Bender-Gestalt Test (draw geometric designs )
  XI. Minnesota Multiphasic Personality Inventory (true-false questions
       that reveal aspects of personality)
 XII. Other non-physicians
         a. Social workers
         b. Psychiatric nurses
         c. Licensed mental health clinicians
 XIII. Psychiatric Clinical symptoms
         a. Amnesia: loss of memory
         b. Anxiety: varying degrees of uneasiness, apprehension and
             dread
         c. Apathy: absence of emotions; lack of interest or motivation
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        d. Compulsion: uncontrollable urge to perform an act repeatedly
        e. Conversion: anxiety becomes bodily symptoms, such as
           blindness, deafness or paralysis, that does not have a physical
           basis
        f. Delusion: a fixed, false belief that cannot be changed by logical
           reasoning or evidence
        g. Dissociation: uncomfortable feelings are separated from their
           real object
        h. Dysphoria: sadness, hopelessness
        i. Euphoria: exaggerated feeling of well-being
        j. Hallucination: false or unreal sensory perception(hearing
           voices not present, seeing things not present)
        k. Labile Variable: undergoing rapid emotional change
        l. Mania: elation or irritability, associated with distractibility,
           hyperactivity, talkativeness, injudicious acts, flight of ideas and
           racing thoughts
        m. Mutism: little speech and negative or minimal thought and
           behavior
        n. Obsession: involuntary, persistent idea or emotion
        o. Paranoia: overly suspicious system of thinking: fixed delusion
           that one is being harassed, persecuted or unfairly treated
 XIV. Psychiatric Disorders
        a. Freud believed that personality is made up of three major parts
                 i. Id
                       1. Represents the unconscious instincts and
                          psychic energy present from birth
                       2. Contains basic drives that seek immediate
                          gratification
                ii. Ego
                       1. Central coordinating branch of the personality
                       2. It is the mediator between the id and the outside
                          world
               iii. Superego
                       1. Internalized conscience and moral part of the
                          personality
                       2. Encompasses the sense of discipline derived
                          from parental authority and society
        b. Freud believed that when conflicts arise between two or more
           of these aspects, psychological disorders would occur
        c. Psychosis: used to describe mental illness
        d. Involves significant impairment of reality testing with false
           beliefs, hallucinations and strange behavior
 XV. Defense mechanism
        a. Techniques people use to ward off the anxiety produced by
           conflicts
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 XVI. Anxiety Disorders
        a. Characterized by anxiety
        b. unpleasant tension, distress, troubled feelings and avoidance
           behavior
        c. Panic disorder is a period of intense fear or discomfort in which
           symptoms develop abruptly
                 i. Palpitations, sweating, trembling, SOB, feeling of
                    choking, chest pain
                ii. Nausea, feeling dizzy, feelings of unreality, fear of losing
                    control, fear of dying, hot flashes, numbness
               iii. Recurrent, unexpected panic attacks
               iv. Reaches a peak within 10 minutes
                v. Persistent concerns about having another panic attack
               vi. Can happen in other anxiety disorders
        d. Phobic disorders: characterized by irrational or debilitation
           fears
                 i. Can be associated with a situation or specific object
                ii. Object that it fears is often symbolic of an unconscious
                    conflict
               iii. The victim goes to extreme lengths to avoid the object of
                    his fear
               iv. Panic attacks can occur in anticipation of a phobic
                    situation
        e. Agoraphobia: fear of being in open, crowded, public places
                 i. Persons with this disorder limit their normal activities to
                    avoid situations that trigger their anxiety
                ii. Feels more comfortable at home
        f. Social phobia: fear of situations in which the affected person is
           open to public scrutiny which could result in possible
           embarrassment
                 i. Example: fear of speaking in public, using public
                    lavatories or eating in public
        g. Claustrophobia: fear of closed-in places
        h. Acrophobia: fear of heights
        i. Zoophobia: fear of animals
        j. Obsessive-compulsive disorder (OCD)
                 i. Involves recurrent thoughts and repetitive acts that
                    dominate the patient’s life
                ii. Experiences anxiety if he is prevented from performing
                    special rituals
               iii. Often consumes time and interferes with the individual’s
                    social or occupational functioning
        k. Post-traumatic stress disorder: development of symptoms
           following exposure to a traumatic event
                 i. Intense fear, helplessness, insomnia, nightmares and
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                      diminished responsiveness to the external world
                  ii. Flashbacks and anxiety often triggered by reminders
                      occur in episodes long after a life-threatening event
                 iii. People avoid situations with reminders
          l. Generalized anxiety disorder (GAD)
                   i. Chronic anxiety and exaggerated worry and tension
                      even when there is little or nothing to provoke such
                      feelings
 XVII.    Delirium
          a. An acute, temporary disturbance of consciousness
              characterized by mental confusion and psychotic symptoms
                   i. Rambling, irrelevant or incoherent speech
                  ii. Sensory misperception
                 iii. Disorientation as to time, place, or person with memory
                      impairment
          b. Caused by a variety of conditions:
                   i. Drug intoxication or withdrawal
                  ii. Seizure or head trauma
                 iii. Metabolic disturbances (hypoxia, hypoglycemia,
                      electrolyte imbalances, hepatic or renal failure
          c. Delirium tremens: brought on by stopping alcohol consumption
              suddenly after prolonged periods of alcohol ingestion
 XVIII.   Dementia
          a. A general, gradual loss of intellectual abilities
          b. Impairment of judgment, memory and abstract thinking
          c. Changes in personality
          d. Difficulty with language and simple ADLs
 XIX.     Dissociative Disorder
          a. Condition involving breakdown in memory, identity or
              perception
          b. Persons with this disorder escape reality through amnesia,
              fugue (sudden travel away from home or work) or alternate
              identities
 XX.      Eating Disorders
          a. Severe disturbances in eating behavior
          b. Anorexia nervosa
                   i. Refusal to maintain a minimally normal body weight
                  ii. Intensely afraid of gaining weight
                 iii. Relentless attempt to diet and compulsion to over
                      activity
          c. Bulimia nervosa
                   i. Binge eating followed by purging
                  ii. Self-induced vomiting and misuse of laxatives or
                      enemas
 XXI.     Mood Disorders
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       a. A condition of prolonged, intense abnormal mood, that
          dominates an individual’s entire mental life
       b. Bipolar disorder
               i. Manic episodes (euphoria) alternating with depressive
                  episodes
              ii. Hypomania Bipolar disorder I: more manic episodes,
                  often alternating with major depressive episodes
             iii. Bipolar disorder II: recurrent major depressive episodes
                  alternating with hypomanic episodes
       c. Cyclothymic disorder
               i. Mild form of bipolar disorders
              ii. Characterized by at least 2 years of hypomania and
                  numerous depressive episodes that do not meet the
                  criteria that defines a major depressive episode
       d. Depressive disorders: marked by occurrence of one or more
          major depressive episodes without a history of mania or
          hypomania
       e. Major depression
               i. Episodes of severe dysphoria (sadness, hopelessness)
                  and changes in weight and sleep disorders
              ii. Feelings of worthlessness, difficulty thinking or
                  concentrating, and thoughts of death or suicide
       f. Dysthymia (dysthymic disorder)
               i. Depressed mood that persists over a 2-year period but
                  is not as severe as major depression
       g. Seasonal Affective Disorder
               i. Relationship between the onset on an episode of
                  depressive disorder and a particular period of the year
              ii. Regular appearance of depression for approximately 60
                  days, between the beginning of October and the end of
                  November
       h. A change from depression to mania or hypomania also may
          occur within a 60-day period from mid-February to mid-April
 XXII. Personality Disorders
       a. Antisocial
               i. No loyalty to or concern for others
              ii. Without moral standards
             iii. Acts only in response to desires and impulses
             iv. Cannot tolerate frustration and blames others when at
                  fault
       b. Borderline
               i. Instability in interpersonal relationships and sense of self
              ii. Alternating involvement with and rejection of people
             iii. Frantic efforts are made to avoid real or imagined
                  abandonment
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        c. Histrionic
                i. Emotional, attention-seeking, immature and dependent
               ii. Irrational outburst and tantrums
              iii. Flamboyant and theatrical
              iv. Having general dissatisfaction with self and angry
                   feelings about the world
        d. Narcissistic
                i. Grandiose sense of self-importance or uniqueness
               ii. Preoccupation with fantasies of success and power
        e. Paranoid
                i. Continually suspicious and mistrustful of other people,
                   but not to a psychotic degree
               ii. Jealous and overly concerned with hidden motives of
                   others
              iii. Quick to take offense
        f. Schizoid
                i. Emotionally cold and aloof
               ii. Indifferent to praise or criticism or the feelings of others
              iii. Few friendships and rarely appears to experience strong
                   emotions (anger or joy)
 XXIII. Developmental Disorders --Characterized by delays in the
        development of socialization and communication skills
        a. Autism: commonly appearing during the first 3 years of life.
           Autistic people may exhibit traits such as resistance to change,
           using gestures instead of words, repeating words, tantrums,
           not wanting to be touched, little eye contact, sensitivity to
           sound, uneven gross/fine motor skills and obsessive
           attachment to objects
        b. Asperger syndrome
                i. Sometimes referred to as a less severe type of autism
               ii. Usually have normal language skills and normal
                   intelligence
              iii. Don’t know how to interact with others
              iv. Difficulty with abstract concepts
               v. Repetitive and restricted patterns of behavior
 XXIV. Schizophrenia
        a. Chronic psychotic disorder
                i. Delusions: belief that internal thoughts are broadcast to
                   the external world
               ii. Hallucinations: voices or sounds that do not exist
              iii. Thought disorder: ideas shift from one subject to
                   another, completely unrelated
              iv. Disorder of movement: involuntary movements,
                   mannerisms or clumsiness, uncoordinated
               v. Flat affect; no signs of expression
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              vi. Impaired interpersonal functioning and relationship to
                    the external word
        b. Catatonic type: the patient is mute and does not move or react
           to the outside environment
        c. Disorganized type: patient exhibits disorganized speech and
           behavior and flat or inappropriate affect
        d. Paranoid type: the patient experiences prominent delusions of
           grandeur or persecution and auditory hallucinations
        e. Residual type: flat affect, fatigue, withdrawal, and lack of
           motivation
 XXV. Sexual Disorders
        a. Paraphilia: recurrent intense sexual urges, fantasies, or
           behavior that involve unusual objects, activities or situations
                 i. Exhibitionism: compulsive need to expose one’s body,
                    particularly the genitals
                ii. Fetishism: use of nonliving objects as substitutes for a
                    human sexual love object
               iii. Sexual masochism: sexual gratification is gained by
                    being humiliated, beaten, bound or otherwise made to
                    suffer by another person
              iv. Sexual sadism: sexual gratification is gained by inflicting
                    physical or psychological pain or humiliation on others
                v. Transvestic fetishism: cross-dressing
              vi. Voyeurism: sexual excitement is achieved by observing
                    unsuspecting people who are naked, or engaged in sex
        b. Sexual dysfunctions: disturbances in sexual desire or change
           in sexual response
                 i. Gender Identity Disorder
                        1. A strong and persistent cross-gender
                           identification with the opposite sex
                        2. Preference for cross-dressings and cross-gender
                           roles
                        3. Persistent fantasies about being the other sex
 XXVI. Somatoform Disorders
        a. Patient’s mental conflicts are expressed as physical symptoms
        b. Conversion disorder: loss of physical functioning that suggest a
           physical disorder but is instead an expression of a
           psychological conflict or need
        c. Hypochondriasis: a preoccupation with body aches, pains and
           discomforts in the absence of real illness
 XXVII. Substance-related Disorders
        a. Characterized by symptoms and behavioral changes
           associated with regular use of substances that affect the
           central nervous system
                 i. Psychological dependence: compulsion to continue
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                    taking a drug despite adverse consequences
                ii. Physical dependence: onset of withdrawal symptoms
                    when the drug is discontinued abruptly
               iii. Tolerance: declining effect of the drug so that the dose
                    must be increased to give the same effect
        b. Alcohol: dependence often associated with the use and abuse
           of alcohol, and sometimes leads to abuse of more lethal drugs
        c. Amphetamines: CNC stimulants are taken orally or
           intravenously
        d. Cannabis: class of drugs includes all substance with
           psychoactive properties derived from the cannabis plant
        e. Cocaine: a stimulant drug that produces euphoria as well as
           vasoconstriction, tachycardia and hypertension
        f. Hallucinogens: produce a state of CNC excitement,
           hyperactivity, hallucinations, delusions, hypertension and mood
           changes.
        g. Opioids: group includes heroin and morphine and synthetic
           drugs with morphine-like action, such as codeine
        h. Sedatives, hypnotics or anxiolytics: these drugs have a
           soothing relaxing, euphoric effect and also can produce sleep
 XXVIII. Therapeutic Modalities
        a. Psychotherapy: treatment of emotional disorders by using
           psychological techniques
        b. Cognitive Behavioral Therapy (CBT): short-term, focused
           psychotherapy or a wide range of psychological problems
        c. Family Therapy: treatment of an entire family to help members
           resolve and understand their conflicts and problems
        d. Group Therapy: a group with a health professional leader as
           moderator; patients with similar problems gain insight into their
           own personalities through discussions and interactions with
           each other
        e. Hypnosis: a trance state is created to help recovery of deeply
           repressed memories
        f. Insight-oriented Psychotherapy: uses face-to-face discussion
           of life problems and associated feelings
        g. Play Therapy: the child uses play with toys to express conflicts
           and feelings that he or she is unable to communicate in a direct
           manner
        h. Psychoanalysis: long-term and intense form of psychotherapy
           seeks to influence behavior and resolve internal conflicts by
           allowing patients to bring their unconscious emotions to the
           surface
        i. Sex Therapy: can help people overcome sexual dysfunctions
        j. Supportive Psychotherapy: the therapist offers encouragement,
           support and hope to patients facing difficult life transitions and
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           events
  XXIX. Drug Therapy
        a. Antianxiety and antipanic agents: drugs lessen anxiety,
           tension, and agitation
        b. Antidepressants: drugs gradually reverse depressive
           symptoms and return the patient to a more even state
        c. Anti-obsessive-compulsive disorder agents: are prescribed to
           relieve the symptoms of OCD
        d. Antipsychotics: these drugs modify psychotic symptoms and
           behavior
        e. Hypnotics: used to produce sleep and relieve insomnia
        f. Mood stabilizers: used primarily to treat patients with mania-
           predominant form of bipolar disease
        g. Stimulants: prescribed for attention-deficit hyperactivity
           disorder (ADHD)
  XXX. Vocabulary
        Term                                        Meaning
affect                     External expression of emotion response
amnesia                    Loss of memory
anorexia nervosa           Eating disorder with excessive dieting and refusal to
                           maintain a normal body weight
anxiety disorders          Characterized by unpleasant tension, distress, and
                           avoidance behavior; examples are panic disorder,
                           phobias, obsessive-compulsive disorder, post-traumatic
                           stress disorder, and generalized anxiety disorder
apathy                     Absence of emotions; lack of interest or emotional
                           involvement
autism                     Pervasive development disorder characterized by
                           inhibited social interaction and communication, and by
                           restricted, repetitive behavior
bipolar disorder           Mood disorder with alternating periods of mania and
                           depression
bulimia nervosa            Eating disorder with binge followed by vomiting,
                           purging and depression
cannabis                   Substances (cannabis plant) from which marijuana is
                           made
compulsion                 Uncontrollable urge to perform an act repeatedly
conversion disorder        Condition marked by physical symptoms with no
                           organic basis appearing as a result of anxiety and
                           unconscious inner conflict
defense mechanism          Unconscious technique (coping mechanism) a person
                           uses to resolve or conceal conflicts and anxiety; it
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                           protects the individual against anxiety and stress;
                           examples are acting out, denial and repression
delirium                   Confused thinking, disorientation, changes in alertness,
                           difficulty paying attention, and fearfulness. This is
                           usually a reversible impairment in thinking. Delirium
                           tremens is associated with alcohol withdrawal
delusion                   Fixed, false belief that cannot be changed by logical
                           reasoning or evidence
dementia                   Loss of intellectual abilities with impairment of
                           memory, judgment and reasoning as well as changes in
                           personality
depression                 Major mood disorder with chronic sadness, loss of
                           energy, hopelessness worry, and discouragement and,
                           commonly, suicidal impulses and thoughts
dissociative disorder      Chronic or sudden disturbance in memory, identity, or
                           consciousness; examples are multiple personality
                           disorder, psychogenic disorders, amnesia, and fugue
ego                        Central coordinating branch of the personality or mind
fugue                      Flight from customary surroundings; dissociative
                           disorder
gender identity            Strong and persistent cross-gender identification with
disorder                   the opposite sex
hallucination              False sensory perceptions; energy form instinctual
                           drives and desires
id                         Major unconscious part of the personality (energy from
                           instinctual drives and desires
labile                     Unstable; undergoing rapid emotional change
mania                      Extreme excitement, hyperactive elation, and agitation
mood disorders             Prolonged emotion dominates a person’s life
mutism                     Nonreactive state with inability to speak (aphonia)
obsessive-compulsive       Anxiety disorder in which recurrent thoughts and
                           repetitive acts dominate behavior
paranoia                   Overly suspicious system of thinking; fixed delusions
                           that one is being harassed, persecuted, or unfairly
                           treated
Paraphilia                 Recurrent intense sexual urge, fantasy, or behavior that
                           involves unusual objects, activities, or situations
personality disorders      Lifelong personality patterns marked by inflexibility and
                           impairment of social functioning
pervasive                  Group of childhood disorders characterized by delays in
developmental              socialization and communication skills (examples:
disorders                  autism, Asperger syndrome
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phobia                     Irrational or disabling fear of an object or situation
post-traumatic stress      Anxiety-related symptoms appear after personal
disorder                   experience of a traumatic event
projective                 Diagnostic personality test using unstructured stimuli
(personality) test         to evoke responses that reflect aspects of an
                           individual’s personality.
psychiatrist               Physician with medical training in the diagnosis,
                           prevention and treatment of mental disorders.
psychologist               Non-medical professional (PhD or EdD) specializing in
                           mental processes and how the brain functions in health
                           and disease
psychosis                  A disorder marked by loss of contact with reality; often
                           with delusions and hallucinations
reality testing            Psychological process that distinguishes fact from
                           fantasy
repression                 Defense mechanism by which unacceptable thoughts,
                           feelings, and impulses are automatically pushed into
                           the unconscious, out of awareness
schizophrenia              Chronic psychotic disorder that may include
                           hallucinations, disorganized speech and behavior, flat
                           affect, and lack of initiative
sexual disorders           Paraphilia and sexual dysfunctions
somatoform disorder        Presence of physical symptoms that cannot be
                           explained by an actual physical disorder or other well-
                           described mental disorder such as depression
substance-related          Regular overuse of psychoactive substance that effect
disorder                   the central nervous system (alcohol and other drugs)
superego                   Internalized conscience and moral part of the
                           personality
  XXXI. Psychiatric Therapy Terms
       Term                                         Meaning
Amphetamines               Central nervous system stimulants that may be used to
                           treat attention deficit-hyperactivity disorder and
                           depression
Atypical antipsychotics    Drugs that treat psychotic symptoms and behavior
Benzodiazepines            Drugs that lessen anxiety, tension, agitation and panic
                           attacks
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Cognitive behavioral       Focuses on the connection between behavior and
therapy                    thoughts. Conditionings used to relieve anxiety and
                           improve symptoms of illness
Electroconvulsive          Electric current is used to produce a change in brain
therapy                    wave patterns with resulting convulsions and loss of
                           consciousness; effective in the treatment of major
                           depression. Modern techniques use anesthesia, so the
                           convulsion is not observable
Family therapy             Treatment of an entire family to resolve and shed light
                           on conflicts
Free association           Psychoanalytic technique in which the patient
                           verbalizes, without censorship, the passing contents of
                           his or her mind
Group therapy              Group of patients with similar problems gain insight
                           into their personalities through discussion and
                           interaction with each other
Hypnosis                   Trance (state of altered consciousness) is used to
                           increase the pace of psychotherapy
Insight-orientated         Face-to-face discussion of life problems and associated
therapy                    feelings. The patient tells his or her story and has the
                           opportunity to connect emotional patterns in his or her
                           life history with present concerns; also called
                           psychodynamic therapy
Lithium                    Medication used to treat the manic stage of manic-
                           depressive illness
Neuroleptic drug           Any drug that favorably modifies psychotic symptoms.
                           Examples are Phenothiazines such as Chlorpromazine
                           (Thorazine)
Phenothiazines             Antipsychotic (neuroleptic) drugs
Play therapy               Treatment in which a child, through use of toys in a
                           playroom setting, expresses conflicts or feelings they
                           are unable to communicate in a direct manner
Psychoanalysis             Long-term and intense form of psychotherapy that seeks
                           to influence behavior and resolve internal conflicts by
                           allowing patients to bring their unconscious emotions to
                           the surface
Psychodrama                Group therapy in which patient expresses feeling
                           through acting out family and social roles with other
                           patients
Psychopharmacology         Treatment of psychiatric disorders with drugs
Sedatives                  Drugs that lessen anxiety
Supportive                 Offering encouragement, support, and hope to patients
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psychotherapy               facing difficult transitions and events
Transference                Psychoanalytic process in which the patient relates to
                            the therapist as though the therapist were a prominent
                            childhood figure
Tricyclic                   Drugs used to treat severe depression
antidepressants
  XXXII. Combining Forms
                  Combining Form                    Meaning
               Anxi/o                      Uneasy, anxious,
                                           distressed
               Aut/o                       Self
               Hallucin/o                  Hallucination, to wander
                                           in the mind
               Hypn/o                      Sleep
               Latr/o                      Treatment
               Ment/o                      Mind
               Neur/o                      Nerve
               Phil/o                      Attraction to, love
               Phren/o                     Mind
               Psych/o                     Mind
               Schiz/o                     Split
               Somat/o                     Body
  XXXIII.     Prefixes
                         Prefix                     Meaning
               a-, an-                     No, not
               cata-                       Down
               hypo-                       Deficient, less than,
                                           below
               para-                       Abnormal
  XXXIV.      Suffixes
                         Suffix                     Meaning
               -genic                      Produced by
               -leptic                     To seize hold of
               -mania                      Obsessive preoccupation
               -phobia                     Fear (irrational and often
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                                                                        Page 14 of 35
                                          disabling)
              -phoria                     Feeling, bearing
              -thymia                     Mind
 XXXV.       Abbreviations
  Abbreviation                                    Meaning
AD                       Alzheimer’s disease -- a form of dementia
ADHD                     Attention deficit hyperactivity disorder
ADLs                     Activities of daily living
AIMS                     Abnormal involuntary movement scale -- used to
                         monitor signs of tardive dyskinesia
ASD                      Autism spectrum disorder
BZD                      Benzodiazepine
CA                       Chronological age
CBT                      Cognitive behavioral therapy
CNS                      Central nervous system
DSM-IV-TR                Diagnostic and Statistical Manual of Mental Disorders,
                         4th edition, revised
DT                       Delirium tremens
ECT                      Electroconvulsive therapy
GAD                      Generalized anxiety disorder
IQ                       An IQ test is a standardized test to determine mental
                         age of an individual. The average person is considered
                         to have an IQ of between 90 and 110. Those who score
                         below 70 are considered mentally retarded.
LSD                      Lysergic acid diethylamide -- a hallucinogen
MA                       Mental age -- as determined by psychological tests
MAOI                     Monoamine oxidase inhibitor- examples: moclobemide
                         (Aurorix), phenelzine (Nordil), selegiline (Deprenyl), and
                         tranylcypromine (Parnate)
MDD                      Major depressive disorder
MMPI                     Minnesota Multiphasic Personality Inventory
MR                       Mental retardation
OCD                      Obsessive-compulsive disorder
PDD                      Pervasive developmental disorder -- includes autism and
                         Asperger syndrome
PTSD                     Post-traumatic stress disorder
Rx                       Therapy
SAD                      Seasonal affective disorder
SNRI                     Serotonin norepinephrine reuptake inhibitor --
                         examples: duloxetine (Cymbalta), venlafaxine (Effexor),
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                                                                     Page 15 of 35
                           desvenlafaxine (Pristiq)
 SSRI                      Selective serotonin reuptake inhibitor -- examples:
                           fluoxetine (Prozac), paroxetine (Paxil), sertraline (Zoloft)
 TAT                       Thematic Apperception Test
 TCA                       Tricyclic antidepressants
 TD                        Tardive dyskinesia
 THC                       Delta-9-tetrahydrocannabinol -- active ingredient in
                           marijuana
 WAIS                      Wechsler Adult Intelligence Scale
 WISC                      Wechsler Intelligence Scale for Children
 Ψ                         Symbol for psych-
 ΨRx                       Psychotherapy
Activity
   I. Make flash cards of the psychology terms and practice putting the
      terms together with prefixes and suffixes to make new terms.
   II. Complete the Psychiatric Combining Forms Worksheet.
   III. Complete the Psychiatric Vocabulary Worksheet.
   IV. Review media terms with the students using review games such as
       the “Fly Swatter Game” or the “Flash Card Drill” (see the Medical
       Terminology Activity Lesson Plan –
       http://texashste.com/documents/curriculum/principles/medical_termin
       ology_activities.pdf.
   V. Research and report on diseases and disorders related to
      psychology.
Assessment
Successful completion of the activities
Materials
Computer and data projector
Disease report rubric
Index cards
Ink Blots
List of psychiatric terms worksheet and key
Markers
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                                                                         Page 16 of 35
Psychiatric combining forms, prefixes and abbreviation worksheet and key
Accommodations for Learning Differences
For reinforcement, the student will practice terms using flash cards related to
psychology.
For enrichment, the students will research various psychiatric disorders.
Share findings with the class using a multimedia presentation.
National and State Education Standards
National Healthcare Foundation Standards and Accountability Criteria:
Foundation Standard 2: Communications
2.21 Use roots, prefixes, and suffixes to communicate information
2.22 Use medical abbreviations to communicate information
TEKS
130.203 (c) (1) The student recognizes the terminology related to the health
      science industry. The student is expected to:
      (A)     identify abbreviations, acronyms, and symbols;
      (B)     identify the basic structure of medical words;
      (E)     recall directional terms and anatomical planes related to the
              body structure
      (F)    define and accurately spell occupationally specific terms such
              as those relating to the body systems, surgical and diagnostic
              procedures, diseases, and treatments.
130.203 (c) (2) (B) employ increasingly precise language to communicate
130.203 (c) (4) The student interprets medical abbreviations. The student is
      expected to:
      (A)     distinguish medical abbreviations used throughout the health
              science industry; and
      (B)     translate medical abbreviations in simulated technical material
              such as physician progress notes, radiological reports, and
              laboratory reports.
130.203(c)(5)(B) translate medical terms to conversational language to
facilitate communication;
         (C) distinguish medical terminology associated with medical
              specialists such as geneticist, pathologists, and oncologist
         (D) summarize observations using medical terminology; and
         (E) correctly interpret contents of medical scenarios.
Texas College and Career Readiness Standards
English and Language Arts
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                                                                   Page 17 of 35
Understand new vocabulary and concepts and use them accurately in
reading, speaking, and writing.
1. Identify new words and concepts acquired through study of their
relationships to other words and concepts.
2. Apply knowledge of roots and affixes to infer the meanings of new words.
3. Use reference guides to confirm the meanings of new words or concepts.
Cross-Disciplinary Standards
I. Key Cognitive Skills D. Academic Behavior: 1. Self-monitor learning needs
and seek assistance when needed, 3. Strive for accuracy and precision, 4.
Persevere to complete and master task. E. Work habits: 1. Work
independently, 2. Work collaboratively
II. Foundation Skills A. 2. Use a variety of strategies to understand the
meaning of new words. 4. Identify the key information and supporting
details.
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                                                                   Page 18 of 35
                             Psychiatric Terms-Worksheet
             Term                                               Meaning
affect
amnesia
anorexia nervosa
anxiety disorders
apathy
autism
bipolar disorder
bulimia nervosa
cannabis
compulsion
conversion disorder
defense mechanism
delirium
delusion
dementia
depression
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                                                                                     Page 19 of 35
dissociative disorder
ego
fugue
gender identity disorder
hallucination
id
labile
mania
mood disorders
mutism
obsessive-compulsive
paranoia
paraphilia
personality disorders
pervasive developmental
disorders
phobia
post-traumatic stress
disorder
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                                                                                  Page 20 of 35
projective (personality) test
psychiatrist
psychologist
psychosis
reality testing
repression
schizophrenia
sexual disorders
somatoform disorder
substance-related disorder
superego
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                                                                                    Page 21 of 35
                              Psychiatry Therapy Terms
         Term                                                 Meaning
Amphetamines
Atypical antipsychotics
Benzodiazepines
Cognitive behavioral
therapy
Electroconvulsive therapy
Family therapy
Free association
Group therapy
Hypnosis
Insight-orientated therapy
Lithium
Neuroleptic drug
Phenothiazines
Play therapy
Psychoanalysis
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                                                                                    Page 22 of 35
Psychodrama
Psychopharmacology
Sedatives
Supportive psychotherapy
Transference
Tricyclic antidepressants
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                                                                                  Page 23 of 35
                                     Psychiatric Terms
             Term                                            Meaning
affect                             External expression of emotion response
amnesia                            Loss of memory
anorexia nervosa                   Eating disorder with excessive dieting and refusal to maintain
                                   a normal body weight
anxiety disorders                  Characterized by unpleasant tension, distress, and avoidance
                                   behavior; examples are panic disorder, phobias, obsessive-
                                   compulsive disorder, post-traumatic stress disorder, and
                                   generalized anxiety disorder
apathy                             Absence of emotions; lack of interest of emotional
                                   involvement
autism                             Pervasive development disorder characterized by inhibited
                                   social interaction and communication, and by restricted,
                                   repetitive behavior
bipolar disorder                   Mood disorder with alternating periods of mania and
                                   depression
bulimia nervosa                    Eating disorder with binge followed by vomiting, purging and
                                   depression
cannabis                           Substances (cannabis plant) from which marijuana is made
compulsion                         Uncontrollable urge to perform an act repeatedly
conversion disorder                Condition marked by physical symptoms with no organic basis
                                   appearing as a result of anxiety and unconscious inner conflict
defense mechanism                  Unconscious technique (coping mechanism) a person uses to
                                   resolve or conceal conflicts and anxiety. It protects the
                                   individual against anxiety and stress; examples are acting out,
                                   denial and repression
delirium                           Confused thinking, disorientation, changes in alertness,
                                   difficulty paying attention, and fearfulness. This usually a
                                   reversible impairment in thinking. Delirium tremens is
                                   associated with alcohol withdrawal
delusion                           Fixed, false belief that cannot be changed by logical reasoning
                                   or evidence
dementia                           Loss of intellectual abilities with impairment of memory,
                                   judgment and reasoning as well as changes in personality
depression                         Major mood disorder with chronic sadness, loss of energy,
                                   hopelessness worry, and discouragement and, commonly,
                                   suicidal impulses and thoughts
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                                                                                        Page 24 of 35
dissociative disorder            Chronic or sudden disturbance in memory, identity, or
                                 consciousness; examples are multiple personality disorder,
                                 psychogenic disorders, amnesia, and fugue
ego                              Central coordinating branch of the personality or mind
fugue                            Flight from customary surroundings; dissociative disorder
gender identity disorder         Strong and persistent cross-gender identification with the
                                 opposite sex
hallucination                    False sensory perception; energy form instinctual drives and
                                 desires
id                               Major unconscious part of the personality (energy from
                                 instinctual drives and desires
labile                           Unstable; undergoing rapid emotional change
mania                            Extreme excitement, hyperactive elation, and agitation
mood disorders                   Prolonged emotion dominates a person’s life
mutism                           Nonreactive state with inability to speak (aphonia)
obsessive-compulsive             Anxiety disorder in which recurrent thoughts and repetitive
                                 acts dominate behavior
paranoia                         Overly suspicious system of thinking; fixed delusions that one
                                 is being harassed, persecuted, or unfairly treated
paraphilia                       Recurrent intense sexual urge, fantasy, or behavior that
                                 involves unusual objects, activities, or situations
personality disorders            Lifelong personality patterns marked by inflexibility and
                                 impairment of social functioning
pervasive developmental          Group of childhood disorders characterized by delays in
disorders                        socialization and communication skills (examples: autism,
                                 Asperger syndrome
phobia                           Irrational or disabling fear of an object or situation
post-traumatic stress            Anxiety-related symptoms appear after personal experience
disorder                         of a traumatic event
projective (personality) test    Diagnostic personality test using unstructured stimuli to
                                 evoke responses that reflect aspects of an individual’s
                                 personality
psychiatrist                     Physician with medical training in the diagnosis, prevention
                                 and treatment of mental disorders
psychologist                     Non-medical professional (PhD or EdD) specializing in mental
                                 processes and how the brain functions in health and disease
psychosis                        A disorder marked by loss of contact with reality; often with
                                 delusions and hallucinations
reality testing                  Psychological process that distinguishes fact from fantasy
                  Copyright © Texas Education Agency, 2012. All rights reserved.
                                                                                       Page 25 of 35
repression                     Defense mechanism by which unacceptable thoughts,
                               feelings, and impulses are automatically pushed into the
                               unconscious, out of awareness
schizophrenia                  Chronic psychotic disorder that may include hallucinations,
                               disorganized speech and behavior, flat affect, and lack of
                               initiative
sexual disorders               Paraphilias and sexual dysfunctions
somatoform disorder            Presence of physical symptoms that cannot be explained by
                               an actual physical disorder or other well-described mental
                               disorder such as depression
substance-related disorder     Regular overuse of psychoactive substance that effect the
                               central nervous system (alcohol and other drugs)
superego                       Internalized conscience and moral part of the personality
                Copyright © Texas Education Agency, 2012. All rights reserved.
                                                                                   Page 26 of 35
                              Psychiatry Therapy Terms
         Term                                                  Meaning
Amphetamines                      Central nervous system stimulants that may be used to treat
                                  attention deficit-hyperactivity disorder and depression
Atypical antipsychotics           Drugs that treat psychotic symptoms and behavior
Benzodiazepines                   Drugs that lessen anxiety, tension, agitation and panic attacks
Cognitive behavioral therapy      Focuses on the connection between behavior and thoughts;
                                  conditioning used to relieve anxiety and improve symptoms of
                                  illness
Electroconvulsive therapy         Electric current is used to produce a change in brain wave
                                  patterns with resulting convulsions and loss of consciousness;
                                  effective in the treatment of major depression. Modern
                                  techniques use anesthesia, so the convulsion is not
                                  observable
Family therapy                    Treatment of an entire family to resolve and shed light on
                                  conflicts
Free association                  Psychoanalytic technique in which the patient verbalizes,
                                  without censorship, the passing contents of his or her mind
Group therapy                     Group of patients with similar problems gain insight into their
                                  personalities through discussion and interaction with each
                                  other
Hypnosis                          Trance (state of altered consciousness) is used to increase the
                                  pace of psychotherapy
Insight-orientated therapy        Face-to-face discussion of life problems and associated
                                  feelings. The patient tells his or her story and has the
                                  opportunity to connect emotional patterns in his or her life
                                  history with present concerns; also called psychodynamic
                                  therapy
Lithium                           Medication used to treat the manic stage of manic-depressive
                                  illness
Neuroleptic drug                  Any drug that favorably modifies psychotic symptoms.
                                  Examples are Phenothiazines such as Chlorpromazine
                                  (Thorazine)
Phenothiazines                    Antipsychotic (neuroleptic) drugs
Play therapy                      Treatment in which a child, through use of toys in a playroom
                                  setting, expresses conflicts or feelings they are unable to
                                  communicate in a direct manner
Psychoanalysis
psychodrama                       Group therapy in which patient expresses feeling through
                                  acting out family and social roles with other patients
Psychopharmacology                Treatment of psychiatric disorders with drugs
Sedatives                         Drugs that lessen anxiety
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                                                                                       Page 27 of 35
Supportive psychotherapy        Offering encouragement, support, and hope to patients facing
                                difficult transitions and events
Transference                    Psychoanalytic process in which the patient relates to the
                                therapist as though the therapist were a prominent childhood
                                figure
Tricyclic antidepressants       Drugs used to treat severe depression
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                                                                                   Page 28 of 35
                   Combining Forms
 Combining                        Meaning
   Form
Anxi/o
Aut/o
Hallucin/o
Hypn/o
Iatr/o
Ment/o
Neur/o
Phil/o
Phren/o
Psych/o
Schiz/o
Somat/o
                         Suffixes
Suffix                            Meaning
-genic
-leptic
-mania
-phobia
-phoria
-thymia
                         Prefixes
    Prefix                        Meaning
a-, an-
cata-
hypo-
para-
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                                                                 Page 29 of 35
                                    Abbreviations
Abbreviation                                      Meaning
AD
ADHD
ADLs
AIMS
ASD
BZD
CA
CBT
CNS
DSM-IV-TR
DT
ECT
GAD
IQ
LSD
MA
MAOI
MDD
MMPI
MR
OCD
PDD
PTSD
Rx
SAD
SNRI
SSRI
TAT
TCA
TD
THC
WAIS
WISC
Ψ
ΨRx
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                                                                                Page 30 of 35
                   Combining Forms
Combining Form                      Meaning
Anxi/o               Uneasy, anxious, distressed
Aut/o                Self
Hallucin/o           Hallucination, to wander in the mind
Hypn/o               Sleep
Iatr/o               Treatment
Ment/o               Mind
Neur/o               Nerve
Phil/o               Attraction to, love
Phren/o              Mind
Psych/o              Mind
Schiz/o              Split
Somat/o              Body
                         Suffixes
      Suffix                        Meaning
-genic               Produced by
-leptic              To seize hold of
-mania               Obsessive preoccupation
-phobia              Fear (irrational and often disabling)
-phoria              Feeling, bearing
-thymia              Mind
                         Prefixes
      Prefix                        Meaning
a-, an-              No, not
cata-                Down
hypo-                Deficient, less than, below
para-                Abnormal
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                                                                 Page 31 of 35
                                    Abbreviations
Abbreviation                                       Meaning
AD             Alzheimer disease -- a form of dementia
ADHD           Attention deficit hyperactivity disorder
ADLs           Activities of daily living
AIMS           Abnormal involuntary movement scale -- used to monitor signs of tardive
               dyskinesia
ASD            Autism spectrum disorder
BZD            Benzodiazepine
CA             Chronological age
CBT            Cognitive behavioral therapy
CNS            Central nervous system
DSM-IV-TR      Diagnostic and Statistical Manual of Mental Disorders, 4th edition, revised
DT             Delirium tremens
ECT            Electroconvulsive therapy
GAD            Generalized anxiety disorder
IQ             An IQ test is a standardized test to determine mental age of an individual.
               The average person is considered to have an IQ of between 90 and 110.
               Those who score below 70 are considered mentally retarded.
LSD            Lysergic acid diethylamide -- a hallucinogen
MA             Mental age -- as determined by psychological tests
MAOI           Monoamine oxidase inhibitor -- examples: moclobemide (Aurorix),
               phenelzine (Nordil), selegiline (Deprenyl), and tranylcypromine (Parnate)
MDD            Major depressive disorder
MMPI           Minnesota Multiphasic Personality Inventory
MR             Mental retardation
OCD            Obsessive-compulsive disorder
PDD            Pervasive developmental disorder -- includes autism and Asperger syndrome
PTSD           Post-traumatic stress disorder
Rx             Therapy
SAD            Seasonal affective disorder
SNRI           Serotonin norepinephrine reuptake inhibitor -- examples: duloxetine
               (Cymbalta), venlafaxine (Effexor), desvenlafaxine (Pristiq)
SSRI           Selective serotonin reuptake inhibitor -- examples: fluoxetine (Prozac),
               paroxetine (Paxil), sertraline (Zoloft)
TAT            Thematic Apperception Test
TCA            Tricyclic antidepressants
TD             Tardive dyskinesia
THC            Delta-9-tetrahydrocannabinol -- active ingredient in marijuana
WAIS           Wechsler Adult Intelligence Scale
               Copyright © Texas Education Agency, 2012. All rights reserved.
                                                                                Page 32 of 35
WISC   Wechsler Intelligence Scale for Children
Ψ      Symbol for psych-
ΨRx    Psychotherapy
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                                                                        Page 33 of 35
Ink Blot Images
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                                                                                   Page 34 of 35
Copyright © Texas Education Agency, 2012. All rights reserved.
                                                                 Page 35 of 35