9: Mood Disorders

Question 1

PROS vs open ended interviewing for psych pt

Answer 1

PROS is more reliable than open ended, bc sometimes pts wont bring things up unless prompted

Question 2

blunted affect

Answer 2

diminished/absent facial expression, expressive gestures and vocal expression in reaction to emotion-provoking stimuli

Question 3

delirium

Answer 3

acutely disturbed state of mind due to illness/intox; characterized by restlessness, illusions, incoherent thought and speech

Question 4

Behavioral health consultant (BHC)

Answer 4

performs screenings and dx evaluations for patients for a full range of psych issues

Question 5

motivational interviewing

Answer 5

method of approaching behavior to help clients explore and resolve ambivalence**, asking pt to discuss conflicting feelings about behavior change

Question 6

six stages of change in motivational interviewing

Answer 6

1. precontemplation
2. contemplation
3. preparation
4. action
5. maintenance
6. termination

Question 7

labs and exams to order when starting/monitoring an atypical anti-psychotic

Answer 7

1. CBC, CMP, A1C, lipids, TSH, UA

2. AIMS: abnormal involuntary mvmt scale

Question 8

minimal amount to do the AIMS scale in a pt taking an atypical antipsychotic

Answer 8

every 3 months

Question 9

what is important to monitor for a pt on Lithium?

Answer 9

serum drug levels 2x/week until stable, then q2mo until chronic stead dose, then q6-12mo

Question 10

pt with depression and psychotic features: start on what meds?

Answer 10

antidepressant + antipsychotic

Question 11

why not just start an antidepressant only in a depressed pt who is 24 or younger?

Answer 11

can precipitate SI and worsen depression

Question 12

PHQ9

Answer 12

patient health questionaaire for depression

Question 13

CAGE

Answer 13

for alcohol use

Question 14

DAST-10

Answer 14

Drug abuse screening test

Question 15

GAD7

Answer 15

GAD screening tool

Question 16

MDQ

Answer 16

mood disorder questionnaire (for bipolar mania)

Question 17

C-SSRS

Answer 17

columbia suicide severity risk scale

Question 18

SLUMS

Answer 18

SLU Mental Status (for dementia)

Question 19

CTRS and Wender Utah are used for ??

Answer 19

ADHD (CTRS for kids, Wender Utah for adults)

Question 20

AIMS

Answer 20

abnormal involuntary movement scale (for antipsychotics)

Question 21

GSAQ

Answer 21

global sleep assessment questionnaire

Question 22

Two of the best extended release anti-psychotics

Answer 22

quetiapine, aripiprazole

Question 23

Only FDA-approved anti-psychotic for decreased risk of SI in schizophrenic pts

Answer 23

Clozapine