Anxiety, Personality Disorders

Question 1

Hallucinations + delusions in absence of mood changes for at least 2 weeks. Dx?

Answer 1

Schizoaffective Disorder.

Question 2

Anxiety about everything, money, cars, food, people, school. Dx? Rx?

Answer 2

Generalized Anxiety Disorder. SSRIs, Venlafaxine and buspirone.

Question 3

Personality Disorder: Suspicious, mistrustful, secretive, isolated.

Answer 3

Paranoid

Question 4

Personality Disorder: Choice of solitary activities, lack of close friends, emotional coldness, no desire for close relationships.

Answer 4

Schizoid

Question 5

Personality Disorder: Magical thinking, odd thinking, eccentric behavior.

Answer 5

Schizotypal

Question 6

Personality Disorder: Must be the center of attention, inappropriate sexual behavior, drama queen, uses physical experience to draw attention.

Answer 6

Histrionic

Question 7

Personality Disorder: Failure to conform to social rules, deceitful, lack of remorse, impulsive, aggressive towards under. Must be over 18 years of age. What would be the disorder if the pt was under 18 years of age?

Answer 7

Anti-social. Conduct Disorder.

Question 8

Personality Disorder: Unstable relationships, impulsive, recurrent suicidal behaviors, chronic feelings of emptiness, inappropriate anger.

Answer 8

Borderline.

Question 9

Personality Disorder: Grandiose sense of self, belief that they are special, lack of empathy, sense of entitlement.

Answer 9

Narcissistic.

Question 10

Personality Disorder: Unwilling to get involved with people. want to have friends but cant. Feels inadequate.

Answer 10

Avoidant.

Question 11

Personality Disorder: Difficulty making day to day decisions, unable to assume responsibility. Fear of being alone. Depends on spouse.

Answer 11

Dependent.

Question 12

Personality Disorder: Preoccupied with details, rigid, orderly, perfectionist, excessively devoted to work, inflexible.

Answer 12

Obsessive compulsive.

Question 13

A disorder that occurs within 3 months of a stressful life event and ends within 6 months of cessation of stressor.

Answer 13

Adjustment disorder. Supportive therapy. Group therapy. SSRI for depression or anxiety that is associated with it.

Question 14

A disorder that occurs due to a stressful event that occurred within the last month and the disorder last for only < 1 month.

Answer 14

Acute Stress Disorder (being involved in a MVA last month.) SSRI. Therapy: Cognitive, Supportive, Family. - same as PTSD.

Question 15

Stressful event that occurred at any time in the past and the symptoms last > 1 month. Dx? Rx?

Answer 15

Post-traumatic stress disorder (Rape that happened when you where younger affects you in your teens) . SSRI. Therapy: Cognitive, Supportive, Family, Supportive.

Question 16

Therapy for OCD?

Answer 16

SSRI, CBT and Patient education

Question 17

Difference btw OCD and OCPD?

Answer 17

1. (Ego-dystonic) OCD is obesssions and compulsions and recognize this as distressful and want to get rid of them. 2. (Ego-Syntonic) OCPD are ecessively conscientous and inflexible and do not recognize this nor want to get rid of them.

Question 18

Therapy for Specific Phobia and Social phobia?

Answer 18

1. CBT and desensitization 2. CBT, SSRI, low dose benzo or beta blockers for performance anxiety.

Question 19

A young woman who has very limited memory of her childhood years but knows that she was removed from her parents because of their abuse and neglect, frequently cannot account for house or even days of her life. She hears voices alternately plead, reprimand or simply comment on what she is doing. Occasionally, she does not remember how and when she arrived at a specific location. She finds clothes she does not like in her closet, and she does not remember having bought them. Her friends a puzzled because sometimes she acts in a childish dependent way and at other times becomes uncharasteristically aggressive and controlling. Dx?

Answer 19

Dissociative Identity Disorder.