Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Diagnosis Management 2 > Bipolar, schizophrenia, and psychosis > Flashcards

Bipolar, schizophrenia, and psychosis Flashcards

1
Q

what is most most common comorbidity in children with bipolar disorder

A

ADHD

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

criteria for pediatric maic episode

A

same as for adult

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

emotions and mood in early onset bipolar

A

typically intensely emotional with fluctuating but overriding negative mood

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

what is typically frequent when manic episode is in an adolescent

A

psychotic features

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

predictors of rapid cycling

A

low socioeconomic status
presence of lifetime psychosis
dx of bipolar not otherwise specified

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

which antipsychotics are approved for early onset bipolar

A

olanzapine
quetiapine
risperidone
aripiprazole
ziprasidone

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

treatment modalities for early onset bipolar

A

pharmacotherapy
psychoeducation
psychosocial intervention w/ family and child
school interventions

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

recovery rate for early onset bipolar when occurring in young children

A

low

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

what are there higher risks of in early onset bipolar in young children

A

mixed states
rapid cycling
polarity changes

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

which antipsychotics work faster than depakote when treating early onset bipolar disorder

A

quetiapine and risperidone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

which mood stabilizers have proven effective in early onset bipolar

A

depakote
lithium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

are mood stabilizers or atypical antipsychotics more effective for early onset bipolar disorder

A

atypical antipsychotics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is the first step in family focused therapy approach for early onset bipolar diorder

A

several sessions of psychoeducation

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

what is the second phase of family focused treatment for early onset bipolar disorder

A

several sessions focusing on current stressors and a mood management plan

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

what is the third phase of family focused treatment for early onset bipolar disorder

A

several sessions of communication enhancement training and problem solving skills training

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what is often part of bipolar presentation in adolescents

A

psychotic features

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

which medications work faster than depakote for pediatric bipolar

A

quetiapine and risperidone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

how frequent is early onset bipolar

A

more common in adolescents than younger children but still rare

19
Q

early onset bipolar disorder is hypothesized as more severe characterized by what 5 things

A

-more mixed episodes
-greater psych comorbidity
-more lifetime psychotic sx
-poor response to prophylactic lithium
-greater heritability

20
Q

what may be a predictor of poor response to risperidone and valproate

A

increased amygdala activity

21
Q

common impairments in early onset bipolar disorder

A

-verbal memory
-processing speed
-executive function
-working memory
-attention
high number of emotional recognition errors

22
Q

risk is increased for what disorders if disrupted mood dysregulation disorder is present

A

anxiety/depressive disorders not bipolar

23
Q

what are the main differential diagnoses to distinguish between when considering early onset bipolar dx

A

ADHD
ODD
conduct disorder
anxiety/depressive disorders

24
Q

onset for early onset schizophrenia

A

any age under 18

25
Q

what is considered childhood onset schizophrenia

A

psychotic symptoms under age 13

26
Q

what is early onset schizophrenia associated with compared to adult schizophrenia

A

-more chronic course
-more severe social/cognitive consequences
-increased negative sx

27
Q

what can replace deterioration in function when considering early onset schizophrenia

A

failure to achieve expected social/academic functioning

28
Q

what is likely to be in the premorbid hx of early onset schizophrenia

A

social rejection
poor peer relationships
clingy withdrawn behavior
academic trouble

29
Q

what is different about hallucination type in early onset schizophrenia

A

auditory still most common but there is higher than expected rate of tactile, olfactory, and visual hallucination

30
Q

What affect is universal in early onset schizophrenia

A

blunted/flat

31
Q

3 most frequent comorbidities with early onset schizophrenia

A

ADHD
ODD
MDD

32
Q

what is required in addition to hallucinations for dx of early onset schizophrenia

A

functional deterioration or failure to meet expected social/academic functioning

33
Q

medical conditions that can cause psychosis

A

thyroid disease
SLE
temporal lobe disease

34
Q

Poor prognostic predictors for early onset schizophrenia course

A

-family hx
-young age and insidious onset
-developmental delays
-lower premorbid functioning
-long initial psychotic episode

35
Q

nonpharmacologic interventions for early onset schizophrenia

A

-family psychoeducation
-psychotherapy
-social skills interventions
-appropriate educational placement

36
Q

what is the preferred antipsychotic for early onset schizophrenia and why

A

risperidone as it is as effective as higher potency drugs with less severe side effects

37
Q

attenuated psychosis syndrome

A

subthreshold psychotic symptoms less severe than in psychotic disorders

38
Q

what is often present in prodromal state of early onset schizophrenia

A

attenuated psychosis syndrome

39
Q

diagnostic criteria for attenuated psychosis syndrome

A

-delusions, hallucination, or disorganized speech that causes functional impairment

40
Q

frequency/duration of sx in attenuated psychosis syndrome

A

sx present at least once weekly for at least a month and have emerged or worsened over the last year

41
Q

treatment of attenuated psychosis syndrome

A

therapy over meds as evidence is conflicting

42
Q

prenatal risk factors for attenuated psychosis syndrome

A

fetal malnutrition
hypoxia at birth
prenatal infections

43
Q

environmental risk factors for attenuated psychosis syndrome

A

trauma
stress
social adversity
isolation

Diagnosis Management 2 (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions