BV Psych Vignettes Flashcards
Review content
MMPI-2
Minnesota Multiphasic Personality Inventory = test of personality & psychopathology
Wisconsin Card-Sorting Test
Tests ability to adapt to changing rules in a complex card-matching game; test of executive functioning, often for patients with brain injuries or severe mental illnesses such as schizophrenia
K-SADS
Schedule for Affective Disorders and Schizophrenia in Children = semi-structured interview and collection of rating scales that involve assessment for affective, anxiety, behavioral, substance abuse, and psychotic disorders; valid for ages 6-18y
YMRS
Young Mania Rating Scale - Assessment of mania or hypomania states
HAM-D
Depression rating scale
Antihypertensive meds preferred when pt is depressed
Diuretics, CCB, ACE-I
Antihypertensive meds that can induce or worsen depression
alpha-methyldopa (and reserpine), beta-blockers have been implicated too
How to switch from SSRI to MAOI
d/c SSRI at least 2 weeks before starting MAOI
How many failed treatments needed before referral to (1) rTMS and (2) VNS (vagus nerve stimulation) therapy
(1) just one; (2) four
Physical findings in depressed individuals
(1) elevated bone resorption markers in serum & urine, lower bone mass density, incr fracture risk; (2) low HDL-C; (3) reduced heart rate variability on ECG
Therapies with most evidence for depression
CBT & IPT (interpersonal psychotherapy)
CBT
identifies false beliefs that underlie maladaptive behaviors
IPT (interpersonal psychotherapy)
emphasizes patient’s sick role
DBT
patients are doing the best that they can and they can do better
Applied behavior analysis
application of operant and classical conditioning to modify behaviors; often used with children with autism spectrum disorder
