Clinical Approach to Psychosomatic Disorders Flashcards
DSM5 criteria for psych factors affecting medical conditions
a medical condition separate from the mental disorder is present
psych factors adversely affect the general medical condition
psychosomatic effects of depression
increased risk for:
coronary artery disease
stroke
DM
psychosomatic effects of anxiety
increased risk for:
CAD
asthma
specific phobias
describe the stress theory
stress stimulates the sympathetic ANS and puts organs in “fight or flight” mode
tachy
HTN
increased CO
physiologic response to stress
neurotransmitter release: catecholamines, serotonin, glucocorticoids and DA
endocrine response: CRF triggers ACTH
immune response inhibition
psych sx of SLE
depression mood disturbances psychosis delusions hallucinations
psych sx of MS
anxiety
euphoria
mania
psych sx of seizure DOs
confusion psychosis dissociative states catatonic-like state bizarre behavior
psych sx of asthma and COPD
panic disorder
anxiety
psych sx of hyperthyroidism
nervousness excitability irritability pressured speech insomnia psychosis visual hallucinations
psych sx of hypothyroidism
depression
lethargy
personality change
paranoia
psych sx of DM
frustration
loneliness
dejection
depression
psych sx of pheochromocytoma
anxiety
apprehension
feeling of impending doom
panic
psych sx of hyponatremia
confusion
lethargy
personality changes
psych sx of thiamine def
poor concentration
confusion
confabulation
psych sx of cobalamin def
irritability
inattentiveness
psychosis
dementia
describe the link between GI and psych
psychological stress is strongly associated with increased gastric acid excretion = PUD
psych drugs have a high rate of GI disturbance due to serotonin in GI tract
psych sx of pancreatic CA
depression lethargy anhedonia apathy decreased energy
psych sx of porphyria
depression
agitation
paranoia
visual hallucinations
psych sx of hepatic encephalopathy
euphoria
disinhibition
psychosis
depression
what psych disorders are associated with skin disorders?
anxiety
depression
chronic stress
psych sx of frontal lobe tumor
mood changes irritability facetiousness impaired judgment impaired memory delirium loss of speech and smell
psych sx of occipital lobe tumor
aura
visual hallucinations
psych sx of head trauma
confusion
personality changes
memory impairment
stress management tx
self-observation
cognitive restructuring
relaxation exercises
mindfulness
what is consultation-liaison psychiatry?
the study, practice and teaching of the relationship between medical and psych disorders
delirium
reversible, acute onset of impaired cognition, attention, consciousness, perception, sleep patterns of emotional states that fluctuate over the course of the day
delirium interventions
orientation protocols
cognitive stimulation
facilitate sleep patterns
*avoid benzos in the elderly!!!
psych sx of PCP abuse
agitation with blank stare anxiety stupor aggression panic bizarre behavior
psych effects of corticosteroids
mania
psychosis (hallucinations)
psych effects of benzos
sedation
paradoxical agitation
psych effects of antiparkinson’s meds
psychosis
mania
anxiety
psych effects of antidepressants
mania (bipolar pt)
anxiety
insomnia
