Final Review Flashcards
a score of less than what on the MMSE is cognitive impariment
23
What disorder has a manic espisode and depression.
Bipolar I
when a bipolar patient has is manic and has MDD symptoms, high risk of suicide.
Mixed episode
Disorder with a least one major depressive episode and hypomanic episode, never been manic or mixed
Bipolar II
All of these describe what type of symptoms
decreased need for sleep
flight of idea
talkativeness
excessive involvement in pleasurable activities
manic symptoms
what is an hypomanic episode?
similar to manic but only 4 days
no psychotic features
Numerous sx of depression AND hypomania w/o meeting criteria for major depressive nor hypomanic episode
cyclothymic disorder
gold standard for bipolar disorder
lithium
– 5 sx of depression in week before menses starts, sx improve w/i few days of onset, minimal postmenses
premenstrual dysphoric disorder
child with recurrent empers/ outburst, diagnosed before age 6 and before age 18
Disruptive mood dysregulation (DMDD)
how long must symptoms be present for MDD?
> 2 weeks
ADR of buproprion
lowers seizure threshold
BBW for SSRIs
suidicde <26 years old
what is a non-sedating and non-addictive med for GAD?
buspirone
Recurrent, persistent thoughts, impulses or images that are intrusive and inappropriate and cause distress
Obsessions
Repetitive behaviors or mental acts the person feels driven to perform in response to an obsession
Compulsions
Difficulties in social use of verbal and nonverbal communication. Difficulties understanding humor/ sarcasm.
social communication disorder
Same as autism EXCEPT:
No language delay, no cognitive development delay
Asperger’s
Slowed head growth, loss of hand skills, poor coordination, impaired language development w/ psychomotor retardation
No language delay or cognitive development
Rett’s Disorder
Normal development x2 years followed by regression
Loss of previously acquired skills
Childhood Disintegrative Disorder
2 types of simtulants used for ADHS
amphetamine (Adderrall)
Methylphenidate (Ritalin)
Drug for ADHD that works like an antidepressant and helps w/ anxiety
Strattera
Must have: 4 pain sx, 2 GI sx, 1 sexual sx, 1 neuro sx
**Sx cannot be explained by a medical condition
somatization disorder
Intentional feigning of physical or psychological symptoms
-The motivation is to assume the “sick role”
factitious Disorder
Preoccupation w/having or acquiring a serious illness
Somatic sx not present, present at least 6 mo.
Not better explained by another condition
Illness anxiety disorder
lack of speech (negative symptom seen in schizophrenia)
alogia
lack of initiative or motivaiton (seen in schizophrenia)
avolition
(1) is a state of apparent unresponsiveness to external stimuli in a person who is apparently awake and
(2) is difficult to differentiate from diffuse encephalopathy and status epilepticus (get EEG)
Cataonia
1st generation, typical antipsychotics for schizoprhenia that have lots of EPS effects and tardive dyskinesia
Haloperidol
Thorazine
A severe, life threatening reaction to antipsychotic medication
Rigidity, Autonomic Instability (hypertension/tachycardia), Fever, Leukocytosis, Inc CPK
Neuroleptic malignant syndrome
• Patient meets criteria for schizophrenia in addition to meeting criteria for major depression, a manic or mixed episode
Schizoaffective Disorder
- Non-bizarre delusions are present at least 1 month-things that occur in real life such as being followed, poisoned, infected, loved at a distance, or being deceived by a significant other
- Outside of the delusions, behavior is not odd, bizarre or impaired
- Patient has never meet criteria for schizophrenia
Delusional disorder
Cluster A personality disorders
Paranoid
schizoid
schizotypal
bluster B personality disorders
antisocial
borderline
histrionic
narcissitic
cluster C personality disorders
avoidant
dependent
obsessive-compulsive
Detachment from social relationships, restricted range of affect. Does not want relationships with other people
Schizoid
Pervasive pattern of social and interpersonal deficits marked by acute discomfort with close relationships, cognitive distortions, odd behaviors and ideas
Schizotypal
Pervasive pattern of disregard and violation of the rights of others since age 15 (dx at 18 y/o)
“Sociopath” → entitled, charming, ulterior motives, angry when they don’t get their way
Mgmt: Don’t argue, be aware of escalating mood, leave room if pt is agitated
Antisocial personality disorders
Frantic efforts to avoid abandonment
- -Splitting (alternating between extremes of idealization and devaluation)
- -Unstable self image & sense of self
- -Impulsive self damaging behavior
Borderline Personality Disorders
Excessively emotional and attention seeking
Shallow emotions → THEATRICAL
Histrionic Personality disorder
Believes they are special and unique and should only assoc w/ other special people
Narcissistic PD
emotionally laden, uncontrolled outburst of aggressive behavior that is impulsive in nature
reactive aggression
controlled, purposeful, and medmeditated aggression with little emotion
planned or predatory aggression
Highest fatality rate of any psychiatric disorder
anorexia nervosa
Recurrent episodes of binge eating → discrete period & lack of control once per week for 3 months
bulemia nervosa
Eating w/i 2 hour periods amounts of food larger than what most people would eat in similar circumstance; sense of lack of control
3 of criteria (eating more rapidly than normal, feel uncomfortably full, eat large amounts when not hungry, eating along due to embarrassment, disgusted w/oneself
Binge eating disorder
Combination of concussion, PTSD, MDD, chronic pain, and generalized anxiety disorder
Post depolyment syndrome
