II. Assessment, Diagnosis and Treatment Planning (30%) Flashcards
Major Depressive Disorder
must have 5 of the 9 symptoms for at least 2 weeks
Persistent Depressive Disorder
not as severe at MDD
at least 2 years
2 of 6 symptoms
Bipolar 1
Manic or Mixed episode
Manic Episode criteria is 1 week
Mania=dangerous acts, typically have legal or safety consequences
Bipolar 2
at least 1 episode of hypomania (at least 4 days)
at least 1 episode of major depression
hypomania= “fun” no sleep, high energy, goal directed
Cyclothymia
at least 2 years
hypomania but NOT mania
depressive episodes but NOT a major depressive episode
Schizophrenia
2 or more active symptoms present most days over a month
symptoms for 6 months
negative symptoms present
Schizoprehiform
symptoms for over 1 month but under 6 months
Schizoaffective Disorder
Episode with schizophrenia and mood symptoms (either bipolar or MDD)
delusions or hallucinations for 2 weeks
Schizophrenia positive symptoms
THREAD Thinking disturbed Hallucinations Reduced contact with reality Emotional control affected Arousal may lead to worsening symptoms Delusions
Schizophrenia negative symptoms
LESS Loss of volition, social withdrawal Emotionally flat Speech reduced Slowness in movement/thought
Generalized Anxiety
Chronic worry occurring most days for at least 6 months
PTSD
Traumatic event Re-experiencing Avoidance, emotional numbing Unable to function More than 1 month Increased Arousal
(TRAUMA)
Acute Stress Disorder
Minimum of 3 days, max of 4 weeks, and must occur within 4 weeks of the traumatic event
Borderline Personality Disorder
emotional instability, distress, neurosis
Difficulty forming stable relationships
Paranoid fear of being abandoned
Angry outburst
Increased incidence of childhood neglect/abuse
Greater risk of suicide
frequently do not meet the full criteria for the disorder if assessed a decade after the first diagnosis
Cannabis withdrawal
3 or more symptoms within approximately 1 week after cessation of heavy, prolonged use Irritability, anger Nervous, anxiety Sleep difficulty Decreased appetite or weight loss Restlessness Depressed mood
Cannabis intoxication
symptoms onset within 2 hours of smoking/ingesting Spike in heart rate Mouth dryness Appetite elevation Fluid accumulation in the eyelids
Schizoid personality disorder
eccentricity Appear odd, peculiar Tend to be distant, detached Loners Often chose jobs that allow them to work alone Avoid contact with others Many never marry Rarely express strong emotion
Medications for anxiety
Benzos (Xanax, Lithium, Valium, Ativan)
Medications for depression
SSRI's Prozac Lexapro Paxil Wellbutrin