Impulse Flashcards
What is the stressor and action of intermittent explosive disorder?
How do we diagnose the mild and severe forms?
Anything
Violence that is disproportional to the stressor
2 violent acts causing no harm per week for 3 months
3 violent acts causing harm ever over 12 months
Stressor for kleptomania?
Action?
Response?
Object
Steal things of no value to lower anxiety
Feel guilty and wants to give the item back
Stressor and action of pyromania?
criteria to diagnose?
Light fires to increase sexual arousal and lower anxiety
2 or more occasions setting fires.
2 parts of OCD?
Obsessions which are anxiety provoking
Compulsions which lower the anxiety
What is the first line treatment for OCD?
What meds to use for chronic OCD?
What is the identifier to diagnose OCD?
Psychotherapy, CBT
SSRIs
If it is impairing function
What is the compulsion and effect of trichotillomania?
Pull out hair (sometimes eat it)
Allopecia
5 elements of the PTSD disorder that the pt. Experiences?
Intrusions, mood changes (usually depressed), dissociation, avoidance, arousal
What is the difference between acute stress disorder and PTSD?
ASD is duration of greater than 3 days and less than 1 month
PTSD is duration of over 1 month
What is the best way to treat PTSD and what is the med used if a med is used?
Psychotherapy
SSRI
What is the difference between reactive attachment disorder and disinhibited social engagement disorder?
When does the diagnosis need to be made?
Pairing too little
Pairing too much
Less than 5 years old
2 pieces to diagnose adjustment disorder?
Within 3 months of non life threatening stressor
Less than 6 months in duration, no SI or HI
Big picture, what is the major difference between grief and depression?
What is the in between disorder?
Grief is focused on missing and being sad about not being with the person. Everything is focused on the person.
When it becomes depression is when the person is focused on themselves.
Does mom take care of baby with baby blues?
Onset?
Duration?
Major symptom?
Yes
Within 2 weeks of birth
2 weeks
Depression
Does mom take care of baby with post partum depression? Onset? Duration? Major symptom? TD?
Neglects baby Within a month Ongoing MDD SSRIS
Does mom take care of baby with PP psychosis? Onset? Duration? Major symptom? Tx?
Fears baby, wants to kill baby Within a month Ongoing Psychosis Anti psychotics
Positive symptoms in schizophrenia are due to what?
Negative symptoms are due to what?
Increased dopamine
Increased serotonin
How do we best treat schizoaffective disorder?
Treat the mood first
2 diagnostic criteria for delusional disorder?
How to treat?
The delusion is not bizarre
No impairment
Gentle confrontation
What med to use for the following patients?
Normal schizo who is compliant with meds?
Combative in ED?
Noncompliant?
All else fails, what do we give?
Atypicals, quetiapine, Olanzapine, risperidol
Typicals, haloperidol
Depot form of haloperidol
Clozapine
3 symptoms of NMS to remember and how to treat?
Fever, rigidity, elevated CK
Dantrolene
What is the acid/base status of vomiting and diarrhea?
Hydrogen out of the head, so alkalosis
Bicarb out of the butt, so acidosis
What is usually the cause of dissociative disorders?
What are the 3 things that are dissociated?
Severe and prolonged stressors
Thoughts, memory, and identity
How to treat Dissociative disorders?
Psychotherapy
What is the patho going on with Dissociative Identity Disorder?
Person experiences a severe and prolonged stressor and the brain creates an additional personality to absorb the emotional trauma and then when the stressor is gone, the additional identity is still there.
2 or more identity states
What are 3 big clinical identifiers of DID?
Memory gaps
Sex
Drugs
What is the difference between depersonalization and derealization disorder?
Out of body experience
Experiencing things as if it is a dream
