Intro adol. psych Flashcards

1
Q

what is epi of dep in adols

A
  • 6-8%
  • 2:1 females
  • high risk for recurrence
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2
Q

what is diagnosis issue for dep in adols

A
  • only 50% diagnosed before adults

- only 50% receive treatment

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3
Q

reasons diagnosis is missed

A
  • lack of confidence
  • fluctuating course
  • social stressors of time
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4
Q

diffs. in adol vs. adult

A
  • more irritbality
  • mood reactivity
  • low self esteem
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5
Q

general features of treatment

A
  • engage and educate
  • assess for hopelessness
  • suicide risk
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6
Q

4 types of antideps.

A

SSRIs
SNRIs
TCAs
antypicals

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7
Q

how to start meds

A

start slow, but if not working in 2-4 weeks move up

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8
Q

best evidence for treatament

A

SSRI - fluoxetine

- NOT TCAs

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9
Q

what is effect on suicide

A

doesn’t seem to increase

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10
Q

what is use for CBT

A

not that great

- can be good for suicide in combo with drugs

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11
Q

2 types of bipolar

A
  1. at least one manic episode

2. recurrent MDD with at least one hypomanic episode

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12
Q

bipolar epi

A

1%
M=F
high risk for suicide

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13
Q

def. of manic episode

A

period of abnormally or persistently elevated, expansive, or irritable mood
3 or more assoc. Sx

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14
Q

assoc. sx

A
thoughts
- grandiosity
- pressured speech
- flight of ideas
behav.
- decreased need for sleep
- increased goal directed act.
- activities lacking judgment
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15
Q

what is associtaed with greater risk of BP

A
  • recurrent ADHD, CD, dep/anx
  • fam hx
  • NOT severe mood dysregulation
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16
Q

main treatment of BP

A

lithium

- not much evidence for anti-convulsants

17
Q

3 key features of psychosis

A
  • delusions
  • hallucinations
  • disorganized speech
18
Q

sx of schizo

A
  • pos and neg. sx

- social and occup dysfunction

19
Q

heritability of schizo

A

pretty there

20
Q

main risk for schizo (env)

A

early THC use

21
Q

average duration of untreated psychosis and total illness

A

psychosis - 1 year

total - 3 years

22
Q

2 other types of psychotic disorders

A
  1. schizo spectrum

2. delusional disorders

23
Q

3 disorders with psychosis and a Sx

A
  1. depression
  2. cognitive (dementia/delerium)
  3. borderline
24
Q

2 types of antipsych and their SEs

A

typical - movement disorders

atypical - metabolic

25
what is best evidence for use of anti-psych drugs
in ASD
26
which anti-psych is best
seem equal - all have bad SE and no one tends to stay on them
27
mech and major SE of risperidone
- DA and 5HT antag | - TD
28
mech and major SE of olanzipine
- DA and 5HT antag | - metabolic
29
mech and major SE of clozapine
- DA antag | AGRANUlocytosis
30
what is suicide epi
more in males - 90% have diagnosis - 50% have more than 2 - most common is depressiokn
31
risk factors for suicide
``` SADPERSONS Sex-male Age - 15-24 Depression Previous attempt Ethanol use Rational thnking loss Suidide in fam Organized plan No supports Serious illness ```
32
what is suicidality in schizo
50% will attemp | 10-15% complete