Intro to Psychiatric Disorders Flashcards

1
Q

DSM is what?

A

Diagnostic and statistical manual of mental disorders

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2
Q

Generalized Anxiety Disorder DSM-5

A

A- Amount of time, Excessive anxiety and worry more days than not for at least 6 months

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3
Q

Multiaxial Patient Evaluation? DSM-4

A

Axis 1- V

  • Principal psychiatric disorder
  • Developmental and personality disorders
  • Physical disorders of conditions
  • Severity of psychosocial stressors
  • Global assessment of function
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4
Q

Personality disorder cluster A

A

Odd or eccentric

Paranoid, schizoid

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5
Q

Cluster B

A

Appear dramatic, emotional, or erratic

Antisocial, borderline

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6
Q

Cluster C

A

Anxious or fearful

- Avoidant, dependent, obsessive

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7
Q

Mental Status Examination (MSE)

A

Description of patients current behavior thoughts…

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8
Q

Appearance or behavior

A
  • Dress/grooming
  • Cooperativeness
  • Eye contact
  • Attitude
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9
Q

Speech and Language

A

Quantity, rate, speed

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10
Q

Mood and Affect

A
Mood- sustained feeling (how the patient feels) 
- Depressed
Affect- Current emotional tone
  - Flat, blunted
- labile (rapid changing affect) 
- congruent or incongruent with mood
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11
Q

Thought Process

A
  • How we are think (organize our thoughts)
  • Circumstantial
  • Tangential
  • Linear (Normal)
  • Flight of ideas (pipolar)
  • WOrd Salad
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12
Q

Thought content

A
  • Suicidal ideation
  • Homicidal Ideation
  • Obsessions
  • Paranoia…..
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13
Q

Neuropsychiatric eval

A
  • Concentration
  • Memory
  • Attention
  • Abstraction
  • Orientation
  • Constructional ability
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14
Q

Mini-Mental State Exam

A
  • Orientation (Day month , year,
  • Registration
  • Attention and calculation
  • Recall
  • Language
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15
Q

MMSE Barriers

A

Someone cant read or has trouble with math

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16
Q

Insight/judgment

A
  • Insight
    + What brought you to the hospital?
    Judgement-
    Self address mail
17
Q

Mental Status Exam

A

Helps turn some subjective info into more objective. Its a counterpart to a physical exam not in place of

18
Q

Medication History

A

Ask about all medications

  • Ask about past meds
  • Dose, Duration
    • Adverse effects
  • Compliance
  • Family Hx of successful psychiatric medication use
19
Q

Physical Exam

A
  • Medical causes of symptoms
  • Lab test
    + Urine drug screen
    + Blood count
    + Electrolytes
    + Thyroid function test (Hypothydroid can cause depression)
    + Liver enzymes
20
Q

Psychiatric Rating Scales

A
  • Purpose: Provide objective data
  • Types of symptoms and how severe
    Rating scale not diagnostic instruments

Used clinically to guide treatment

21
Q

Rating scale example:

Schizo

A

Brief Psychiatric Rating Scale

Positive and Negative Syndrome Scale

  • Clinical Global Impression Scale
22
Q

Rating Scale Anxiety

A

Hamilton Anxiety Scale (HAM-A)

Yale- Brown Obsessive Compulsive Scale

23
Q

Depression

A

HAM-D
MADRS
Beck Depressive Inventory