Intro to Psychiatric Disorders Flashcards
DSM is what?
Diagnostic and statistical manual of mental disorders
Generalized Anxiety Disorder DSM-5
A- Amount of time, Excessive anxiety and worry more days than not for at least 6 months
Multiaxial Patient Evaluation? DSM-4
Axis 1- V
- Principal psychiatric disorder
- Developmental and personality disorders
- Physical disorders of conditions
- Severity of psychosocial stressors
- Global assessment of function
Personality disorder cluster A
Odd or eccentric
Paranoid, schizoid
Cluster B
Appear dramatic, emotional, or erratic
Antisocial, borderline
Cluster C
Anxious or fearful
- Avoidant, dependent, obsessive
Mental Status Examination (MSE)
Description of patients current behavior thoughts…
Appearance or behavior
- Dress/grooming
- Cooperativeness
- Eye contact
- Attitude
Speech and Language
Quantity, rate, speed
Mood and Affect
Mood- sustained feeling (how the patient feels) - Depressed Affect- Current emotional tone - Flat, blunted - labile (rapid changing affect) - congruent or incongruent with mood
Thought Process
- How we are think (organize our thoughts)
- Circumstantial
- Tangential
- Linear (Normal)
- Flight of ideas (pipolar)
- WOrd Salad
Thought content
- Suicidal ideation
- Homicidal Ideation
- Obsessions
- Paranoia…..
Neuropsychiatric eval
- Concentration
- Memory
- Attention
- Abstraction
- Orientation
- Constructional ability
Mini-Mental State Exam
- Orientation (Day month , year,
- Registration
- Attention and calculation
- Recall
- Language
MMSE Barriers
Someone cant read or has trouble with math
Insight/judgment
- Insight
+ What brought you to the hospital?
Judgement-
Self address mail
Mental Status Exam
Helps turn some subjective info into more objective. Its a counterpart to a physical exam not in place of
Medication History
Ask about all medications
- Ask about past meds
- Dose, Duration
- Adverse effects
- Compliance
- Family Hx of successful psychiatric medication use
Physical Exam
- Medical causes of symptoms
- Lab test
+ Urine drug screen
+ Blood count
+ Electrolytes
+ Thyroid function test (Hypothydroid can cause depression)
+ Liver enzymes
Psychiatric Rating Scales
- Purpose: Provide objective data
- Types of symptoms and how severe
Rating scale not diagnostic instruments
Used clinically to guide treatment
Rating scale example:
Schizo
Brief Psychiatric Rating Scale
Positive and Negative Syndrome Scale
- Clinical Global Impression Scale
Rating Scale Anxiety
Hamilton Anxiety Scale (HAM-A)
Yale- Brown Obsessive Compulsive Scale
Depression
HAM-D
MADRS
Beck Depressive Inventory
