Lange Q&A Adult Psychopathology Flashcards
(43 cards)
Prevalence of schizophrenia in the general population
1%
Schizophrenia monozygotic concordance rate
50%
Hallmark of Cotard syndrome
Psychotic/delusional theme that internal organs have been removed or are malfunctioning.
Folie à deux
A shared delusion aroused in someone via the influence of another person
Hallmark of Capgras syndrome
People have been replaced by identical appearing imposters (robots, aliens, etc)
Most common etiology of post-partum psychosis?
Bipolar disorder
Early sign of schizophrenia during the prodromal period
Progressive social withdrawal
Schizophreniform vs. schizophrenia
Schizophreniform = 1 - 6 months of symptoms that meet criteria for schizophrenia. Schizophrenia is > 6 months.
Common defense mechanisms utilized in patients with borderline personality disorder
Primitive defense mechanisms: denial, projective identification and splitting.
Bleuler’s 4 A’s of schizophrenia
Association, Affect, Ambivalence and Autism
Classic features of catatonia
Negativism, hypomotorism, echolalia and echopraxia.
Factors that differentiate delusional disorder from schizophrenia?
Nonbizzare delusions, lack of hallucinations, negative symptoms and disorganization.
Indications for ECT in major depression
High severity of symptoms, history of poor response to many medications and need for quick reversal of symptoms.
Most common sleep disturbance in patients with depression?
Early morning awakening
Biochemical changes observed in depression?
Increased cortisol. Decreased catecholamines, sex hormones and immune funtion.
Psychiatric illness with strongest genetic predisposition
Bipolar I disorder. 1st degree relatives have a 25% chance of getting any type of mood disorder.
Medical illness that commonly presents with psychiatric symptoms and abdominal pain.
Porphyria. Rule this out by checking urinary porphobilinogen.
Most common psychiatric illness that presents with visual hallucinations
Delirium
Klüver-Bucy syndrome
Severe damage to or disconnection of the amygdala resulting in docility, lack of fear, anterograde amnesia, hyperphagia and hypersexuality.
Pick disease
Frontotemporal dementia
Möbius syndrome
Congenital absence of facial nerves and nuclei resulting in bilateral facial paralysis
Function of superior temporal gyri
Processing auditory information to understand language
Treatment of choice of panic disorder with or without agoraphobia
Fluoxetine. SSRIs are as effective as benzodiazepines and do not have the addictive or withdrawal effects.
% of patients with depression who will have an abnormal dexamethasone suppression test?
50%. This is thought to be due to abnormal feedback control in the H-P-A axis due to depression. Note that this is even more prevalent in depressed patients with psychotic features.
