Mehl. PTSD, acute stress disorder, OCD, ADHD 04-06 (2) Flashcards
M. Post-traumatic stress disorder. onset/duration? CP?
presents as at least 1 month of reliving a traumatic event, usually with flashbacks or nightmares about the event.
M. Post-traumatic stress disorder. Tx? nondrug
Treatment includes CBT and group therapy.
M. Post-traumatic stress disorder. Tx? drug
SSRIs if medication used.
M. Acute stress disorder. onset/duration? CP?
same as PTSD, but presenting for 3 days to <1 month since the traumatic event.
M. OCD. obsession definition?
Obsessions = Unwanted and intrusive thoughts, images, or urges that cause significant anxiety or distress.
M. OCD.
Example of obsession: is constantly feeling the need to touch a doorknob correctly before opening the door.
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M. OCD. Compulsions definition?
Compulsions = Repetitive behaviors a person performs in response to an obsession.
M. OCD.
Example of compusion: is touching the doorknob repeatedly in order to make sure it is touched “correctly.”
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M. OCD.
OCD is persistent obsessions and/or compulsions causing the patient significant distress or interfering with the patient’s socio-occupational functioning. The patient need not have both in order to be diagnosed – i.e., a patient can just have either obsessions or compulsions alone.
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M. OCD.
A key point that distinguishes OCD from OCDP (obsessive-compulsive personality disorder, which I discuss below), is that OCD is ego-dystonic, whereas OCDP is ego-syntonic – meaning, in OCD, the patient doesn’t like it / feels distressed; in OCDP, the patient is content / doesn’t view anything as wrong.
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M. OCD. Tx no drug?
CBT.
M. OCD. drugs? 2
If drugs, use SSRI or clomipramine (a TCA).
The latter shows up on an NBME and is a mini-factoid about OCD (i.e., you can use the TCA clomipramine to treat it).
ADHD. definition?
Inattentiveness (i.e., distractibility, not listening when spoken to) and/or hyperactivity (i.e., fidgeting, inability to remain seated or engage in activities quietly) at home and at school.
The pattern of behavior must be consistent across venues and daily situations the child is immersed in.
ADHD. Tx first line?
2nd line??
Tx = 1st-line is stimulant meds, such as methylphenidate (Ritalin).
Other non-stimulant meds, such as atomoxetine can be attempted 2nd-line.
ADHD. External to meds, family therapy, behavioral skills training, and parenting skills training can be pursued.
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ADHD. teenagers and adults can undergo what as a Tx?
Teenagers or adults can undergo CBT.
