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Boards > Mental Health > Flashcards

Mental Health Flashcards

1
Q

Criteria for major depressive episode

A

> 5 symptoms present in the same 2 week period

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2
Q

Areas affected by major depression and symptom criteria for major depression

A 
sleep changes
interest loss (anhedonia)
guilt
decrease in energy
concentration probs
appetite changes
psychomotor agitation
suicide
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3
Q

Criteria for generalized anxiety disorder

A

> 3 symptoms reported as occurring on most days for > 6 months

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4
Q

Psychological symptoms of anxiety

A 
excessive worry
difficulty controlling worry
irritability
difficulty concentrating
sleep disturbance
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5
Q

Physical symptoms of anxiety

A 
restlessness
fatigue
muscle tension
palpitation
sweating
dry mouth
nausea
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6
Q

Goals in Tx of mood disorders

A

remission of symptoms for >4-5 months and restore psychosocial and occupational fx

long term therapy if this is more than their 2nd episode

ECT in those with major depressive disorder

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7
Q

What might be used to tx mood disorders

A

pharmacologic
psychologic
social services

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8
Q

When choosing a medication for a person with a mood disorder what questions should you ask

A

What are the most bothersome symptoms
What medication could be helpful
What is the medications profile

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9
Q

SSRI’s

A 
fluoxetine
sertraline
citalopram
escitalopram
paroxetine
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10
Q

SNRI’s

A

venlafaxine
duloxetine
desvenlafaxine

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11
Q

SDRI’s (dopamine reuptake inhibitor)

A

bupropion

usually add to an SSRI

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12
Q

What are benzos effects on worry

A

does not decrease

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13
Q

Half life of paroxetine

A

21 h

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14
Q

half life of sertraline

A

26 h

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15
Q

half life of escitalopram

A

27-32 h

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16
Q

half life of citalopram

A

33 h

17
Q

half life of fluoxetine

A

84 h

18
Q

What medication is likely to cause cardiac dysrhythmia and seizures when taken at an adult dose

A

2 week supply of nortriptyline

TCA and has anticolinergic effects

19
Q

A good canidate for paxil

A

teenager or young person who may forget doses because of its long half life

20
Q

common S/E of sertraline initiation

A

frontal headaches

21
Q

Erikson’s stage of trust vs mistrust

A

0-1 year

does the child believe the caregiver to be reliable

22
Q

Erikson’s stage of autonomy vs shame and doubt

A

1-3 years

23
Q

Erikson’s stage of initiative vs guilt

A

3-6 years

24
Q

Erikson’s stage of industry vs inferiority

A

6-11 years

25
Q

Erikson’s stage of indentity vs role confusion

A

12-20 years

where do I fit in

26
Q

Erikson’s stage of intimacy vs isolation

A

21-40 years

could be when schizoid disorder presents

27
Q

Erikson’s stage of generative lifestyle vs stagnation

A

40-60

mid life crisis years

28
Q

Erikson’s stage of ego integrity vs despair

A

> 65 years

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