Mood and Psychiatric Disorders

Question 1

Review SIGECAPS.

Answer 1

Sleep disturbances (too much or too little) 
Interest (lack of...) 
Guilt
Energy (lack of...) 
Concentration inability
Appetite 
Psychomotor agitation
Suicidality

Question 2

One needs at least _________ of the SIGECAPS symptoms for _________.

Answer 2

5/9; 2 weeks

Question 3

Differentiate bipolar I and II.

Answer 3

Bipolar I: patients must have mania but may also have hypomania or depression

Bipolar II: hypomania plus depression

Question 4

There are five symptoms that define psychotic disorders and schizophrenia-spectrum disorders.

Answer 4

1) . Delusions: a fixed belief not amenable to change in light of conflicting evidence
2) . Hallucinations: perception-like experiences that occur without an external stimulus
3) . Disorganized speech: frequent derailment or incoherence
4) . Grossly disorganized or catatonic behavior (including echolalia)
5) . Negative symptoms: apathy, avolition

Question 5

Describe the timeline of psychotic diagnosis.

Answer 5

• less than one day: delirium
• greater than one day but less than one month: acute psychotic disorder
• one month to six months: schizophreniform disorder
• greater than six months: schizophrenia

Question 6

How many symptoms does a person need to have for a diagnosis of schizophrenia?

Answer 6

2/5, but one has to be from the first three (listed in the symptom flash card)

Question 7

Differentiate schizoaffective disorder and bipolar disorder with psychotic features.

Answer 7

Both involve a mix of psychotic symptoms and mood disturbances, but the psychotic features are more the baseline in schizoaffective disorder while the mood symptoms are foundational in bipolar disorder with psychotic features.

Question 8

Patients with schizophrenia have a higher rate of ____________.

Answer 8

suicide

Question 9

What is the DIGFAST mnemonic?

Answer 9

(mania symptoms) 
Distractibility
Irritability
Grandiosity 
Flight of ideas
Activities (hypersexual) 
Sleeplessness
Talkative

Question 10

Describe dysthymia and cyclothymia.

Answer 10

Dysthymia: subsyndromal depression
Cyclothymia: subsyndromal depression and hypomania

Question 11

In general, the DSM requires symptoms to be present after ___________ of sobriety before ruling out substance-related mental disorders.

Answer 11

one month

Question 12

What are neuroleptics?

Answer 12

Antipsychotics

Question 13

What is the brand name of quetiapine?

Answer 13

Seroquel