Mood Disorders Flashcards
In what setting is the Psychiatric Review of Symptoms performed?
Primary care setting
What are 12 components to the PROS?
Sleep Appetite Substance use Concentration Anxiety Depression Suicide/homicide Self harm Psychosis Mania Motor Trauma
What are the 12 components to the Psychiatric Review of Symptoms?
Sleep Appetite Substance use Concentration Anxiety Depression Suicide/Homicide Self harm Motor Mania Psychosis Trauma
CAGE screen
Alcohol use
PHQ-9 screen
Depression
GAD-7 screen
Generalized Anxiety
SLUMS screen
Dementia
DAST-10 screen
Drug use
MDQ screen
Bipolar mania
C-SSRS screen
Suicide
AIMS screen
Abnormal involuntary movements
GSAQ screen
Sleep questionnaire
What are the 10 components to the mental status exam?
- Appearance
- Behavior
- Speech
- Mood
- Affect
- Thought process
- Thought content
- Perception
- Cognition
- Insight/judgment
What are the 10 components to the mental status exam?
- Appearance
- Behavior
- Speech
- Mood
- Affect
- Thought process
- Thought content
- Perception
- Cognition
- Insight/judgment
What are the 10 components to the mental status exam?
- Appearance
- Behavior
- Speech
- Mood
- Affect
- Thought process
- Thought content
- Perception
- Cognition
- Insight/judgment
Behavior involves assessing attitude, eye contact and movements. What dysfunction can be seen with Schizophrenia?
Eye Tracking Dysfunction
Mood is?
How the patients say they feel
– in quotes
Affect is?
Emotional state that we observe
If the Mood matches the Affect, it is?
Congruent
If the Mood does not match the Affect, it is?
Incongruent
What is Blunted Affect?
ABSENT facial expression, gestures, etc.
What are loose associations?
Illogical shifting between unrelated topics
- seen with psychosis
- In the Thought Process category
What are Delusions?
Fixed beliefs despite contradictory evidence
- In the Thought Content category
What are Ideas of Reference?
Incidents in outside world have direct personal reference to the patient
- In the Thought Content category
What are 2 preoccupations?
SI - suicidal ideation
HI - homicidal ideation
What must you determine if SI or HI preoccupations are present?
Active vs. Passive threat
– intent, plan, means, C-SSRS
Perception involves what findings?
Hallucinations
Illusions
Pseudohallucinations
Auditory Hallucinations (AH) are seen with?
Psychosis
Visual Hallucinations (VH) are usually due to?
Organic conditions
Pseudohallucinations differ from Hallucinations how?
Internal/subjective space
– voices in head for example
What is an example of abnormal Cognition?
Delirium
Insight
Awareness of one’s self
Judgment
Ability to anticipate consequences or make decisions for self
Behavioral Health Consultants job
Specialized training in health services delivery
What are 3 BHCs?
Social worker
Counselor
PsyD
What is Motivational Interviewing?
Method of approaching and achieving behavior change
What does Motivational Interviewing do for the client?
Helps client resolve ambivalence
What are the 6 stages of change?
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Termination
What are the 6 stages of change?
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Termination
Which medications have the fastest onset?
Atypical Antipsychotics
Before starting Atypical Antipsychotics, what labs should you get?
CBC with diff. CMP A1C Lipids TSH Urinalysis
Before starting Atypical Antipsychotics, what labs should you get?
CBC with diff. CMP A1C Lipids TSH Urinalysis
After starting Atypical Antipsychotics, when should you redo labs?
2 months
6 months
Then periodically
After starting Atypical Antipsychotics, how often should you get an AIMS?
Every 3 months
- Atypical Involuntary Movement Scale
Ask patients to discuss conflicting feelings about behavior change
Motivational Interviewing
