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ECOS 4 > Mood Disorders > Flashcards

Mood Disorders Flashcards

1
Q

In what setting is the Psychiatric Review of Symptoms performed?

A

Primary care setting

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2
Q

What are 12 components to the PROS?

A 
Sleep
Appetite
Substance use
Concentration
Anxiety
Depression
Suicide/homicide
Self harm
Psychosis
Mania
Motor
Trauma
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3
Q

What are the 12 components to the Psychiatric Review of Symptoms?

A 
Sleep
Appetite
Substance use
Concentration
Anxiety
Depression
Suicide/Homicide
Self harm
Motor
Mania
Psychosis
Trauma
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4
Q

CAGE screen

A

Alcohol use

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5
Q

PHQ-9 screen

A

Depression

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6
Q

GAD-7 screen

A

Generalized Anxiety

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7
Q

SLUMS screen

A

Dementia

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8
Q

DAST-10 screen

A

Drug use

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9
Q

MDQ screen

A

Bipolar mania

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10
Q

C-SSRS screen

A

Suicide

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11
Q

AIMS screen

A

Abnormal involuntary movements

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12
Q

GSAQ screen

A

Sleep questionnaire

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13
Q

What are the 10 components to the mental status exam?

A
  1. Appearance
  2. Behavior
  3. Speech
  4. Mood
  5. Affect
  6. Thought process
  7. Thought content
  8. Perception
  9. Cognition
  10. Insight/judgment
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14
Q

What are the 10 components to the mental status exam?

A
  1. Appearance
  2. Behavior
  3. Speech
  4. Mood
  5. Affect
  6. Thought process
  7. Thought content
  8. Perception
  9. Cognition
  10. Insight/judgment
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15
Q

What are the 10 components to the mental status exam?

A
  1. Appearance
  2. Behavior
  3. Speech
  4. Mood
  5. Affect
  6. Thought process
  7. Thought content
  8. Perception
  9. Cognition
  10. Insight/judgment
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16
Q

Behavior involves assessing attitude, eye contact and movements. What dysfunction can be seen with Schizophrenia?

A

Eye Tracking Dysfunction

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17
Q

Mood is?

A

How the patients say they feel

– in quotes

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18
Q

Affect is?

A

Emotional state that we observe

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19
Q

If the Mood matches the Affect, it is?

A

Congruent

20
Q

If the Mood does not match the Affect, it is?

A

Incongruent

21
Q

What is Blunted Affect?

A

ABSENT facial expression, gestures, etc.

22
Q

What are loose associations?

A

Illogical shifting between unrelated topics

    • seen with psychosis
  • In the Thought Process category
23
Q

What are Delusions?

A

Fixed beliefs despite contradictory evidence

- In the Thought Content category

24
Q

What are Ideas of Reference?

A

Incidents in outside world have direct personal reference to the patient
- In the Thought Content category

25
Q

What are 2 preoccupations?

A

SI - suicidal ideation

HI - homicidal ideation

26
Q

What must you determine if SI or HI preoccupations are present?

A

Active vs. Passive threat

– intent, plan, means, C-SSRS

27
Q

Perception involves what findings?

A

Hallucinations
Illusions
Pseudohallucinations

28
Q

Auditory Hallucinations (AH) are seen with?

A

Psychosis

29
Q

Visual Hallucinations (VH) are usually due to?

A

Organic conditions

30
Q

Pseudohallucinations differ from Hallucinations how?

A

Internal/subjective space

– voices in head for example

31
Q

What is an example of abnormal Cognition?

A

Delirium

32
Q

Insight

A

Awareness of one’s self

33
Q

Judgment

A

Ability to anticipate consequences or make decisions for self

34
Q

Behavioral Health Consultants job

A

Specialized training in health services delivery

35
Q

What are 3 BHCs?

A

Social worker
Counselor
PsyD

36
Q

What is Motivational Interviewing?

A

Method of approaching and achieving behavior change

37
Q

What does Motivational Interviewing do for the client?

A

Helps client resolve ambivalence

38
Q

What are the 6 stages of change?

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
  6. Termination
39
Q

What are the 6 stages of change?

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
  6. Termination
40
Q

Which medications have the fastest onset?

A

Atypical Antipsychotics

41
Q

Before starting Atypical Antipsychotics, what labs should you get?

A 
CBC with diff.
CMP
A1C
Lipids
TSH
Urinalysis
42
Q

Before starting Atypical Antipsychotics, what labs should you get?

A 
CBC with diff.
CMP
A1C
Lipids
TSH
Urinalysis
43
Q

After starting Atypical Antipsychotics, when should you redo labs?

A

2 months
6 months
Then periodically

44
Q

After starting Atypical Antipsychotics, how often should you get an AIMS?

A

Every 3 months

- Atypical Involuntary Movement Scale

45
Q

Ask patients to discuss conflicting feelings about behavior change

A

Motivational Interviewing

ECOS 4 (13 decks)

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