Mood Disorders Flashcards

1
Q

What is a part of the PROS (psychiatric ROS)?

A
  • Sleep problems
  • Appetite
  • Substance use
  • Focus deficits
  • Anxiety
  • Motor
  • Depression
  • SI/HI
  • Self harm
  • Psychosis
  • Mania
  • Trauma
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2
Q

What is the PHQ9 exam for?

A
  • Depression
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3
Q

What is the DAST-10 exam for?

A
  • Drug abuse screening
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4
Q

What is the GAD-7 exam for?

A
  • Generalized anxiey
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5
Q

What is the C-SSRS exam for?

A
  • Suicide severity risk scale
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6
Q

What are the components of a mental status exam?

A
  • Appearance
  • Behavior
  • Speech
  • Mood
  • Affect
  • Thought process and content
  • Cognition
  • Perception
  • Insight/judgement
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7
Q

What is blunted affect?

A
  • Very diminished or absent facial expression
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8
Q

What are loose associations in thought process?

A
  • Illogical shifting between unrelated topics often seen in patients with psychosis
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9
Q

What are delusions?

A
  • Fixed, false beliefs firmly held despite contradictory evidence
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10
Q

What are ideas of reference?

A
  • Misinterpretation of incidents and events in the outside world having direct personal reference to the patient
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11
Q

How do you determine passive vs active SI or HI?

A
  • Intent
  • Plan
  • Means
  • Use C-SSRS
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12
Q

What are auditory hallucinations typical of?

A
  • Psychoses
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13
Q

What are visual hallucinations generally typical of?

A
  • Organic conditions
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14
Q

What is a behavioral health consultant?

A
  • Collaborates with health care team
  • Has specialized training in health services delivery
  • Assists in day to day practice
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15
Q

What is the role of the BHC?

A
  • Performs expert screening and diagnostic evaluation of patients
  • Supports psychotropic medication management focusing on adherence, attention to side effects
  • Provides supportive counseling services or interventions to patients
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16
Q

What is the goal of motivational interviewing?

A
  • Helps clients to explore and resolve ambivalence
17
Q

What are the six stages of change?

A
  1. Precontemplation
  2. Contemplation
  3. Preparation
  4. Action
  5. Maintenance
  6. Termination
18
Q

What drugs are used in depression?

A
  • SSRI
  • SNRI
  • NDRI
  • NRI
  • Trazodone
  • MAOI
19
Q

What is used in depression with psychosis?

A
  • Atypical antipsychotics like quetiapine ER and aripiprazole
20
Q

What is the use of clozapine?

A
  • Suicide risk reduction in patients with schizophrenia
21
Q

What is first line medication treatment for anxiety?

A
  • SSRIs
22
Q

What are some mood stabilizers in bipolar/cyclothymia?

A
  • Lamotrigine
  • Valproic acid
  • Carbamazepine
  • Lithium
23
Q

What should be done when starting an atypical antipsychotic?

A
  • CBC with diff
  • CMP
  • A1C
  • TSH
  • UA
  • Abnormal involuntary movement scale done every 3 months

**get baseline and then check at 2 and 6 months