Mood Disorders Flashcards
What is a part of the PROS (psychiatric ROS)?
- Sleep problems
- Appetite
- Substance use
- Focus deficits
- Anxiety
- Motor
- Depression
- SI/HI
- Self harm
- Psychosis
- Mania
- Trauma
What is the PHQ9 exam for?
- Depression
What is the DAST-10 exam for?
- Drug abuse screening
What is the GAD-7 exam for?
- Generalized anxiey
What is the C-SSRS exam for?
- Suicide severity risk scale
What are the components of a mental status exam?
- Appearance
- Behavior
- Speech
- Mood
- Affect
- Thought process and content
- Cognition
- Perception
- Insight/judgement
What is blunted affect?
- Very diminished or absent facial expression
What are loose associations in thought process?
- Illogical shifting between unrelated topics often seen in patients with psychosis
What are delusions?
- Fixed, false beliefs firmly held despite contradictory evidence
What are ideas of reference?
- Misinterpretation of incidents and events in the outside world having direct personal reference to the patient
How do you determine passive vs active SI or HI?
- Intent
- Plan
- Means
- Use C-SSRS
What are auditory hallucinations typical of?
- Psychoses
What are visual hallucinations generally typical of?
- Organic conditions
What is a behavioral health consultant?
- Collaborates with health care team
- Has specialized training in health services delivery
- Assists in day to day practice
What is the role of the BHC?
- 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
What is the goal of motivational interviewing?
- Helps clients to explore and resolve ambivalence
What are the six stages of change?
- Precontemplation
- Contemplation
- Preparation
- Action
- Maintenance
- Termination
What drugs are used in depression?
- SSRI
- SNRI
- NDRI
- NRI
- Trazodone
- MAOI
What is used in depression with psychosis?
- Atypical antipsychotics like quetiapine ER and aripiprazole
What is the use of clozapine?
- Suicide risk reduction in patients with schizophrenia
What is first line medication treatment for anxiety?
- SSRIs
What are some mood stabilizers in bipolar/cyclothymia?
- Lamotrigine
- Valproic acid
- Carbamazepine
- Lithium
What should be done when starting an atypical antipsychotic?
- 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
