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PSYCH SHELF > Mood Disorders > Flashcards

Mood Disorders Flashcards

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1
Q

Anxiety criteria for GAD

A

Generalized worry about most things on most days greater than or equal to 6 months per year with greater than or equal to 3 somatic complaints including irritibility, weight change, sleep change, concnetration change, or somatic pain.

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2
Q

Treatment for GAD versus Panic disorder

A

GAD is more chronic so we treet with psychotherapy and an SSRI

Acute anxiety in panic attacks are treated with CBT, SSRI’s/SNRI’s, and then benzos as an abortive med in the moment

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3
Q

Symptoms of a panic attack

A

SOB
Trembling
Unsteadiness
Depersonalization
Excessive Heart Rate
Numbness
Tingling
Sweating
Palpitations
Abdomnial distress
Nausea
Intesne fear of losing control/dying
Chest Pain

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4
Q

Agoraphobia

A

fear or avoidance of public areas, crowds, public transpotrtation, or going outside alone

Thi

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5
Q

How to we treat fear of public speaking

A

Beta blockers; beta blockers are NOT for panic attacks

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6
Q

How do we treat specific phobias?

A

CBT, Systemic desensitization or flooding

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7
Q

Disorder characterized by persistent intrustive unwanted thoughts that provoke anxiety that is releived by specific behaivors or mental acts

A

OCD

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8
Q

What is the major difference between OCD and OCPD?

A

OCD individuals are painfully aware of their obsessions/compulsions (Ego-dystonic) whereas those with OCPD are unaware most of the time and their behavior is in line with their sense of self (ego-syntonic)

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9
Q

How is OCD treated?

A

CBT (exposure and response prevention)
Its technically a chronic anxiety disease so treatment with SSRI’s and adjuct TCAs specifically clomipramine can work. BENZOs are NOT for OCD!

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10
Q

subset of male patients preoccupied with insufficient musculature resulting in use of anabolic steroids, excessive lifting, and exercise

A

Body Dysmorphia

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11
Q

How do we treat body dysmorphia?

A

Give them SSRIs and CBT

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12
Q

How do we differentiate between trichotellomania and alopecia?

A

Hair of differing lengths is strongly associated with trichotillomania

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13
Q

Trichobezoar

A

hair ball that can cause SBO in trichotillomania

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14
Q

For a patient with patchy hair, what would you want to rule out before jumping to trichotillomania?

A

Fungus!

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15
Q

Impulse control and destructive disorders are treated how?

A

The DSM4 used to think there was an issue with serotonin so we’d treat with an ssri but basically meds, therpy, and combo of the two all work equally poor

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16
Q

Criteria forintermittent explosive disorder?

A

Twice a week in 3 months without harm; 3 times in the past year with harm

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17
Q

How do we treat intermittent explosive disorder?

A

SSRIs and group therapy directed at self reflection

again- its an impulse control and destructive disorder so treatment will likely work poorly

18
Q

What is the difference between arson and pyromania?

A

Arson: monetary gain
Pyromania: arousal, pleasure, anxiety reduction

19
Q

Theft vs klepto

A

Theft= no remorse, planned, object has value and pt cannot afford

klepto= remorse, stashes stolen things away, unplanned wthout help, has no value and pt can afford

20
Q

What is the treatment for intermittent explosive disorder, pyromania, and kleptomania?

A

All treated with SSRIs and group therapy. Intermittent explosive disorder may require incarceration if harm involved

21
Q

How do you differentiate PTSD from ASD?

A

PTSD= greater than or equal to one month= ptsd
ASD= greater than 3 days but less than a month

22
Q

How do we treat PTSD and ASD?

A

Group therapy (best)
If meds; SSRI SNRI (adjunct)
Benzos (if panic attacks)
CBT

23
Q

How do we treat sleep problems/nighmares in PTSD?

A

Prazosin

24
Q

What is the diff between RAD and DSED?

A

RAD= fail to attach to anyone
DSED= attaches to anyone (disinhibited social engagement disorder)

25
Q

Criteria for adjustment disorder

A

Starts within 3 months of streddor and lasts less than 6 months, treatment generally not needed

26
Q

Criteria for MDD

A

at least 5 sigecaps including ahnedonia and depressed mood for at least 2 weeks

Sleep
Interest
Guilt
Energy
Concentration
Appetite
Psychomotor
Suicidal Ideation

27
Q

What is the treatment for MDD?

A

SSRI/SNRI + psychotherapy

28
Q

If there is SI with a plan…

A

hospitalize

29
Q

If there is SI without a plan

A

safety contract

30
Q

If no SI but SIGECAPS

A

SSRI/SNRI

31
Q

Criteria for PDD

A

Depressed mood for greater than or equal to 2 years but without symptoms for greater than or equal to 2 moths at a time. Pt will be functioning but have depressed mood.

32
Q

How do we treat PDD?

A

SSRI

33
Q

Dysruptive mood dysregulation disorder criteria

A

outbursts 3x per week before ten years old

34
Q

How do we differentiate MDD from depression with peripartum onset?

A

To be peripartum, the depressuon has to occur during pregnancy or within 4 weeks of delivery

35
Q

What are the symptoms of mania?

A

Distractibility
Insomnia
Grandiosity
Fight of Ideas
Agitation/activity
Sexual Exploits
Talkative
Elevated mood
Racing thoughts

36
Q

How do we differentiate Bipolar I from II?

A

BPI: pt must have elevated mood with 3 other symptoms of mania for at least ONE WEEK. Is equal in men and women and can have modifers like psychotic features.
if a patient requires hospitalization or psychosis, its BP I!!

BP II: hypomiania and major depression; mania symptoms but not as impairing and for less time (4 days).

37
Q

How do we treat Bipolar disorder?

A

At the ER, give em a benzo to subdue them.
Lifelong; give them a mood stabilizer either lithium or valproic acid, can also add on an antipsychotic like olanzapine or queiapine. For those who are depressed, do quetiapine or olanzapine-fluoxetine

38
Q

What electrolyte abnormalities will you observe in a patient that purges using laxatives versus vomitting?

A

Laxatives will result in metabolic acidodis

Vomitting will result in metabolic alkalosis

39
Q

How do we treat anorexia?

A

Always watch out for unstable vitals because they may need hospitalization

CBT primarily and antipsychotics

40
Q

How do we treat bulemia?

A

fluoxetine and CBT

41
Q

Never give this med to a purger

A

buporpion

42
Q

Criteria for bulemia

A

purging methods at least once a week for 3 months

1-3 xs a week is mild

over 14 times a week is severe

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