Overview Flashcards
What are the components of family history you should check?
genetic potential
learned behavior
What are the “big three”?
Hallucinations (check for auditory command type)
Homicidal ideations
Suicidal ideations (passive vs. active)
What time issues should you ask about in a history?
onset
frequency
duration
SAMCEL(S)
- sleep
- appetite
- memory
- concentration
- libido
- suicide
- ID -
- interest in daily life activities
- depressive feelings
- ID -
What components do you consider to formulate treatment plans?
pharmacology
psychotherapy
family therapy
social interventions
What labs should you order?
- CBC
- TSH
- CMP/Vit B12/Folate
- LFT’s/Serum Ammonia
- ECG
- STI studies
- Urine drug screen
- vitamin D
What are the 5 axis?
- State - acute presentation
- Trait - personality matrix
- Medical Diagnosis
- Psychosocial Stressors
- Global Assessment of Function (GAF)
What are the neurotransmitters we will focus on?
- GABA
- Glutamate
- Dopamine
- Norepinephrine
- Serotonin
All diseased cells are surrounded by what?
“unstructured” water
missing one electron from outer orbit
Healthy cells are surrounded by what?
“structured” water
no missing electrons
An adult male needs how much water a day?
female?
M : 3L
F : 2.2L
Forces exerted on the brain by shock waves can have what impact?
axonal damage
(hours - days)
What are the possible mechanisms of axonal damage?
excitotoxicity (death via over-excitation)
oxidative stress (death via exposure to free radicals)
What is the role of the therapis?
guide patient through therapeutic paths, helping the patient avoid pitfalls & declines that can occur
What is psychiatry?
combination of art & science: mind, body , spirir; talk therapy & pharmacology ; environment & biology
