Psyc Flashcards
How long do you need to have anxiety for it to be considered generalized anxiety disorder (GAD)?
6 months
Treatment for GAD and panic disorder?
1st line: SSRI/SNRI
2nd line: TCAs, benzos
Also, cognitive behavioral therapy in any case.
What defines panic disorder?
Panic attacks that lead to anxiety and behavioral changes (avoidance) related to possibility of recurrence of the panic attack.
What is the treatment for specific phobias (ex: snakes, heights)?
Anxiolytics and exposure therapy.
What is the treatment for social phobia?
Meds and therapy.
How long must you have flashbacks, avoidance of reminders, and intrusive thoughts to be diagnosed as PTSD?
At least 1 month.
What is the treatment for PTSD?
psychotherapy, cognitive behavioral therapy (CBT), SSRIs/SNRIs
If you only have flashbacks, avoidance of reminders and intrusive thoughts for less than a month what is the disorder called?
Acute stress disorder
What is the treatment of ADHD?
stimulants primarily, behavioral therapy is not shown to improve symptoms of ADHD
What do you want to rule out in adults with suspected ADHD?
hyperthyroid, seizure, lead poisoning, head injury and other psychological disorders
What is autism spectrum?
Deficits in neurodevelopment for socialization, communication, and behavior.
What FEMALE medical problem often arises in women with anorexia nervousa?
Amenorrhea
What distinguishes bulimia from anorexia?
Normal weight in bulimia–>b/c anorexics can also purge/use laxatives.
What is the BMI for underweight?
What is the BMI for overweight?
25-30
What is the BMI for obesity?
> 30
What is the BMI percentile for overweight children?
85-95th percentile
What is the waist circumference for men and women to be considered obese?
Women: >35
Men: >40
What is the only drug approved for obesity?
Orlistat (makes your poop fatty)
What is bipolar 1?
Classic manic depressive
What is bipolar 2?
One episode of hypomania plus major depression.
What is the treatment for acute mania?
Lithium plus valproate
What defines major depression?
2 weeks of depressed mood or anhedonia.
What is adjustment disorder?
emotional and behavioral reaction that is greater than would be expected for stressor and affects work or social life.
What is dysthymic disorder?
less severe depression: depressed for 2+ years, most days for most of the day
What is personality disorder?
personality trait that is so extreme it causes impairment/distress and behavior outside the “norm”.
What is cluster A of personality disorders?
Odd and Eccentric:
Paranoid
Schizoid
Schizotypal
What is schizoid?
detached socially with restricted range of emotions in interpersonal settings
What is schizotypal?
Social and relationship deficits result in discomfort and decrease in close relationships and eccentric behavior.
What is cluster B of personality disorders?
Dramatic, emtional and erratic:
Histrionic, narcissistic, borderline, antisocial
What is cluster C of personality disorders?
Anxious or fearful:
Avoidant
Dependent
Obsessive-compulsive
What is histrionic personality disorder?
excessive emotionality and attention seeking
What is narcissistic personality?
Grandiosity, need for admiration, and lack of empathy
What is borderline personality?
unstable relationships, self image, affect, and impulse control
What is antisocial personality?
disregard for rights of others–>lying, cheating, stealing, neglect
What are psychoses and what are they treated with?
disturbance in the perception of reality that manifests as hallucination, delusion or thought disorganization–treated with antipsychotics
What is schizophrenia?
severe chronic psychosis that leads to progressive deterioration in functioning–antipychotics generally help with symptoms (hallucinations/dilusions) but there is still a steady decline in things like affect, anhedonia, intellectual function, memory, bizarre behavior, ect.
What is delusional disorder?
isolated, NON-bizarre delusion in otherwise functioning person (ex: I think someone put a chip in me)
What is somatoform disorder?
syndrome of nonspecific physical complaints that can’t be explained medically (could be aware or not–may have secondary gain)
What is the CAGE screen for etoh and drugs?
- Tried to cut down?
- Annoyed when asked
- Do you feel guilty about your actions?
- Do you need an eye opener?
What is conduct disorder?
Disruptive behavior in CHILDREN with primary features of aggression, theft, vandalism, violations of rules and lying.
What is the treatment for conduct disorder?
Usually supportive but can try ADHD drugs.
