Psych Flashcards
What medical condition can lithium cause?
Hypothyroidism
For female patients, what side effect (induced medical condition) does VPA put you at increased for?
PCOS
What mood stabilizer is approved for children for bipolar?
Lithium
Difference between two types of bipolar
- Bipolar I: Mania +/- depression
- Bipolar II: hypomania with depression
Difference between mania and hypomania
- Mania - > 7 days
- Hypomania - > 4 days
What SSRI characteristic is important to consider for withdrawal?
Half life - shorter is worse/high risk
Trichobezoar - what is it?
Picking hair and eating - leading to gastric obstruction
x3 domains of symptoms for ODD
- Angry + irritable mood
- Argumentative + defiant
- Vindictiveness
What may ODD lead to?
CD –> anti-social personality disorder
x4 domains of symptoms for CD
- Aggression to people/animals
- Destructive of property
- Deceitfulness or theft
- Serious violation of rules
What is the only anti-psychotic that has some evidence in aggressive/behavioural concerns?
Risperidone
What is the first line therapy for CD?
Multi-systemic therapy
What is the emphasis in CBT for patients with OCD?
Exposure + response prevention
DSM-5 criteria for MDD (do not need to list out MSIGECAPS)
- Need at least 5 out of 9 symptoms including depressed mood + anhedonia
- For at least 2 weeks
- Causing clinically significant distress/impairment
Risk factors for suicidality
- Older age
- Male
- MDD or other psychopathology
- Substance use
- Impulsivity or aggression
- History of previous attempts
- Presence of suicidal plan or intent
- Stressful life events
- Exposure to abuse or violence
- Access to lethal means - firearms
- Family history
