Psych Flashcards
Algophobia
Fear or pain
Acrophobia
Fear if heights
Agoraphobia
Fear of being out in public
Neuroleptic malignant syndrome
After using antipsychotics
Hyperthermia, hypertension, muscle rigidity, delirium
Serotonin syndrome
After using excuses SSRI
Muscular twitching, agitation, headache, confusion, autonomic dysfunction
Bulimia nervosa
Binge eating, loss of control, intense guilt
Drug or laxative abuse, regulate vomiting leads to pitted enamel
Borderline personality disorder
Wild and dramatic behaviour, unpredictability, impulsivity,
Schizotypal vs schizoid
Schizotypal: odd thoughts and awkwardness
Schizoid: cold, social exclusion
Mx o f bipolar
Lithium
The 3 clusters of personality disorders
A weird
B wild
C worried
Malingering
Fabrication of physical symptoms
conversion disorder
neurological deficits without a somatic cause
resolves by itself
defence mechanism: identification
someone models behaviour of a more powerful version of themselves
defence mechanism: splitting
unable to rationalise the good and bad parts of something. a thing must be all good or. all bad
found in BPD
defence mechanism: dissociation
temporarily blocking out
defence mechanism: reaction formation
unacceptable emotions are suppressed and then replaced by the opposite
defence mechanism: sublimation
taking unwanted urges into a positive output
med for PTSD
venlafaxine
management of depression with a clear trigger
interpersonal therapy
schizophrenia on PET scan
hypoactivity of prefrontal cortex
enlargement of volume of ventricles
Regression is
an ego defence when we revert to immature behaviour in the setting of some stress.
medication to help opioid dependance
methadone
cotard delusion
they think they’re dead
capgras
friend has been replaced by a clone
SSRI of choice post MI
sertraline
acute dystonia can be caused by…
typical antipychotics e.g. haloperidol
Mx of acute dystonia
procyclidine
difference between the tremors in chronic vs acute lithium overdose
fine tremor in chronic
coarse tremor in acute
which antipsychotic has the most tolerable side effect profile
aripiprazole
differentiating between acute stress disorder and PTSD
acute stress disorder occurs in 4 weeks of the event
PTSD is 4 weeks after
clomipramine is …
TCA
what type of incontinence does TCA cause
overflow incontinence
3 features of PTSD
re-experiencing
avoidance
hypervigilance
PHQ 9 cut offs for more severe or less severe depression
16
Tardive dyskinesia px
late onset choreoathetoid movements e.g. lip smacking, chewing, pouting of jaw
chronic anti-psychotic use
acute dystonia Px
muscle rigidity, oculogyric crisis (spasmodic movement of the eye up, lasts a few mins), torticollis (head rotated)
akathisia Px
severe restlessness
after starting an SSRI when should the pt be reviewed
after 1 week
