Psych 3 Flashcards
Major side effect of 1st gen antipsychotics
Extrapyrimidal sx:
- Dystonia (spasms) of face, neck, tongue
- Parkinsonism (resting tremor, rigidity, bradykinesia)
- Akathisia (restlessness)
Difference in side effects between high potency and low potency FGA
High potency = more extrapyrimidal side effects
Low potency = more anticholingeric and antiadrenergic side effects
Major side effect of 2nd gen antipsychotics
Metabolic syndrome:
Increased BP, increased blood sugar, excess body fat, abnl cholesterol
DSM Criteria of Schizoaffective Disorder
- Meet criteria for either a major depressive or manic episode during which psychotic sx consistent with schizophrenia are also met
- Delusions or hallucinations for 2 weeks in the absence of mood disorder sx (to differentiate from mood disorder with psychotic features)
Laymens terms: Mood episodes and active symptoms of schizophrenia occurring at the same time + at least 2 week lifetime history of delusions or hallucinations in the absence of prominent mood symptoms
Aka normal schizo sometimes and schizo + mood at other times
DSM criteria and time frame for delusional disorder
- One or more delusions for at least 1 month
- Does not meet criteria for schizophrenia
- Functioning in life not significantly impaired and behavior not obviously bizarre
Average age of onset of delusional disorder
After age 40
Delusion that another person is in love with the individual
Erotomanic type of delusional disorder
Delusions of having great talent
Grandoise type of delusional disorder
Physical delusions
Somatic type of delusional disorder
Delusions of being persecuted
Persecutory type of delusional disorder
Delusions of unfaithfulness
Jealous type of delusional disorder
Tx of delusional disorder
Difficult to treat
Antipsychotics, supportive therapy
Intense anxiety that penis will recede into body, possibly leading to death
Koro
Sudden unprovoked outburts of violence, often followed by suicide
Amok
What is schizotypal personality disorder
Paranoid, odd or magical beliefs, eccentric
What is schizoid personality disorder
distant, detached, unemotional, and prefer to be alone
DSM criteria for major depressive episode (including time frame)
At least 5 of the following sx for at least 2-weeks:
- Depressed mood most of the time
- Anhedonia
- Change in appetite or weight
- Worthlessness or guilt
- Insomnia or hypersomnia
- Diminished conentration
- Psychomotor agitation or retardation
- Fatigue or loss of energy
- Recurrent thoughts of death or suicide
DSM criteria of manic episode (including time frame)
Distinct period of abnormally and persistently elevated, expansive, or irritable mood and abnormally and persistenlty increased goal-directed activity or energy lasting at least 1 week (or any duration if hospitalization necessary) and including at least 3 of the following:
- Distractibility
- Inflated self-esteem or grandiosity
- Increase in goal directed activity or psychomotor agitation
- Decreased need for sleep
- Flight of ideas or racing thoughts
- Talkative or pressured speech
- Excessive involvement in pleasure activities
DIG FAST
Distractibility Insomnia/Impulsive behavior Grandiosity Flight of ideas/racing thoughts Activity/agitation Speech pressured Thoughtlessness
Difference between mania and hypomania
Mania lasts at least 7 days vs. hypomania at least 4 days
Hypomania does not cause marked impairment in social or occupational functioning
No psychotic features in hypomania
DSM Criteria for MDD
At least one major depressive episode
No history of manic or hypomanic episodes
What type of sleep disturbance is most common in MDD
Initial and terminal insomnia (hard to fall asleep and early morning awakenings)
Less likely to have hypersomnia
How long do major depressive episodes usually last
6-12 months
Pharmacotherapy for MDD
SSRI, SNRI, TCA, MAOI
