Psych Flashcards
DSM Major Depression
5/9 for 2 weeks
SADAFACES
Anhydonia, Depressed Mood, Suicidality,
Sleep, Appetite, Fatigue, Psychomotor agitation/retardation, Concentration, Excessive Guilt
Dysthymia DSM
2/6 for 2 years
ACHEWS
Appetite, Concentration, Hopelessness, energy deficit, worthless, sleep
What to always rule out for depression?
ORGANIC! Other psych disorder, drug induced, precipitating event (adjustment disorder)
DDx Major depressive episode
Dysthymia, Bi-polar, adjustment
Generalized anxiety disorder DSM
Macbeth Frets Constantly Regarding Illicit Sins
Muscle tension, fatigue, concentration problems, restlessness, irritability, sleep problems
Manic Episode DSM
DIGFAST (3/7 if mood predom elevated)
Distractibility, indiscretion, grandiose, flight of ideas, activity increase, sleep, talkative
Schizophrenia DSM
delusions herald schizo bad news (2/5 for 1 month + 5 months prodromal)
Delusions, hallucination, speech disorganisation, behaviour disorgnization, negative symptoms (flat affect)
Schizoaffective disorder DSM
symptoms of mood and schizophrenic disorder at separate times
CAGE questions
2/4 Cut back Annoyed with comments Guilty Eye opener
Substance abuse DSM
3/7- tempted with cognac Tolerance Withdrawl Control - large amounts, unsuccesful attempts to decrease, time spent obtaining/consuming/recover, decrease other activities, use continues despite knowledge of danger
Dementia DSM
Memory + BREW (1/4 of BREW)
Behaviour disorg, recognition, executive func, word problems
PTSD DSM
Remember atrocious nuclear attacks (4/4) Re-experiencing Avoidance Numbing Arousal increase when thinking about it
Borderline personality DSM
IDESPAIRR (5/9) Identitiy Disordered Affect Empty Suicide Paranoia Abandonment issues Impulsivity Rage
Side effects of SSRIs
Insomnia, agitation, sedation, GI distress, sexual dysfunction
SSRI dangerous in pregnancy?
YES!
Venlafaxine SE
same as SSRI really + hypertension possibility
Serotonin syndrome
Diaphoresis, pupil dilation, increased BP, myoclonus, hyperthermia
Rx serotonin syndorme
Cryoheptadine
Neuroleptic malginant syndorme caused by…
antipsychotics
NMS features
autonomic instability, fever, muscle rigidity
NMS Treatment
give benzo to control agitation
Benzo reversal drug
flumazenil
Opioid reversal drug
naloxone/naltrexone
TCA side effects
drowsiness, weight gain, hypotension
Lithium side effects
metallic taste, GI distress, benign T-wave on ECG
Lithium toxicity=
ataxia, vomiting, disoreintation
Valproate SEs
alopecia, weight gain, GI distress, blurred vision
Alcohol intox reversal
Benzo
Reversal of EPSE in anti-psychotic SEs
benztropine
Drug that doesn’t give as much EPSE
Clozapine
Dangerous side effect of clozapine
agranulocytosis
atypical vs typical anti-psychotics
same for EPSE, atypical has more metabolic effect but NO tardive dyskinesia
EPSE are..
akinesia, akathisia, acute dystonic reaction
Alzheimers treatment…
cholinesterase inhibitors (donazepil, rivastigmine), NMSA antagonist (memantine)
CBT involves
organised goal oriented sessions that change thought processes of patient. reconceptualization.
