Psych Flashcards
Delirium
Changes in sensory (delerium=sensorium)
Dementia
DeMENtia and MEMory loss
Schizophrenia
Time, symptoms
> 6 Months
Delusions, hallucinations, disorganized speech, catatonic behavior, Negative symptoms (flat affect, anhedonia, asociality, etc.)
Brief Psychotic Disorder
< 1 Month, typically stress related. Symptoms like schizophrenia
Schizophreniform Disorder
1-6 months, schizophrenic symptoms
Schizoaffective Disorder
2 weeks or hallucinations/delusions WITHOUT major depression or mania
Describe the 4 Schizophrenia spectrum disorders in terms of shortest to longest occurance
Schizoaffective– 2 weeks
Brief Psychotic Disorder– 1 Month
Schizophreniform disorder– 1 -6 Months
Schizophrenia– >6 Months
Delusion Disorder
Fixed false belief >1 month WITHOUT functional impairment
Manic Episode
1 Week
3 symptoms of DIG FAST
Hypomanic
> 4 days with mood disturbance that does not cause marked impairment with no psychotic features
Bipolar Disorder
BP I requires manic episode
BP II requires Hypomanic AND depressive (BP II with 2 requisites)
Cyclothymic Disorder
> 2 years fluctuating between hypomanic and mild depressive
Major Depressive Disorder
6-12 months
5 symptoms of SIG E CAPS that includes depressed mood or anhedonia)
Persistent Depressive Disorder (dysthymia)
> 2 years mild depression
Postpartum “Blues”
Very common. Typically resolves within 10 days
Postpartum depression
Depressed affect, anxiety, poor concentration
Postpartum psychosis
Delusions, hallucinations, thoughts of harming baby
Risk Factors for Suicide
SAD PERSONS:
Sex (male), Age (young adult or elderly), Depression, Previous attempt, ethanol (or other drugs), Rational thinking loss (psychosis), Sickness (medical), Organized Plan, No spouse or other social support, Stated future intent
Schizophrenics and BP disorder at increased risk
Anxiety Disorder
> 6 months of anxiety incongruent with stressor that interferes with daily function.
CBT, SSRIs
Panic Disorder
Attack followed by 1 month or more of persistant worry of attack, worrying about consequences of attack, or behavioral change related to attacks.
Symptoms are systemic manifestations of fear.
Treatment: CBI, SSRIs———Benzodiazepines acutely
Social Anxiety Disorder
Exaggerated fear of social situation
Treatment: CBT, SSRIs, venlafaxine
or if only occasional attacks, benzodiazepine or B-blocker
Agoraphobia
Fear of open spaces, leaving home, etc.
CBT, SSRIs, MAO inhibitors
Generalized Anxiety Disorder
> 6 months unrelated to particular stressor
CBT, SSRIs, SNRIs
Adjustment Disorder
<6 months following stressor
CBT, SSRIs
