Psych

Question 1

GAD

Answer 1

Excessive/persistent worrying >6mo

Tx: SSRI, BZD

Question 2

Panic Disorder

Answer 2

Episodes of fear, agoraphobia
Check TSH & ECG
Tx: SSRI, BZD

Question 3

Phobia

Answer 3

Irrational fear

Tx: CBT

Question 4

PTSD

Answer 4

> 6mo
Trauma
Hyperarousal
Reliving

Question 5

ADHD

Answer 5

Hyperactivity, Inattention, Impulse
>6mo
<12yo
2+ areas of life affected

Question 6

Autism Spectrum Disorder

Answer 6

Poor social communication, eye contact, repetitive patterns

Often male c large head circumference

Question 7

Anorexia

Answer 7

Low wt
Ego-syntonic
Tx: psychotherapy

Question 8

Bulimia

Answer 8

Normal to overwt
Ego-dystonic
Tx: SSRI, psychotherapy

Question 9

Bipolar 1

Answer 9

Mania: hyperarousal, insomnia, elevated mood >7d
Tx: hospitalize, mood stabilizer

Question 10

Bipolar 2

Answer 10

Hypomania >4d

Do not hospitalize

Question 11

Depression

Answer 11

SIGECAPS >2wks (… I thought 6mo?)
Check CBC, TSH
Severe: hallucinations, catatonia, PSI or active suicidal
Tx: DOC SSRI

Question 12

Schizophrenia

Answer 12

> 6mo
Disorganized thoughts, delusions/hallucinations, psychosis
Tx: Atypical antipsych

Question 13

OCD

Answer 13

Obsessions and compulsions, suicidal thoughts

Tx: SSRI, CBT