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Psych Flashcards

1
Q

Antidepressant Induced Mania

A

Manic symptoms within a few days of starting an antidepressant. New medication should be discontinued before adding new therapy.

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2
Q

Adjustment Disorder w/ Depressed Mood

A

Onset within 3mo of stressor. <5 of SIGECAPS. Distressed or Impaired. Tx: Psychotherapy

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3
Q

MDD

A

> 2 weeks of 5+ SIGECAPS, marked impairment.

Tx: Antidepressant + Psychotherapy

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4
Q

Bipolar Type I

A

Episodes of Depression and Mania

Maintenance: Lithium, Valproate. 2nd line Seroquel, Lamotragine.

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5
Q

ADHD

A

Must be from 2 different locations (Home/School)

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6
Q

MDD with Seasonal pattern

A

depressive symptoms plus carb craving onset in fall, improves in summer.
Tx: Antidepressants and bright light therapy
Light therapy can be considered as sole treatment for mild to moderate.

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7
Q

Delusional Disorder

A

1 delusion for more than 1 month
Ability to function otherwise

Tx: Antipsychotics & CBT

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8
Q

Anorexia nervosa vs Bulemia nervosa

A

The main difference is anorexics have well below normal weight, where bulemics have normal to above normal weights. Both may features restrictive/purging behaviors.

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9
Q

Body dysmorphic disorder

A

When the patient displays a preoccupation with perceived faults about their body but does not display behaviors that fall into eating disorder criteria.

SSRIs & CBT

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10
Q

Therapy Course in Bipolar

A

Bipolar is a life long illness. Those that have a severe course (Mutiple manic/depressive episodes, hx of suicide attempt) should remain on pharmacologic therapy as long as the medication does not cause significant side effects.

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11
Q

Selective Mutism

A

Refusal to speak in a specific setting for greater than 1 month. Will speak in other settings.

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12
Q

Depression plus sleep problems =

A

Mirtazepine

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13
Q

Neuroleptic Malignant Syndrome

A

Reaction to 1st and 2nd gen antipsychotics, Usually within first 2 weeks of treatment. Hyperthermia, autonomic instability, lead pipe rigidity, altered sensorium.

Elevated CPK and WBC

Tx: Supportive or Bromocriptine or amantadine if they do not respond to supportive measure after withdrawal of the offending agent.

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14
Q

Bipolar 1 vs 2

A

1: Mania (interrupts functionality) with or without depressive episodes
2: Hypomania (manic features that are milder and do not affect daily function) with at least 1 episode of MDD

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15
Q

Cyclothymic Disorder

A

2 or more years of fluctuating hypomania and depressive symptoms that do not meet criteria for other mood disorders.

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16
Q

Considerations when prescribing antidepressants

A

All patients with a history of depression should be screened for episodes of mania/hypomania due to increased risk of antidepressant-induced mania.

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17
Q

Specific Phobia tx

A

CBT with exposure

18
Q

Generalized Anxiety Disorder

A 
Excessive worry and anxiety for 6mo or more.
3 or more of the following:
-Restlessness
-Fatigue
-Difficulty concentrating
-Irritability
-Muscle Tension
-Sleep Disturbance

Significant distress/impairment
CBT & SSRI/SNRI

19
Q

Treatment of MDD with psychotic features

A

Antidepressant + Antipsychotic, ECT can be considered if risk of suicide is high or patient is refusing to eat.

20
Q

Panic Disorder

A

May present with symptoms of depersonalizations/derealization

21
Q

Antisocial Personality Disorder

A
  • Violation of others rights and social norms
  • Impulsive, irritable, aggressive
  • Irresponsible, liar, deceitful
  • Lack of remorse
  • 18 or older
  • Evidence of conduct disorder as a kid
22
Q

Postpartum blues

A

Onset in 2-3 days, typically resolves in 2 weeks. Mild depression, tearfulness, irritability.

Tx: Reassurance and monitoring

23
Q

Postpartum depression

A

Onset within 4-6 weeks, moderate to severe depression symptoms: sleep disturbances, changes in appetite, low energy, psychomotor changes, guilt, difficulty with concentration, SI.

Antidepressants and psychotherapy

24
Q

Postpartum psychosis

A

Onset days to weeks, delusions, hallucinations, thought disorganization, bizarre behavior.

Antipsychotics, antidepressants, mood stabilizers, hospitalization.

25
Q

SIGECAPS

A

Sleep changes, loss of interest, guilt/feelings of worthlessness, loss of energy, changes in concentration, changes in appetite, psychomotor, suicidal ideation.

26
Q

Tourette’s Syndrome

A

Tx: Behavior therapy –> tetrabenazine and antipsychotics –> Alpha 2 agonist.

27
Q

Lab and sonography findings in depression

A

Increased cortisol, decreased REM latency, decrease slow wave sleep.

28
Q

Acute Stress Disorder vs PTSD

A

<1mo = ASD

29
Q

Borderline personality disorder

A 
Unstable relationships, emotions, self-image + 5 of the following:
Frantic efforts to avoid abandonment
Unstable and intense personal relationships
Impulsivity
recurrent suicidal behavior
feelings of emptiness
inappropriate and intense anger
stress related paranoia

Tx: Psychotherapy

30
Q

Schizophrenia

A

Positive and negative symptoms

6 months or longer

31
Q

Schizophreniform

A

Positive and negative symptoms for less than 6 months

32
Q

Schizotypal Personality Disorder

A

Problems with close relationships + strange beliefs and perceptions

33
Q

Schizoid Personality Disorder

A

Does not desire close relationships, cold affect.

34
Q

Treatment of akathisia

A

Decrease dose of antipsychotic

Add betablocker/benzo/benztropine

35
Q

Methods to improve the reintegration of patients with stable schizophrenia

A

Family therapy and psychoeducation

36
Q

Narcolepsy

A

Daytime sleepiness, catalepsy, hypnagogic hallucinations, and sleep paralysis.

Tx: Modafinil for sleep

37
Q

Avoidant personality disorder

A

Desires close relationships but is afraid of ridicules and rejection

38
Q

somatic symptom disorder

A

Preoccupation with one or more symptoms

high levels of medical care use

39
Q

Illness Anxiety disorder

A

Patient is convinced that they have a certain disease despite evidence to the contrary.

40
Q

Schizoaffective disorder

A

Major depression or manic episodes in concurrence with symptoms of schizophrenia.
must have more than two weeks of stable mood with schizophrenic symptoms.

41
Q

Treatment for borderline

A

Psychotherapy

42
Q

Treatment for PTSD

A

SSRI

Prazosin for nightmares

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