Psych Flashcards
increased NE
Decreased GABA and 5HT
Anxiety
Decreased NE, 5HT, DA
depression
Decreased ACh
ALZ
increased DA
Decreased GABA, ACh
Huntington’s
Increased DA
Schizophrenia
increased 5HT, ACh
Decreased DA
Parkinson’s
Tx for delirium?
Haloperidol
Female pt with regression, mental retardation, and stereotyped hand-wringing
Rett’s Disorder
Dementia characterized by?
memory loss
Tactile hallucinations seen in?
EtOH withdrawal and cocaine abusers
Hypnagogic vs hypnopompic
Hallucinations while going to sleep vs upon waking up
Stable mood with psychotic symptoms for two weeks?
Schizoaffective
Increase of schizophrenia with use of what drug?
Cannibis
Development of delusions in a person in a close relationship with someone with delusional disorder?
Shared psychotic disorder
Dissociative identity disorder - associated with?
sexual abuse
Dx of mania requires 3 of the following:
DIGG FAST Distractability Irresponsibility Grandiosity Goal oriented behavior Flight of Ideas less sleep Talkativeness
Milder form of bipolar disorder lasting 2 years?
Cyclothymic disorder
MDD Sx?
SIG E CAPS Sleep disturbances loss of Interest Guilt loss of Energy loss of Concentration Appetite/weight changes Psychomotor retardation or agitation Suicidal ideations
milder form of depression lasting 2 years?
Dysthymia
pt with hypersomnia, weight gain, interpersonal rejection sensitivity, mood reactivity (good things make them feel good)
Atypical depression (most common subtype of depression)
Postpartum Disorders:
lasts 10-14 days? 2 weeks to a year? 4-6 weeks?
postpartum blues, postpartum depression, postpartum psychosis
Risk factors for Suicide completion?
SAD PERSONS Sex (male) Age (teenager) Depression EtOH/Drugs loss of Rational thinking Organized plan No Spouse Social support lacking
Panic Disorder. Must have 4 of:
PPANIICCCCSSS Palpitations Paresthesias Abdominal distress Nausea Intense fear of dying Lightheadedness Chest Pain Chills Choking disConnectedness Sweating Shaking SOB
TX for Panic disorder
CBT, SSRI, venlafacine benzos
TX for atypical depression
MAO-Is, SSRIs
TX for postpartum psychosis?
Antipsychotics, antidepressants
TX for delirum
Haloperidol
Tx for separation disorder?
SSRIs and relaxation
TX for tourette’s
antipsychotics and behavioral therapy
TX Phobia
SSRIs
TX OCD
SSRI, clomiparmine
TX PTSD?
SSRIs
TX Generalized anxiety?
SSRIs, SNRIs
Somatization disorder?
complaints in multiple organ systems - 4 pain, 2 GI, 1 sexual, 1 pseudoneurologic
Conversion disorder?
Loss of sensory or motor function after acute stressor
Cluster A?
Weird - Paranoid, Schizoid, Schizotypical (accusatory, aloof, awkward)
Cluster B?
Wild (Bad to the bone) - Antisocial, Borderline, Histrionic, Narcissistic
Cluster C?
Worried - Avoidant, OCPD, Dependent (Cowardly, compulsive, clingy)
“Schizo”s
Schizoid
Schizotypical (Schizoid+ odd thinking)
Schizophrenic (Schizotypical+ even more odd thinking))
Schizoaffective (Schizotypical+bipolar or depressive mood)
Russell’s sign?
Dorsal hand calluses from induced vomiting
Drug that causes slurred speech, ataxia and blackouts - indicator for abuse?
EtOH. serum gamma-glutamyltransferase; AST>ALT
Drug that causes eurphoria, pupillary constriction, seizures - withdrawal symptoms?
Sweating, dilated pupils, piloerection, rhinorrhea, yawning, stomach cramps
TX for opioid withdrawal?
Methadone, buprenorphine
Withdrawal can cause life-threatening cardiovascular collapse and delirium
Barbs
Drug that causes grandiosity, pupillary dilation, increased attention and wakefulness, tachycardia - withdrawal?
Amphetamines. Anhedonia, increased appetite, hypersomnolence
Drug that causes impaired judgement, pupillary dilation, hallucinations, paranoid ideations, angina, sudden cardiac death - withdrawal?
Cocaine. Hypercomnolence, craving, suicidality
TX for PCP?
Benzos
Drug that causes dry mouth, conjunctival injection, increased appetite?
Marijuana