Psych Conditions Flashcards
Schizophrenia
Delusions/Hallucinations/Disorg. Speech
+
Disorganized Behavior/Catatonia
&/or Negative Symptoms
**for 6 months or more
Schizofreniform
Signs of Schizophrenia for 1-6months
Bipolar 1 Disorder
At least 1 Manic episode
> /= 1 week of
Elevated Mood +3 DIGFAST
or Agitation +4 DIGFAST
Distractibility
Indiscretion
Grandiosity
Flight of Ideas
Activity Increase/Psychomotor Agitation
Sleep Need Decreased
Talkative w/ Pressured Speech
Generalized Anxiety Disorder (GAD)
> /= 6 months
/= 3 symptoms
restlessness
difficulty concentrating
irritability
muscle tension
sleep disturbance
fatigue
Panic Disorder
4 or more panic attacks in a 4-week period
or
≥ 1 panic attacks followed by at least 1 month of fear of another panic attack
Symptoms of a Panic Attack
sweating
palpitations
abdominal distress/nausea
hyperventilation
paresthesia
light-headedness
chest pain
chills
choking
disconnectedness/loss of reality
shaking
Intermittent Explosive Disorder
Stressor=Anything
Action=Violence (disproportionate to stressor)
mild: 2x/wk for 3 months
severe (causes harm): 3x in 12months
At age 18, Conduct Disorder become what diagnosis
Antisocial Disorder
What are the (CLUSTER A) personality disorders
Paranoid
Schizoid
Schizotypal
What are the (CLUSTER B) personality disorders
Antisocial
Narcissistic
Borderline
Histrionic
What are the (CLUSTER C) personality disorders
OCD-PD
Dependent
Avoidant
Bipolar 2
Depressive & Hypomanic symptoms, not
associated with derangements in social or occupational functioning.
Hypomania >/= 4days
Elevated Mood
Increased Energy
Increased Goal Directed Activity
Increased Self Confidence
Decreased Need for Sleep
Tourette Syndrome
1 vocal tic + 2 motor tics for 1 year
What are the most common co-morbidities for Tourette Syndrome
ADHD & OCD
Criteria for Acute Stress Disorder
3 days to 1 month of symptoms caused by exposure to threatened death, injury, assault or actual trauma.
symptoms cause significant distress or dysfunction
persistent re-experience of event
avoidance of potential triggers
negative alterations in cognition and mood
hyperarousal
Criteria for PTSD
1 month of symptoms caused by exposure to threatened death, injury, assault or actual trauma.
symptoms cause significant distress or dysfunction
persistent re-experience of event
avoidance of potential triggers
negative alterations in cognition and mood
hyperarousal
What are Psychogenic Nonepileptic Seizures (PNES)
Asynchronous Limb Movement
& NO post-ictal period
Dx: Video EEG Tx: CBT
Illness Anxiety Disorder (Hypochondria)
Minimal/No symptoms
+
Preoccupation with having a serious illness
Somatic Symptom Disorder
1 or more unexplained symptom(s)
+
excessive thought/anxiety/behavior in response to the symptom(s)
Conversion Disorder
Neurological Symptoms that are not compatible with anatomy or physiology
Dysthymia (PDD)
Chronic depressed mood for >2 years in Adults (1 yr in adolescents)
NO symptom free periods >2 months
2 or more of the following symptoms:
change in appetite
change in sleep
fatigue
poor concentration
hopelessness
low self-esteem
Cyclothymia
cyclical mood disorder for 2 or more years that is not full blown depression or hypomania
Creutzfeldt-jakob symptoms
startle myoclonus
hyperreflexia
EPS
rapid progression (death in 1 yr of dx)
Delusional Disorder
At least 1 delusion
for at least 1 month
without other psychotic symptoms
subtypes:
Grandiose (great talent)
Jealous (Spouse cheating)
Persecutory (FBI watching)
Somatic (I have cancer)
Erotomanic (famous lover)
Treatment of antidepressant induced mania
*all antidepressants have risk of inducing mania in susceptible pts *
Clue: “cure” of depression in a few days, not weeks.
Tx: Immediately Discontinue Antidepressant
What is Delirium
Acute Onset & Fluctuating Course
Inattention (distracted/cant track conversation)
Disorganized Thinking (rambling/illogical/subject switching)
Altered Consciousness (anything other than alert)
seizures and autonomic instability associated with Delirium Tremens from
the visual hallucinations and relative autonomic stability associated with alcoholic
hallucinosis.
Presentation of Huntington’s Disease
Chorea, tics/grimacing
Psychosis, OCD, Executive Dysfunction
A cytosine-adenine-guanine (CAG) trinucleotide repeat expansion in the huntingtin (HTT) gene on chromosome 4p.
MRI scan of the brain shows atrophy of the cerebral cortex and caudate nucleus/putamen.
What neurons are damaged in Huntington’s Disease
GABAergic (caudate & putamen atrophy)
CJD presentation
Early behavioral changes
Myoclonus/Seizures
MRI: Hockey-stick Sign
(pulvinar and dorsomedial thalamic nuclei)
14-3-3 protein in CSF
EEG: Sharp TRIPHASIC
+ R-T quaking in CSF