psych final Flashcards
who can get conduct disorder
kids under 18 who show personality disorder sxs
very introverted voluntary withdrawal from social interactions, little pleasure in activity
schizoid
schizoid sxs (withdrawal) plus magical thinking and odd behavior, ideas of reference
schizotypal (willy wonka)
begins as withdrawal from close friends and social activities, then delusions, catatonia, flat or inappropriate affect, apathy, anhedonia (marijuana increases your risk of this disease 6x)
schizophrenia
schizo criteria are met for at least 2 wks plus either depressive or manic episode
schizoaffective disorder
what is the difference between OCD and OCPD
OCD knows they have a problem
what is best treatment for bulimia nervosa
CBT, fluoxetine (and maybe naltrexone which decreases endorphins with purging)
medical conditions that can present as psych sxs
lupus, DM, hyponatremia, thyroid dysfunction, IBD, MS, asthma, COPD, pheochromocytoma, B12 deficiency
medications for dementia
donepezil (AChE inh), memantine(NMDA inh)
timeframe for diagnosing schizophrenia
6 mo
fast speech and lots of jumping topic to topic
flight of ideas
which mental illnesses have high rates of suicide
schizophrenia!, bulemia, anorexia, borderline, depression in rural elderly white males
how can you tell the difference in geriatrics: demetia versus depression
depressed people have insight, dementia people don’t know that anything is wrong
off label use for this med which is indicated for depression in elderly: mirtazepine
increase apetite
off label use for this med which is indicated for depression in elderly: SNRI’s
pain
off label use for this med which is indicated for depression in elderly: trazodone
promotes sleep
this is a feature of schizophrenia where pt is talking and suddenly doc can’t follow patients train of thought
loose associations
this is a feature of schizophrenia where pt is talking and suddenly stops because they can’t talk as fast as they think
poverty of speech