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Psych Pharm > Psych illnesses > Flashcards

Psych illnesses Flashcards

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1
Q

PTSD

A

symptoms present for over 1 month

treat with SSRI
cognitive therapy
avoid addictive prescriptions

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2
Q

Acute stress disorder

A

similar to PTSD but symptoms are 3 days to 1 month in duration

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3
Q

Adjustment disorder

A

emotional or behavioral symptoms in response to identifiable stressor, occurring within 3 months of the stressor

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4
Q

Conversion disorder

A

involuntary, overdramatic response with real physical symptoms such as weakness, paralysis, pseudosiezures, tremors, blindness, mutism.

It seems like they are faking it, but they are NOT

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5
Q

Factitious disorder

A

Voluntary erratic symptoms,
they are faking it
includes munchausen by proxy

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6
Q

Munchausen by proxy

A

Production of fake symptoms in another person, usually a child, so that they can take care of the sick person
form of factitious disorder

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7
Q

Somatoform disorders

A

conversion disorder
illnes anxiety disorder

treat symptoms but also give anti-anxiety and counseling

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8
Q

major depressive episode

A

2 week period of symptoms

rule out substance, medication, medical condition induced

5 of the following
SIG E CAPS
sleep
interest
guilt
energy
concentration
appetite
psychomotor
suicidal ideation
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9
Q

Major depressive disorder

A

one or more major depressive episodes with absence of history of manic or hypomanic episodes

treatment

  • hospitalization
  • antidepressant (SSRIs)
  • Electroconvulsive therapy
  • transcranial magnet
  • ketamine
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10
Q

persistent depressive disorder (dysthymia)

A

somewhat depressed for 2 years (1 year for children) with never having absence of symptoms for more than 2 months

Treatment:

  • antidepressants
  • cog behav therapy
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11
Q

Manic episode

A

symptoms lasting longer than a week

3 of the following
DIG FAST
distractibility
inflated self esteem
grandiosity
flight of ideas
activity increase
speech pressured
thoughtlessness
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12
Q

hypomanic episode

A

symptoms lasting 4 days,
mania without psychotic features
no social/occupation impairment

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13
Q

Bipolar I

A

Needs to have at least one manic episode

treat with mood stabilizers
lithium
valproic acid

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14
Q

Bipolar II

A

1 major depressive episode
1 hypomanic episode

treat with mood stabilizers
lithium
valproic acid

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15
Q

cyclothymic disorder

A

last 2 years (1 year in children)
has had both hypomanic episodes and minor depression

treatment

  • mood stabilizers
  • psychotherapy
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16
Q

Panic disorder

A

recurrent panic attacks with persistent concern about attacks,consequences, change in behavior related to attacks

17
Q

agoraphobia

A

anxiety about being situations from which you can’t escape (elevator, middle seat, plane)

18
Q

social phobia (social anxiety disorder)

A

afraid of being scrutinized and acting in a way that will be embarrassing and humiliating

19
Q

generalized anxiety disorder

A

symptoms occurring most of the day, more days then not, for at least 6 months

20
Q

OCD vs OCPD

A

OCD → they are aware of their symptoms

OCPD → not aware of their symptoms

21
Q

Alcohol withdrawl

A

Agitation, insomnia
tremor, siezures
hallucination
delerium tremens → profound global confusion

treatment:
- thiamine
- benzodiazapines

22
Q

What 3 benzodiazapines are metabolized through glucuronidation and not affected by age or hepatic insufficiency?

A

oxazepam
temazepam
lorazepam

23
Q

MDMA/ecstacy side effect

A

extreme high fever

tachycardia, sweating, muscle spasms

24
Q

PCP/angel dust

A

paranoid delusions
agitation, violent
NYSTAGMUS

25
Q

Hypnagogic vs hypnopompic hallucinations

A

hypnagogic → while falling asleep
hypnopompic → while waking up

these are not psychosis

26
Q

schizophrenia diagnostic criteria

A

for over 6 months, 2 of the following, with at least 1 of the top 3

  1. delusions
  2. hallucinations
  3. disorganized speech
  4. grossly disorganized or catatonic behavior
  5. negative symptoms
27
Q

brief psychotic disorder

A

schizophrenic symptoms for less than 1 month, usually stress-related

28
Q

Schizophreniform disorder

A

schizophrenic symptoms for 1-6 months

29
Q

Cluster A personality disorders

A

weird, odd, eccentric

schizoid → social withdrawl, limited emotional expression, aloof
schizotypal → schizoid + delusions and odd beliefs

30
Q

Cluster B personality disorders

A

dramatic, emotional, erratic

Antisocial → sociopath
Borderline → unstable mood, impulsive, fear of abandonment, manipulative (treat with dialectical behavior therapy)
Histrionic → attention-seeking,
Narcissistic

31
Q

Cluster C personality disorders

A

anxious or fearful disorders

Avoidant → loner, but desires companionship
Dependent → clingy, need for support
Obsessive compulsive → OCD but they are not aware they are that way

32
Q

corticosteroid induced mental disorder

A

mania, psychosis, hallucinations

Psych Pharm (6 decks)

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