Psych - Mood Disorders Flashcards
routine screening for mood disorders: bloods?
phycial exam CBC TSH (free T4), electrolytes urine urine drug screen vitamin B12
additional screening for mood disorders?
neuro consult
CXR
ECG
CTB
mnemonic for major depression?
MSIGECAPS
mood sleep interest guildt energy concentration appetite psychomotor agitation/retardation suicidal ideation
bipolar I is?
at least one manic episode
commonly with MDE, but not required
biopolar II is?
at least 1 MDE
and at least 1 hypomanic episode
Criteria for Mania mnemonic?
GST PAID Grandiose sleepless talkative pleasureable activities painful consequences activity ideas (flight of) distractible
management of bipolar? drugs?
lithium mood stabiliser antipsychotics adjunct antidepressants ECT
first line mood stabilisers?
lithium
sodium valproate
antipsychotics
which antipsychotics for mood stabilisers?
haloperidol
risperidone
olanzapine
second line mood stabilisers mainly for maintenance?
carbamazepine
lamotrigine
types of anxiety disorders?
panic
generalised
social anxiety
specific phobia
Panic disorder criteria mnemonic?
STUDENTS Fear 3Cs sweating trembling unsteady/dizzy depersonalisation/derealisation excessive heart rate, palpitations, nausea tingling SOB
Fear of dying. losign control, going crazy
3Cs
chest pain
chills
choking
anxiety disorders treatments non pharma?
CBT
anxiety disorders treatments pharma?
SSRIs
SNRIs
benzos for acute anxiety
augmentation (quetiapine, olanz, risperidone)
what are obsessions?
recurrent, persistent, intrusive thoughts causing anxiety/distress, attempting to neutralize by a compulsion