Psych Questions Flashcards
Types of MDD: (4)
1- seasonal affective disorder
2- atypical depression
3- melancholia
4- catatonic depression
____% of patients with MDD commit suicide
- MC?
15%
MC: men 25-30 and women 40-50
RF for suicide with MDD (3)
1- men >45 yo
2- concurrent substance abuse
3- a detailed suicide plan
Antidepressants should be used for a minimum of _______ wks to determine efficacy
3-6 wks
MDD Medication TX: 1st line, 2nd line, and 3rd line
1st: SSRI/SNRI*
2nd: Mirtazapine and Buproprion
3rd: TCAs and MAOi
Indications for ECT in MDD: (3)
1- refractory to all other TX
2- + prior response to ECT
3- rapid response in opts with severe SXS
Best indicator of a TCA overdose?
QT prolongation
TCA overdose creates effects that like this this drug OD _____ and list some effects
sodium channel blocker effects
- -> sinus or wide complex tachycardia
- -> neuro sxs
- ->ARDS
- ->SIADH
T/F: Psychotic SXS (paranoia, delusions, hallucinations) can occur in BPD I
true
Schizophrenia prognosis improves with: (5)
1- positive sxs 2- premorbid fx is good 3- precipitating factor (obvious) 4- acute onset 5- later age at dx
schizophrenia form with blunted affect or odd behavior, but no delusions
residual schizophrenia
2nd MC form of schizophrenia:
undifferentiated schizophrenia
schizophrenia form with disorganized speech or behavior or flat/inappropriate affect
disorganized schizophrenia
MC form of schizophrenia
paranoid schizophrenia
schizophrenia form with grandiose or persecutory delusions and auditory hallucinations
paranoid schizophrenia
schizophrenia form with delusions and hallucinations are prominent
undifferentiated schizophrenia
schizophrenia form with motor immobility, repetitive movements, purposeless movements, extreme negativism or mutism, bizarre postures/movements, echolalia/echopraxia
catatonic schizophrenia
