Psych quick associations Flashcards
Venlafaxine class
SNRI
Sertraline class
SSRI
Imipramine class
TCA
Mirtazapine class
alpha 2 adrenergic antagonist
Buproprion class
NDRI
Fluoxetine class
SSRI
Duloxetineclass
SNRI
antidepressant with s/e of priapism
trazodone
antidepressant that lowers the seizure threshold and can be used for smoking cessation
buproprion
antidepressant that is an appetite stimulant that is likely to resolve in weight gain
mirtazapine
antidepressant that works well with SSRIs and increases REM sleep
trazodone
at least one manic episode
may or may not have major depressive or hypomanic episodes
Bipolar I
at least one hypomanic episode
at least one major depressive episode
Bipolar II
Patient exhibits two or more distinct identities/personalities
Dissociative identity disorder
Persistent feelings of detachment from own body or thoughts
depersonalization
persistent feelings that people and things around the patient aren’t real
derealization
Amnesia for a very specific event, or generalized amnesia of the patient’s identity or personal life history
+/- wandering off
Dissociative amnesia
+/- dissociative fugue
At least 3 symptoms of "DIG FAST" lasts at least 1 week impairs functioning OR requires hospitalization OR includes psychotic features
manic episode
At least 3 symptoms of “DIG FAST”
lasts at least 4 days
No impairment in functioning, hospitalization, or psychosis
hypomanic episode
Patient avoids giving friends a ride to the airport because of excessive fear of flying
specific phobia
Excessive fear and worry all the time, associated with irritability, insomnia, and edginess
Generalized anxiety disorder
Anxiety about being scrutinized and critiqued when meeting new people
social anxiety
Patient avoids all exercise because she had a panic attack at the gym two months ago
panic disorder
Excessive fear of being outside the home alone, using public transportation, and being in a crowd
agoraphobia
Irrational belief that cannot be changed by proof or rational arguments
delusion
sensory perception in the absence of external stimulus
hallucination
answers diverge from the question asked but eventually return to the original topic
circumstantiality
answers diverge from question asked and do not return to original topic, can see how topic changes and can follow
Tangentiality
no clear sequence to the thoughts presented
loose associations
words are strung together incoherently
word salad
patient makes up new words
neologism
Odd thoughts, behavior, appearance
Discomfort with interpersonal relationships
Schizotypal personality disorder
Voluntary social isolation - hermit
Schizoid personality disorder
Psychosis + intermittent mood disorder
Schizoaffective disorder
Psychosis lasting 6 or more months
Schizophrenia
Psychosis lasting longer than 1 mo but less than 6 mo
Schizophreniform disorder
psychosis lasting less than 1 mo
brief psychotic disorder
suspiciousness and general distrust of others, always looking for conspiracies
Paranoid personality disorder - Cluster A
voluntary social withdrawal, limited emotional expressions, prefer isolation
Schizoid personality disorder - cluster A
Eccentric appearance, odd beliefs, magical thinking, odd appearance
Schizotypal personality disorder - Cluster A
disregard for and violation of rights of others, violence, no empathy
Antisocial personality disorder - Cluster B
unusual variability and depth of moods, unstable interpersonal relationships, manipulative, impulsive, self-mutilating, splitting, high rate of suicide
Borderline personality disorder - Cluster B
attention seeking, display seductive behavior, concerned with appearance
Histrionic personality disorder - Cluster B
preoccupied with personality prestige/power/vanity, lack empathy, demand the best
Narcissistic personality disorder - Cluster B
hypersensitive to rejection, socially inhibited, timid, feelings of inadequacy, desire relationships
Avoidant personality disorder - Cluster C
preoccupation with order, perfectionism, and control
Obsessive-compulsive personality disorder - Cluster C
psychologically dependent on other people, low self-esteem, submissive, clinging, excessive need to be taken care of
Dependent personality disorder - Cluster C
Use/toxicity: CNS depression, euphoria, N/V/C, miosis, seizures, respiratory depression
Opioids
Reversal - Naloxone or naltrexone
Use/toxicity: CNS depression, decreased anxiety, disinhibition, respiratory depression, severe -> coma
Benzodiazepines
Reversal - flumazenil - risk major withdrawal and seizure
Use/toxicity: euphoria, agitation, anxiety, insomnia, elevated BP, tachycardia, cardiac arrest, stroke, mydriasis, promote attention, decrease appetite
Cocaine - +/- erosions in nose
Amphetamines
Tx: benzos, haloperidol, phentolamine
NO beta blockers
Use/toxicity: stimulation, excitability, restlessness, calming effect, relaxation, suppress appetite
Nicotine
Use/toxicity: euphoria, anxiety, paranoia, delusions, impaired judgment, social withdrawal with prolonged use, increased appetite, dry mouth, hallucinations, eye redness, possible link to future schizophrenia
Marijuana
Use/toxicity: hallucinations, delusions, anxiety, paranoia, tachycardia, mydriasis, flashbacks
Hallucinogens - LSD, mescaline, ketamine
Tx: calm environment, antipsychotics, benzos
Use/toxicity: belligerence, impulsiveness, agitation, horizontal/vertical nystagmus, homicidal ideation, violence, psychosis, delirium
PCP
Tx: benzodiazepines, antipsychotics
Withdrawal: sweating, mydriasis, piloerection, yawning, rhinorrhea, flu-like sxs
Opioids
Withdrawal: agitation, anxiety, seizures
Benzos
Withdrawal: depression, lethargy, wt gain, headache
amphetamines, cocaine
Withdrawal: irritability, anxiety, craving
Nicotine
Withdrawal: irritability, insomnia, nausea
marijuana
Use/toxicity: mood elevation, disinhibition, decreased anxiety, sedation, severe mental impairment, somnolence, respiratory depression
Alcohol
Tx: supportive
Withdrawal: agitation, anxiety, insomnia, and tremor
Alcohol
Tx: benzos
