Psych - schiz, dep, bipolar, tx Flashcards
schizophrenia dx
> 2 x 1 mo but 6 mo overall - delusions, hallucinations, disorg speech, disorg/catatonic, neg symptoms
schizophrenia subtypes
paranoid, catatonic, disorg, undiff, residual
schizophrenia tx categories
antipsychotics (anti dopamine), anticonvulsants, anxiolytics
psychotherapy, cbt, housing
schizophreniform dx
lasts at least 1 mo but less than 6 mo
brief psychotic disorder
acute psychosis 1+ pos symptoms for 1 day to 1 mo, full return to normal, after stress
schizoaffective disorder
MDE/manic/mixed episode plus criteria A
at least 2 weeks
schizophrenia criteria a
delusions, hallucinations, disorg speech, disorg/cat behaviour, negative symptoms/avolition
delusional disorder
non-bizarre, 1 mo, don’t meet criteria A
MDE
> 5, 2 week period, depressed/loss of interest
SIGMECAPS
sleep interest guilt energy concentration appetite psychomotor suicidal mood
manic episode
elevated, expansive, irritable mood >1 week, >3 symptoms
GSTPAID
grandiosity sleep talkative pleasure activity ideas distractable
mixed episode
criteria for mde and manic met every day for 1 week
hypomanic episode
duration >4 days, function not severely changed
MDD
MDE, 2 mo interval
depression tx
antidepressants, lithium, antipsychotics, anxiolytics, ect
individual/family tx, pd, ip, cbt
dysthymia
depressed most days > 2 yrs, never without for >2 mo
dysthymia tx
psychological, ind/group/fam, maybe ssri/snri
post partum blues
mild dep, 2-4d PP, lasts 48h-10d
postpartum depression
MDE <4 weeks PP, lasts 2-6mo
post partum d incidence
10%, 50% recurrence
ppd tx
psychotherapy, short term ssri
premenstrual dysphoric disorder
most cycles, 5+ symptoms in last week of luteal phase and absent post menses
pmdd tx
ssris intermittently in luteal phase x 14d, clomipramine, ocp, gnrh ag
