Psyche (Pearls of Wisdom) Flashcards
A 20-yo complains of SOB, tachypnea, tachycardia, tremors, & dizziness w/ sx climbing to maximum severity w/in 10 min. What is the dx?
Panic disorder
A 25-yo M presents w/ flashbacks & nightmares of an experience while he was overseas. He has been having a hard time sleeping at night & has been avoiding planning another trip. What would be your leading dx?
PTSD
John has just come back from the war in Iraq & has been dx w/ PTSD. What would be the 1st-line tx med for John?
SSRIs
An extreme anxiety response in situations in which the affected persons may be observed by others
Social phobia
What is the MC nonpharmacologic tx for most phobias?
behavioral or cognitive-behavioral psychotherapies
What is the MC emotional, cognitive, & behavioral disorder treated in youth?
ADHD
What is the ONLY med that is approved for the tx of bulimia nervosa?
Fluoxetine
the development of emotional or behavioral sxs in response to stressors, which occur w/in 3 mths of the onset of stressors
Adjustment disorder
What is the behavioral & pharmacologic therapy for a pt w/ an adjustment disorder?
Psychodynamic psychotherapy & antidepressants (SSRIs)
What are the 2 req’d sxs for the dx of depression?
- depressed mood
2. loss of interest or pleasure for at least a 2-wk period of time
What class of drugs is commonly used as a 1st-line tx for depression?
SSRIs
A depressed mood for most of the day, for more days than not, as indicated either by subjective account or observation made by others, for at least 2 yrs. The severe sxs of depression, such as delusions & hallucinations are absent.
dysthymic disorder
Common class of drugs that are given for dysthymia
SSRIs
A 30 yo pt who you are seeing in your clinic expressed that she doesn’t interact in social situations b/c of a fear of not being liked. In add’n, she is obsessed w/ thoughts of wondering if people like her. The pt feels socially inept & inferior. dx?
Avoidant personality disorder
What is the MC clinical sx of a pt w/ a boderline personality disorder?
commonly, impulsivity, inappropriate or intense anger, & chronic feelings of emptiness or boredom
F pt is a controlling individual, ask friends to do things that she herself think are unpleasant, & tries to draw attention toward herself w/ superficial sexuality-type behaviors. When rejected, she displays disappointment by throwing a tantrum. Dx?
Histrionic personality disorder
A pattern of behavior that exhibits grandiosity, a feeling of being greater than what is reality, req’s excessive admiration, & is critical of others who challenge them. There is also a lack of empathy toward others.
Narcissistic personality disorder
A pt who is unable to express his anger, has few close friends, is indifferent to praise from others, is absentminded, & is emotionally cold & aloof probably has which kind of personality disorder?
Schizoid personality disorder
Tom is a 14-yo adolescent who has been exhibiting behavior that is unusual, along w/ odd beliefs & feels that he possesses magical abilities. What is the most likely dx for Tom?
Schizotypal personality disorder
Which classes of drugs are used to help control delusions?
antipsychotics, particularly atypical antipsychotics
What are “hallmark” s/sx of schizophrenia?
- delusions
- hallucinations
- disorganized speech & thoughts
- neg. sx
What class of meds is 1st line tx of schizophrenia?
antipsychotics
A 30 yo F complains of calf pain, HA, shooting pain when flexing her right wrist, random epigastric pain, bloating, & irregular menses, all of which cannot be explained after medical exam. Dx?
Somatization disorder
What is the most effective long-term tx program for alcoholism?
AA
