Psychiatry

Question 1

Neologism

Answer 1

Making up new words

Psychotic Sx

Question 2

Functional psychosis

Answer 2

Schizophrenia, Schizoaffective Disorder, MDD, Mania phase (Bipolar 1)
= Able to still do functional day to day things (work, school)
= Able to learn reality (only chemical imbalances)
= Present reality + Set limits

Question 3

Echolalia

Answer 3

Repeats words

Psychotic Sx

Question 4

Catatonic

Answer 4

Immobility, Unresponsive

Psychotic Sx

Question 5

Term meanings
- Avolition
- Asociality
- Affective
- Anhedonia
- Alogia

Answer 5

Avolition (lack of motivation)
Asociality (social withdrawal)
Affective (monotone, flat expression)
Anhedonia (lack of pleasure experience)
Alogia (lack of speech)

Present in Schizophrenia and Schizoaffective Disorder

Question 6

Schizophrenia

Answer 6

Psychosis due to dopamine imbalances (GENETIC)

(+)
= Hallucinations, Delusions
= Disorganized thoughts, speech, behavior (Agitation +/- Psychomotor slowing)

(-) = 6 A’s

Tx = 1st + 2nd Antipsychotics

Question 7

Schizoaffective Disorder

Answer 7

Schizophrenia with Depression or Mania, or both

Criteria = Hallucinations/delusions must be present > 2 weeks w/o Sxs of DEPRESSION (psychomotor slowing, Suicidal ideations) or MANIA (grandiosity, euphoria, hypersensitivty)

Tx = 1/2 Antipsychotics, Antidepressants (SSRI/SNRI), Mood stabilizers*

*mania

Question 8

MDD

Answer 8

PERSISTENT (>2wks) changes in mood +/- Loss of interest in daily activities

Question 9

Lithium toxicity level

Answer 9

> 2

Used to tx Mania (in Bipolar 1, Schizoaffective Disorder),

Question 10

Antisocial Personality Disorder

Answer 10

CLUSTER B Personality Disorder
= Irresponsible behavior, Disregards rules
= Age 18 and older
= Usually leads to SUBSTANCE USE

Tx
= CBT** - set limits!!!
= Antipsychotics
= Mood stabilizers

Question 11

Personality Disorders
- Cluster B?
- Cluster C?

Answer 11

CLUSTER B = Emotional, erratic, dramatic disorders
- Antisocial Personality
- Borderline Personality

CLUSTER C = Anxious, fearful
- Avoidant Personality

Question 12

Conduct disorder

Answer 12

Persistent (>6 months) aggressive irresponsible behavior that has no regard for consequences in people UNDER AGE 18
- Likely d/t adverse childhood event, GENETIC

Question 13

Oppositional Defiant Disorder

Answer 13

Basically conduct disorder, but BEFORE AGE 8

If severe, tx w/ ANTIPSYCHOTIC

Question 14

Agoraphobia

Answer 14

Intense fear of being alone/trapped/in public spaces where there is no immediate help over 2 times in 6 months

Tx = CBT + Desensitize

Question 15

Panic disorder

Answer 15

SSRI is best for LT
Benzodiazepines fo rshort term (waiting for SSRI to kick in)

Question 16

Difference between CBT and DBT

Answer 16

CBT - how thoughts, feelings, behavior influence each other
DBT - emotional regulation; acceptance + mindfulness of self

Question 17

Avoidant P.D

Answer 17

CLUSTER C
= General fear of criticism/rejection
= Negative self evaluation + feelings of inadequacy

Tx: Behavioral (CBT; Assertiveness) + Psychological Sxs (SSRI, SNRI, Beta Blockers)

Question 18

Social anxiety disorder

Answer 18

Intense fear being embarrased/judged in a specific social situation due to past traumatic event(s)

Tx: Desensitization, Benzos, SSRI, Beta blockers

Question 19

ADHD
- Pathology
- Criteria

Answer 19

Decrease in Dopamine + NE = Inattention, Hyperactivity

= Last >6 m.
= Present in > 2 environments
= Before Age 12

Tx
= Methylphenidate/Amphetamines (dopamine stimulants)
= Atomoxetine (SNRIs)