psychiatry Flashcards
three time frames for schizophrenia?
brief psychotic disorder- less than 1 month
schizophreniform - 1-6 months
schizoaffective disorder - at least 2 weeks of stable mood w/psychotic symptoms + major depressive, manic, mixed or both episode.
fixed, persistsent, nonbizarre belief system _lasting >1month _
delusional disorder
persistent feelings of detachment or estragemnt from one own body, social situation, or the environment
depersonalization disorder
dysthymia and hypomaia; milder form of bipolar disorder lasting at least 2 years
cyclothymic disorder
how do you dx major depressive disorder?
major depresssive episodes usually lasting 6-12 months, episodes have at least **5 ** of SIG E CAPS for 2+ weeks
SIG E CAPS
Sleep disturbance
Interest
Guilt or feelwings of worthlessess
Loss of Energy
Loss of concentration
Apettite
Psychomotor retardation or agitation
suicidial ideation
depressed mood
what is dysthymia?
milder form of depression lasting **at least 2 years **
time fram for maternal blues
usually resolves w/in 10-14 days
time frame for post partum depression
starts w/in 4 weeks and lasts **2 weeks to a year or more. **
tx: antidepressants, psychotherapy
what is post partum psychosis
0.1-0.2% incidence rate. characterized by delusions, hallucinations, confusion, unusual behavior and **lasts 4-6 weeks **
**tx: anitpsychtics, antidepressants, inpatient hospitalization **
time frame of PTSD vs acute stress disorder
PTSD - Disturbance > 1 month
acute stress disorder - 2-days - 1 month
somatoform disorder characteristics:
4 pain, 2 GI, 1 sexual, 1 pseudoneurologic over a period of years developing before age 30.
3 cluster A disorders: weird
paranoid
schizoid -distant, wants to be alone
schizotypal -magical thinking here
4 cluster B disorders - wild - bad to bone
naracissistic
histrionic
borderline -use splitting
antisocial
cluster C disorders = worried, cowardly, compulsive, clingy
which 3
avoidant
obssessive compulsive
dependent
6 steps of overcoming substane abuse/addiction
precontemplation
contemplation
preparatio/determination
action/willpower
maintenance
relapse
what are the 4 SSRIs?
Flashbacks paralyze senior citizens
fluoxetine
paroxetine
sertaline
citalopram
ADE of SSRIS. 3 major
GI distress, sexual dysfunction, seretonin syndrome with any drug that increases seretonin
what are the two SNRIs?
inhiibt seretonin and NE reuptake
venlafaxine
duloxetine -for diabetic peripheral neurpathy and ahs greater effect on NE>
TCAs end in iptyline or ipramin except for which 2?
doxepin
amoxapine
classic ADE triad for TCAs and the treatment
ADE: convlusions, coma cardiotoxicity -also resp depressio nand hyperpyreia
tx: NaHCO3- for cardiovascular tox
what are the 4 MAOI inhibitors
which one is selective for MAOB?
what do you use to treat?
which food and drugs can you not take with MAOI
inhibitors MAO Takes Pride In Shanghai
Tranylcypromine
Phenelzine
Isocarboxazid
Selegiline
APGAR score?
appearance
pulse
grimace
activity
respiration
not yet acknowleding that there is a problem
precontemplation
acknowledging that there is a problem, but not yet ready or willing to make a change
contemplation
getting ready to change behavior
preparation/determination
changing behaviors
action/willpower
maintaining the behavior change
maintentance
returning to old behaviors and abandoning new changes
relapse
