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
