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AB 4th Year Psychiatry > Psychiatry - Mood Disorders > Flashcards

Psychiatry - Mood Disorders Flashcards

1
Q

intrusive symptoms in PTSD?

A

recollections
nightmares
flashback
fight/flight

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2
Q

avoidant symptoms in PTSD?

A

avoiding reminders
detached
numb

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3
Q

hyperarousal symptoms in PTSD?

A

anger
concentration probs
sleeping probs
startle response

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4
Q

how is PTSD diagnosed?

A

follows latency period from trauma

1 month of
intrusive symptoms
avoidance
negative mood/cognition
altered arousal and reactivity
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5
Q

Tx for PTSD?

A

CBT
EMDR
SSRis/MOAis/TCAs

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6
Q

features of GAD?

A 
anxiety 
unrelated to an environment
sweating 
dizzy
palpitations
epigastric discomfort 
feelings of doom
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7
Q

how is GAD diagnosed?

A

symptoms for most days for several weeks at a time of several months

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8
Q

Tx for GAD?

A 
CBT
anti depressants (SSRI/SNRI)
benzos for crisis relief
sleep hygiene
exercise
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9
Q

features of panic disorder?

A

occur in attacks/unpredictable

no objective danger in the situations

free from symptoms between attacks

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10
Q

what are the 3 cardinal symptoms of depression?

A

depressed mood
loss of interest/enjoyment
reduced energy

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11
Q

features of depression?

A 
reduced concentration
reduced self esteem
guilt
unworthy
sleep/appetite disturbed
irritable

suicide
self harm
alcohol/drug abuse

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12
Q

what are somatic symptoms? how many needed for somatic diagnosis?

A

≥4

loss of interest/pleasure
lack of emotional reactivity
diurnal variation
early morning waking 
psychomotor retardation
wt loss
loss of appetite 
loss of libido
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13
Q

what is cotard’s?

A

depression with the delusion of already being dead

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14
Q

how long should symptoms be present in depression for a diagnosis to be made?

A

2 weeks

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15
Q

how is depression graded?

A 
mild = 2 typical, 2 others
mod = 2 typical, 4 others
severe = 3 and >4 others
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16
Q

Tx for depression?

A 
CBT 
antidepressants
benzos (catatonic state)
antipsychotics
ECT
17
Q

what is st johns wort?

A

herbal MAOis

can cause serotonin syndrome/interact with OCP

18
Q

how long should antidepressants be trialled for?

A

4 wks

19
Q

why is suicidal risk thought to increase in initial period of Tx for depression?

A

giving someone the energy to do so

20
Q

features of hypomania?

A 
increased sociability
increased libido
decreased need for sleep
irritable
concentration impaired
lasts days

NO hallucinations/delusions
doesn’t majorly disrupt life

21
Q

features of mania?

A 
elated
increased energy 
inflated self esteem
decreased need for sleep
reckless spending
aggression
flight of ideas/pressured speech 
loss of social inhibitions

hallucinations
delusions

lasts around a week

22
Q

what is a delusion?

A

belief maintained despite contradicted by reality or rational argument

23
Q

what is a hallucination?

A

the apparent perception of something not present

24
Q

Tx for bipolar?

A

Li
antipsychotics (olanzapine/quetiapine)
anticonvulsants (sodium valp/lamotrigine)
antidepressants (fluoxetine)

25
Q

what should be checked before Li is started?

A 
BMI
U+Es
Ca
GFR
TFTs
FBC
ECG
26
Q

what should be checked before antipsychotics are started?

A 
BMI
pulse/BP
PRL
BM
lipids
27
Q

how does sodium valproate work? what should be checked before starting it?

A

increases GABA

BMI
FBC
LFTs

28
Q

how does sodium lamotrigine? what should be checked before starting it?

A

binds to Na channels and stops glutamate release

FBC, U+Es, LFTs
monitor for rash

29
Q

what do atypical antipsychotics have a higher risk of?

A

less dopaminergic

more CVS

30
Q

in OCD what are obsessional thoughts?

A

ideas/images/impulses that enter mind over and over

recognised as own thought

31
Q

in OCD what are compulsive acts?

A

rituals or stereotyped behaviour that is repeated but not enjoyed

32
Q

Tx for OCD?

A

CBT

sertraline

AB 4th Year Psychiatry (5 decks)

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