Psychotic and Eating Disorders Flashcards
List 3 (+) symptoms of Schizophrenia
Delusions of persecution/grandiosity
Auditory Hallucinations
Disorganization of speech/behavior
List 3 (+) symptoms of Schizophrenia
Delusions of persecution/grandiosity
Auditory Hallucinations
Disorganization of speech/behavior
List 3 (-) symptoms of Schizophrenia
Flat affect
Anhedonia/Apathy
Cognitive Delay
List 3 (-) symptoms of Schizophrenia
Flat affect
Anhedonia/Apathy
Cognitive Delay
How long must symptoms be present in order to diagnose Schizophrenia?
> 6 months
If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose?
Greater than 6 months
What is Brief Psychotic Disorder?
Symptoms of Schizophrenia that have only been present for < 1 month
If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose Brief Psychotic Disorder?
Less than 1 month
What is Schizophreniform?
Symptoms of Schizophrenia that have only been present for > 1 month but < 6 months
If a patient has symptoms that look like Schizophrenia, how long must they have been present in order to diagnose Schizophreniform?
> 1 month but < 6 months
What is Schizoaffective Disorder?
Symptoms of Schizophrenia + mood symptoms
How long must symptoms be present in order to diagnose Schizoaffective Disorder?
> 6 months
What is Delusional Disorder?
Patient has 1 non-bizarre delusion and NO functional impairment
What is the treatment for Delusional Disorder?
Gentle confrontation
What is the treatment for diseases that present like Schizophrenia?
Atypical Antipsychotics
If all other treatments fail for Schizophrenia, what drug should be used?
Clozapine
How do you treat Catatonia?
Benzodiazepine challenge + ECT
With Anorexia Nervosa, what is the patient’s body weight?
UNDERWEIGHT
= BMI < 18.5
What must a patient’s BMI be under in order to diagnose Anorexia Nervosa?
< 18.5
What must a patient’s BMI be under in order to hospitalize a patient?
< 15
Anorexia Nervosa is most often associated with what type of behaviors?
Restriction of food intake or excessive exercise
Why are Anorexic patients harder to treat?
They see an unrealistic version of themselves (fat) no matter what you show them so they do not think anything is wrong
Besides being severely malnourished, what other signs point towards Anorexia Nervosa?
Hypothyroid-ish
= Dry skin, thinning hair, cold intolerance, bradycardia, hypotension
What is the first line drug class to treat Anorexia Nervosa?
Antipsychotics
What is the first line drug class to treat Anorexia Nervosa?
Antipsychotics
With Bulimia Nervosa, what is the patient’s body weight?
Normal or overweight
= BMI > 18.5
What must the patient’s BMI be in order to diagnose Bulimia Nervosa?
> 18.5
What type of behaviors are the most common with Bulimia Nervosa?
Binge - Purge
What are physical signs of purging?
Dental erosions
Parotid gland enlargement
Dorsal hand scars
What are physical signs of purging?
Dental erosions
Parotid gland enlargement
Dorsal hand scars
What metabolic derangements will be present with purging via emesis?
Metabolic Alkalosis
Low K+ and Mg++
What metabolic derangement will be present with purging via laxatives?
Metabolic Acidosis
What is the treatment for Bulimia Nervosa?
SSRIs and psychotherapy
What drug should you NEVER use with eating disorders?
Bupropion
What drug should you never use with eating disorders and why?
Bupropion –> lowers SEIZURE threshold
