Public Health + Psych Flashcards
Shizophrenia diagnosis criteria: at least 2 of the following for >6 months:
- delusions
- hallucinations
- disorganized speech
- disorganized or catatonic behavior (unresponsive stupor)
- negative symptoms (don’t forget alogia = poverty of speech, and anhedonia)
if schizo symptoms last < 1 month, it’s called _____
if 1-6 months, it’s called _______
<1 month = brief psychotic disorder
1-6 mo = shizophreniform disorder
what is different in schizo brains?
increased dopamine
decreased dendritic branching
on imaging shows ventriculomegaly
Onset before age _____ for:
ADHD, Tourette, Disruptive mood dysregulation disorder
adhd 12
tourette 18
DMDD 10
projection vs displacement
displacement: take it out on someone or something else
projection: something you would do, you blame or accuse someone else. ex: man who wants to cheat on his wife accuses her of cheating. this is all dem crazy girls we know of
the 4 mature defenses/coping mechanisms of adults: SASH
Supression
Altruism
Sublimation
Humor
Delusional disorder time requirement
> 1 month
time requirement for manic and hypomanic episodes
manic at least 1 week
hypomanic at least 4 consecutive days
cyclothymic is mild prolonged ______
dysthymia is mild prolonged ______
cyclothymic = bipolar
dysthmic = MDD
changes in sleep in depressed people
less slow waves sleep and REM latency REM sleep earlier in sleep cycle increased total REM sleep wake up at night repeatedly wake up super early morning
MDD requires ___ out of 9 for at least _____ time. name the 9
5/9, at least 2 weeks
SAD PAGES + suicidal Sleep Anhedonia Depressed mood Psychomotor Appetite Guilt or worthlessness Energy Study (concentration)
postpartum mood stuff has to happen within ____ weeks of delivery
4 weeks
what drug besides SSRI is first line for panic disorder?
venlafaxine (SNRI) (also for social anxiety disorder). also can use benzo in acute setting
panic disorder diagnosis requirement. panic attacks at least ______ minutes, at least 4 of the following:
panic attack followed by 1 month or more of 1 or more of attacks, worrying about attack, behavioral change related to attack
10 minutes with: PANICS (4)
Palpitations Paresthesias dePersonalization Abdominal distress Nausea Intense fear of dying, losing control lIght headed Chest pain, chills, choking Sweating, shaking, SOB
specific phobia time requirement
at least 6 months
