Stork Review Flashcards
Key feature of adjustment disorder?
A stressor. Onset within 3 months of the stressor, resolves within 6 months of stressor ending.
Note, if they meet criteria for depression, it’s depression
Major depressive episode
At least 2 weeks of 5/9 sig e caps + depressed mood or anhedonia.
Sleep Interest Guilt Energy Concentration Appetite Psychomotor Agitation Suicidality
Dysthymia in kids
1 year of persistently low mood. Can’t have more than 1 good month.
Dysthymia in adults
2 years of persistently low mood. Can’t have more than 2 good months.
Key feature of atypical depression?
Mood reactivity
Four key features of atypical depression
1) Leaden paralysis
2) Hypersomnia
3) Hyperphagia
4) Sensitivity to interpersonal conflict
How to distinguish atypical depression from borderline pd?
Borderline PD has the features of atypical depression their whole lives. Atypical depression is episodic.
Brief psychotic disorder
Lasts less than one month
Schizophreniform disorder
Lasts 1-6 months, then patients generally return to baseline
Schizophrenia
1 month, or less if treated, in the setting of a deficit for 6 months. Never return to baseline.
Acute stress disorder
Onset within a month of a stressor, doesn’t last more than one month.
Common buzzword for acute stress disorder?
Feeling numb or dissociated.
PTSD
Can occur any time after a stressor, must have at least one month of 1)hypervigilance
2) reexperiencing
3) avoidance
4) Somatic complaints and lack of functioning
Generalized anxiety disorder
6 months at least of being anxious about everything
Panic disorder
1 panic attack (impending doom, autonomic hyperactivity, no trigger) followed by 1 month of persistent worry.
Diagnosis of bipolar disorder based on?
One manic episode
Hypomania vs mania
Hypomania has digfast for 4 days
mania has digfast for 1 week or less if treated
Distractibility irritability grandiosity flight of ideas activity sleep talkativeness
Diagnosis of schizoaffective disorder
Psychosis and mood together most of the time but at least 2 weeks where there is psychosis without mood sxs.
Paranoid personality disorder
No delusions, no psychosis, just a pattern of thinking, can be reality checked.
Delusional disorder
1 nonbizarre delusion, onset in mid-life
Schizophrenia
Multiple delusions, hallucinations, disorganized thought
Anorexia nervosa
BMI
Bulimia
Binge is predominant
Purge is egodystonic
Predominant emotion is guilt and disgust
Treat with SSRI or topiramate
Sxs of ADHD must emerge before age?
12
