WEEK 4 Flashcards
how long to be diagnosed for persistent depressive disorder?
depressed mood with two other symptoms of depression for majority of days for at least 2 CONSECUTIVE YEARS
first line rx pyromania
CBT
how many instances of deliberate fire setting required for pyromania dx?
at least 2 (more than 1)
can’t be due to monetary gain, politics, conceal criminal activity, express anger/vengenace, to improve one’s living circumstances
needs to be due to curiosity…get tense before act and relief after act
imaging for tourette’s
reduced caudate volume (issue with cortico-striatal-thalamo-cortical circuitry)
cortical thinning in frontal and parietal lobes
which personalities inc risk for suicide?
CLUSTER B!!!, BPD the worst but don’t forget narcissistic, antisocial
rx for female orgasmic disorder
behavioral exercises like masturbation w/ kegel exercises
proposed mechanism for cluster headaches
calcitonin gene-related peptide released from tigeminal nerve which causes pain (vasodilator), subsequent parasympathetic activiation with vasodilation implicated as well
what is the only medication approved by FDA for treatment of schizoaffective d/o?
paliperidone
Mechanism fragile X
expansion of cytosine-guanine-guanine (CGG) trinucledotide repeats on FMR1 gene
GGA un intron 1 of both alleles of frataxin gene
fredreich ataxia (most common hereditary ataxia)
what should NF1 pts be screened for?
AUTISM (high association)
FDA approved medication for alcohol withdraawal that is associated with reduced risk of recurrent withdrawal symptoms/seizures
chlordiazepoxide
diazepam
LONG ACTING AGENTS better if you can
another name for essential tremor?
familial tremor (autosomal dominant)
target for DBS for essential tremor?
ventral intermediate nucleus
which substance intoxication can cause hyperacusis?
PCP
Two scales for stratifying depression symptoms severity
HAM-D (hamilton)
MADRS (Montgomery Asberg)
MADRS < 7?
normal range, no depression
MADRS > 35?
Severe depression
How long to fear something to meet criteria for specific phobia?
6 months
difference between aripiprazole and risperidoen @ dopamine receptor?
Abilify - partial agonist
Risperdal - antagonist
treatment to reduce apneic episodes in central sleep apnea?
oxygen therapy
delusion where you’re convinced something awful/catastrophic might happen
nihilistic
pt with MDD only wanting psychotherapy; how long to determine “adequate trial” of psychotherapy?
8-16 weeks to see a response
(wait 8 weeks)
Which has greater risk for precipitating mania (SSRIs or SNRIs)
SNRIs