Term
| define anxiety due to general medical condition |
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal due to direct effect of general medical condition |
|
|
Term
| define substance induced anxiety disorder |
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal due to direct effect of medication, drug abuse, or toxin |
|
|
Term
| define psychotic or mood disorder |
|
Definition
not an anxiety disorder
symptoms of anxiety, fear, avoidance, or increased arousal with 6mo+ of excessive worry and associated symptoms occuring exclusivley during a mood or psychotic episode |
|
|
Term
| define seperation anxiety disorder |
|
Definition
symptoms of anxiety, fear, avoidance, or increased arousal due to concern with seperation from figures
onset in childhood |
|
|
Term
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal with unexplained panic attacks and worry about attacks or change in behavior |
|
|
Term
|
Definition
|
|
Term
|
Definition
| anxiety about being in places from which escape might be difficult or embarassing in the event of a panic attack |
|
|
Term
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal due to severe traumatic event with re-experiencing of event, arousal, and avoidance of associated stimuli for 1 mo+ |
|
|
Term
| what if someone shows PTSD signs for less than a month |
|
Definition
| its called acute stress disorder |
|
|
Term
|
Definition
|
|
Term
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal with complusions or obsessions |
|
|
Term
|
Definition
| equal in male and females |
|
|
Term
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal with 6mo+ of excessivel worry plus associated symptoms |
|
|
Term
|
Definition
|
|
Term
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal due to specific object or situation (if social consider avoidant personality disorder) |
|
|
Term
|
Definition
| equal in males and females |
|
|
Term
|
Definition
|
|
Term
| define adjustment disorder with anxiety |
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal that does not meet criteria for other anxiety disorders and developed from response to stressor |
|
|
Term
| define anxiety disorder not otherwise specified |
|
Definition
| symptoms of anxiety, fear, avoidance, or increased arousal that do not meet criteria for specific anxiety disorder |
|
|
Term
|
Definition
intense fear and discomfort with 4+ of these...
palpitations, increased HR
sweating
trembling or shaking
SOB/smothering
feeling of choking
nausea or abdominal distress
dizzy, unsteady, lt headed, faintness
de-realization, depersonalization
fear of loosing control or going crazy
fear of dying
paresthesias
chills or hot flashes
reoccuring unexpected attacks
w/ or w/o agorophobia |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| to diagnose panic disorder the attack must be followed by 1mo+ of one of these |
|
Definition
persistent concern of additional attacks
worry about implications of attack or consequences
change in bahavior related to attacks |
|
|
Term
| panic disorder cannot have association with |
|
Definition
| substance abuse, medication, hyperthyroidism, other medical condition, mental disorder, social phbia, phobia, OCD, PTSD, seperation enxiety |
|
|
Term
| what are the comorbidities with panic disorder |
|
Definition
depression
other enxiety disorders |
|
|
Term
|
Definition
avoidance of situation where escape is difficult
safety or stress reducing behaviors in crowded situations like finding escape, going with friends
periods of exacerbation and remission |
|
|
Term
|
Definition
|
|
Term
| tx first steps agoraphobia |
|
Definition
|
|
Term
| tx second steps in agoraphobia |
|
Definition
| SNRI/SSRI (+BDZ if needed) > BDZ > TCA |
|
|
Term
| how do you tx someone with agoraphibia and comorbid depression |
|
Definition
| use antidepression with different mechanism (SSRI + buproprion) |
|
|
Term
| what are the goals of CBT for agoraphobia |
|
Definition
focus on negative/irrational thoughts
give homework or joirnaling and imagry and talk about event, thoughts, emotions, and behaviors
situational or graded exposure to feared stimuli
incorporate: exercise, relaxation, techniques (breathing), spirituality
psychodynamic therpay: talks about defense mechanisms |
|
|
Term
| what is the prognosis of agoraphobia |
|
Definition
33% recover
50% have limited impairment
20% have major impairment |
|
|
Term
| what are predictors of poor prognosis for agorphobia |
|
Definition
more severe, initial panic attacks or agoraphobia
longer duration of illness
comorbid depression
hx seperation from parent (death, divorce)
high interpersonal sensitivity
single marital status |
|
|
Term
| what signs are requided for all PTSD diagnosis |
|
Definition
symptoms for 1mo+, acute <3mo, chronic >3mo
may be delayed onset >6mo
social occupational other impairment due to experiencing, witnessing, confronting event with threatened death or injury to self or others with response of intense fear, helplessness, horror
(agitation and disorganized behavior in kids) |
|
|
Term
| for PTSD the pt must have at least 1 rexperiencing sign, what are they |
|
Definition
recurrent distressiing recollections(images, thoughts, perceptions) (kids may occur with theses from trauma)
recurrent dreams of event in kids they may not have no recollection and will dream and wake up scared
feeling as if the event were reoccuring(reliving, hallucinations, illusions, flash backs) awake or intoxicated
psychological distress on exposure to event cues
psysiological reactivity to event cues |
|
|
Term
| to diagnose PTSD they need to have 3+ avoidance or numbing symptoms, what are they |
|
Definition
avoiding thoughts, feelings, or conversation associated with event
avoiding activities, places, or people associated with event
cannot recall important aspects of event
diminished interest in significant activities
feeling detached from others
restricted range of affect (unable to love)
sense of fore shorted future (no expectation of career, marriage, children) |
|
|
Term
| to diagnose PTSD they need to have 2+ increased arousal symptoms, what are they |
|
Definition
difficulty falling or staying asleep
iritability or ourbursts of anger
difficulty concentrating
hypervifilence
exaggerated starte response |
|
|
Term
| what are the risk factors for PTSD |
|
Definition
post trauma prior to initiating trauma
hx PTSD, depression, anxiety disorder
family hx of anxiety or parental PTSD
cormorbid axis II disorder
disrupted parental attachments
high premorbid intelligence may be protective |
|
|
Term
|
Definition
| depression, OCD, panic, phobia |
|
|
Term
|
Definition
| education and CBT focusing on negatice/catastrophic thoughts, exposure to behavorial tx, anxiety/anger, group therapy |
|
|
Term
|
Definition
|
|
Term
|
Definition
| often symptomatic for decades |
|
|
Term
| perdictors for bad prognosis PTSD |
|
Definition
greater number of symptoms
psychiatric hx of ther anxety/mood disorder
higher numbing or hyperarousal to stress
cormobid medical illness
female, childhood teauma, alcohol abuse |
|
|
Term
| what are the required obsessive symptoms of OCD |
|
Definition
reicrrent rhoughts, impulses, or images that are intrusive and inappropirate causing anxiety or distress
thoughts, impulses, images not just excessive worry about real life problems
attmpt to neutralize thoughs, imulses, images with actions or thoughts
recognizes impulses, thoughts, or images are a product of their own mind |
|
|
Term
| what are the required compulsion symptoms of OCD |
|
Definition
repetitive behaviors or mental acts in response to obsession or according to rules
acts are to reduce distress or prevent some event but are not connected in realisit way and are more to neutralize thoughts |
|
|
Term
| define OCD with poor insight |
|
Definition
| some point in time the person does not realize obsessions and compulsions are excessive or unreasonable |
|
|
Term
|
Definition
| CBT, education, graded exposure |
|
|
Term
|
Definition
SSRI high doses, clomipramine, both
add anti-psychotic if severe |
|
|
Term
| what percautions need to be taken with clomipramine |
|
Definition
| requies EKG, BP, HR, blood level monitoring esp in combo with other meds |
|
|
Term
|
Definition
50% progressive disease
80% improve in 40 yrs
25% fluctuating course
15% phasic course with periods of complete remoission |
|
|
Term
| what are signs of worse OCD prognosis |
|
Definition
ealy age of onset, longer duration
obsessions and compulsions
poor baswline social function
magical thinking |
|
|
Term
| GAD must have 3+ of these symptoms for _____ |
|
Definition
6 mo+
rstlessness or on edge
easily fatigued
difficulty concentrating or mind blands
irritability
muscle tension
sleep disturbance
no other axis 1 disorder, general medical condition, mood disorder, psychotic disorder, developmental disorder
impairment in social, occupational, or other areas of functioning |
|
|
Term
|
Definition
CBT, relaxation therapy, psychodynamic therapy, breathing therapy
SNRI/SSRI (venlafaxine XR DOC)
may adjust for individual symptoms or metabolic profile |
|
|
Term
|
Definition
major depression
other anxiety disorders |
|
|
Term
| symptoms of social phobia |
|
Definition
anxiety of unfamillar people, possible scrutiny, showing anxiety, doing something embarassing (kids unable to have relationships with famillar people, peers, adults)
exposure to situation causes anxiety (in kids causes crying, tantrum, freezing, shrinking)
recognizes fear is excessive (except in kids)
social situations or performance avoided interfering with normal routine, occupation, or relationships
>6mo if under 10yo
not due to substances, general medical condition, other mental disorder or is unrelated to it |
|
|
Term
| comorbidities with social phobia |
|
Definition
2x risk of alcohol dependence
6x risk of mood disorders |
|
|
Term
|
Definition
CBT > SNRI/SSRI > BDZ > TCA
B blockers for acute/performance
social skills training (role play, rehersal, imagry, visualization) |
|
|
Term
| prognosis of social phobia |
|
Definition
if onset is early it is chronic course
50% recovery by 25 yo |
|
|
Term
| signs of poor prognosis in social phobia |
|
Definition
onset before 8-11 yo
psychiatic or medical comorbidity
more symptoms oat baseline
low education status |
|
|
Term
| what are signs of a phobia |
|
Definition
cured by object or situational removel
exposure inavairably provokes immediate anxiety
children: crying, tantrums, freezing, clinging
recognition that fear is excessive
avoiding phobia, interferes with reoutine, occupation, relationship
if <18 yo lasts more than 6mo
not explained by OCD, PTSD, seperation anxiety, social phobia, panic disorder, agoraphobia |
|
|
Term
| what are the types of phobia |
|
Definition
animal
natural: heights, storms
blood injection
situational: airplane, elevator
choking
vomiting
illness
loud sounds
costumed characters |
|
|
Term
| comorbidities with phobia |
|
Definition
depression
somatoform disorders |
|
|
Term
| how many kids have autism |
|
Definition
|
|
Term
| how many pediatric patients per practice are autistic |
|
Definition
|
|
Term
| what prcent of docs have autistic patients, what percent routinly screen for autism |
|
Definition
|
|
Term
| what demographic has higher rates of autism |
|
Definition
|
|
Term
| how has the definition of autism recently changed |
|
Definition
used to be autism, aspergers, pervasive developmental disorder NOS, downs, CHARGE syndrome (NOT RETT)
now combined into autism spectrum disorders and social communication disorder |
|
|
Term
| what are the advances that have been made in autism prevention and tx in history |
|
Definition
obligated ASD children to be provided with education and therapy in school
increased awareness, screening
requires sibling screening |
|
|
Term
| 5 bullets that must be checked to fulfill the social communication / interaction deficiency of the autism diagnosis |
|
Definition
problems reciprocating social or emotional interaction. Difficulty establishing or maintaining back and forth conversation. problem with shared attention or sharin of emotions and interests
severe problems maintaining relationships due to lack of interest, pretend play, age appropirate activities, and problems adjusting to social expectations
nonverbal communication problems: eye contact, posture, facial expression, tone of voice, gestures, inability to understand them
lack of general developmental delay |
|
|
Term
| to be diagnosed with autism a child needs 2/4 criteria in restricted and repetitive behaviors, what are the 4 criteria |
|
Definition
sterotyped or repetitive speech, motor movements, or use of objects
excessive adherance to routines, rituialized patterns of verbal or non-verbal behavior, excessive resistance to change
highly restricted interests that are abnormal in intensity or focus
hyper or hypo reactivity to sensory input or unusual interest in sensory aspects of the environment |
|
|
Term
|
Definition
genetic: 5-6% chance of inheritence, multiple genes with variable phenotypes
enivornmental modulators affect phenotypic expression
advanced maternal and paternal age
ASD gene
neurogenic syndromes with ASD |
|
|
Term
| what are som environmental factors that can trigger ASD (4) |
|
Definition
prenatal period: teratogens, infections
postnatal period: MMR, mercury |
|
|
Term
| what percent of ASD is associated with a syndrome |
|
Definition
|
|
Term
| what syndromes are associated with ASD (5), which is the most common |
|
Definition
fragile X - most common
neurocutaneous disorders
phenylketonuria
fetal alcohol syndrome
angleman syndrome |
|
|
Term
|
Definition
MR
macrocephaly
large penis and testicles
hypotonia
hyperextensibility |
|
|
Term
| what is the percent of occurance of fragile X with ASD |
|
Definition
3-4% of ASD have fragile X
30-50% of fragile X have ASD |
|
|
Term
| 8 neurobiological changes that occur with ASD |
|
Definition
less purkinje cells in cerebellum
abnormal limbic system, frontal lobe, termporal lobe
abnormal Groca's, midstem
30% macrocephaly
90% increased braiin volume |
|
|
Term
| what is the typical clinical timeline of ASD |
|
Definition
typically presents at 18mo
some can begin presenting since birth
others can wait up to 2 yo |
|
|
Term
| 15 examples of impaired social interaction in autism |
|
Definition
ignore eye contact
ignore company
unable to connect
cannot share
no joint attention
cant follow gaze (8mo)
cant follow point (12mo)
cant protoimperative point (12-14mo)
cant protodeclartive point (14-16mo)
selective hearing
social referencing deficit
no sense of personal space
no group play
no abstract thinking
no jokes |
|
|
Term
| 7 examples of speech deficits in autism |
|
Definition
scripted speech
echolalia (copy cat)
pop-up words (own language)
giant words (runs speech together)
regression of speech HALLMARK
reading without comprehension |
|
|
Term
| what are 4 speech development red flags for autism |
|
Definition
no babbling, pointing, gesturing 12 mo
no single words 16 mo
no 2 word phrases 24 mo
loss of language skills at any age |
|
|
Term
| what are 8 behavorial signs of autism |
|
Definition
no pretend play
rituialistic
enjoy handheld games, toys
able to memorize
unusual obsessions, compulsions, attachments
self-injrous behavior
inability to transition from one activity to another - causes tantrums |
|
|
Term
| what are 4 sensory difference in autism |
|
Definition
hyperacuis
hypo and hyper sensitivity
sensory motor play: prefers texture, food
mouthing/licking objects |
|
|
Term
| what are 3 motor differences in autism |
|
Definition
unusual motor sterotypes: hand flapping, finger movements, rocking, twriling
poor coordination/clumsiness
associated hypotonia |
|
|
Term
| what is the AAP recomendation for screening kids for autism |
|
Definition
screened at 9, 12, 24, and 30mo no matter what
standardized autism specific screen at 18mo and again at 24mo if there was refression |
|
|
Term
| why can't we screen specifically for autism under 18 mo |
|
Definition
| there is no screeniing tool |
|
|
Term
| what is a level 1 autism screen |
|
Definition
|
|
Term
| what is a level 2 autism screen |
|
Definition
| EIP, developmental clinics |
|
|
Term
| what do you do if you suspect autism, why |
|
Definition
refer now work up later
no speech by 5 yo means no speech ever
refer to PT, OT, speech therapy, developmental intervention
audiology evaluation
neurologist (esp if hypotonic)
genetisist (esp if FLK)
developmentalist |
|
|
Term
| what lab tests should you get for autism |
|
Definition
chromosomal analysis (fragile X testing)
FISH for subtelomere screen
EEG
MRI brain
metabolic studies |
|
|
Term
| when re-categorzed who did social communication disorder pick up |
|
Definition
people who dont quite fit into ASD
PPD-NOS previous diagnosis |
|
|
Term
| signs of social communication disorder |
|
Definition
social difficulty
pragmatic language deficit affecting comprehension and awareness
no delay in congnition or language |
|
|
Term
|
Definition
| poor ability to attend to a tast, impulsitivity, over activity |
|
|
Term
|
Definition
| chemical imbalance: dopaminergic, noradrenergic, serotinergic |
|
|
Term
| what groups or conditions is ADHD most common with |
|
Definition
males
people with 1st deg relatives
alcohol abuse, anti-social behavior |
|
|
Term
| when does ADAH usually appear |
|
Definition
|
|
Term
| what are 5 signs in pt history of ADAH |
|
Definition
repeated year of school
behavorial problems at school
agression
poor peer relations
academic difficulty |
|
|
Term
| what signs of ADHD can be found on a physical exam |
|
Definition
| soft neurological signs: impaired balance, mixed hand preference, dysdiadochokinesia (can't flick hands) |
|
|
Term
| what are three criteria for ADHD diagnosis |
|
Definition
low education level (not IQ)
higher verbal than performance scores on WISC
low scores on attention concentration performances |
|
|
Term
| why dosent low IQ describe ADHD, why do people associated it with ADHD |
|
Definition
| low IQ is learning dissability or mental retardation. these kids may act out becase they dont want to look dumb and aernt learning |
|
|
Term
| when diagnosing ADHD what do you have to rule out |
|
Definition
petit mal epilepsy (stariing spells look like zoning out and kid wont learn)
conduct disorder
learning dissability
hearing disorder/sensory impairment
medication side effects (anti-psycotic or convulsant)
gilles de la tourette syndroome |
|
|
Term
| what is the relation of tourette syndrome with ADHD |
|
Definition
| often seen with ADHD and is a side effect of the medication but can be seperate too |
|
|
Term
| when do you start ADHD tx |
|
Definition
| at or after 5 yo unless danger to self and other |
|
|
Term
| what behavorial therapy do ADHD pt do |
|
Definition
behavorial modifications
special ed
referral to mental health professionls |
|
|
Term
| what are the benifits of ADHD medication |
|
Definition
reduce over activity
increase attention span
improve relationships |
|
|
Term
| what things do ADHD medication not improve |
|
Definition
retention
information retreival
anger |
|
|
Term
| what are side effects od ADHD medication |
|
Definition
anxiety
anorexia
insomnia
abd pain
tics
increased HR
growth supression |
|
|
Term
| what is a drug free holiday, what is the thought on it |
|
Definition
kids feel different
learning should occur all the time |
|
|
Term
| breath holding: age, complications, treatment |
|
Definition
infants and toddlers
sometimes leads to seizures. RO seizure disorder first (seizure pass out then blue, no anger)
tx: ignore |
|
|
Term
| temper tantrums: age, cause, treatment |
|
Definition
10mo-3yo
caused by conflict
tx: verbal resolution, time out |
|
|
Term
| lying: age, cause, when is it a concern |
|
Definition
2-4 yo experimenting with language, may represent fantasy
in school age its to maintain self esteem and get out of situation
concern if deliberate or stories made up after 5 yo |
|
|
Term
| why is run away behavior so serious, what is the tx |
|
Definition
run rape and tox tests
too many threats now |
|
|
Term
| what are two childhood behaviors that suggest immediate referral to a mental health professional |
|
Definition
fire starting
poor treatment of animals |
|
|
Term
| what are 4 causes of agressive behavior |
|
Definition
drive theory: biological
phenomenologic approach: agression from day to day deprivation
social learning theory: learned responsein 2-5 yos (screaming, tantrums)
passive agressive behavior: throwing objects, against other kids, boys worse than girls |
|
|
Term
| what are conductive disorders |
|
Definition
| antisocial behaviors: lying, stealing, firesetting, poverty destruction, cruelty to animals, run away behaviors, weapon use |
|
|
Term
|
Definition
| individgual and group therapy |
|
|
Term
| what is a rumination disorder, who gets it |
|
Definition
Failure to thrive or weight loss due to repeated regurgitation of food
more in males, potentially fatal, 3-14 mo old |
|
|
Term
| what is PICA, who gets it, tx |
|
Definition
1-2 yo ingestion of non-nutrient substances repeatedly
self limited by 2 yo monitor for lead poisoning, parasites |
|
|
Term
|
Definition
frequent inability to control urine
primary: never could
secondary: recently acquired |
|
|
Term
| what is the cause of noctournal enuresis |
|
Definition
| improper toilet training regressive behavior (stress, illness, etc) |
|
|
Term
|
Definition
behaviorial modification
fluid restruction
conditioning devices
imipramine
DDAVP nasal spray or tablets |
|
|
Term
|
Definition
chronic constiation, fecal impaction, overflow incontenence
effects self esteem
loss of toilet training after 4 yo |
|
|
Term
|
Definition
mostly males
low socio-eco
anger |
|
|
Term
|
Definition
supportive
resolve constipation |
|
|
Term
| define nacrolepsy, when is it seen |
|
Definition
frequent daytime naps, cataplexy, sleep paralysis, hynogogic hallucinations
seen in adolescence |
|
|
Term
|
Definition
contraceptives
anti-depressants |
|
|
Term
|
Definition
| anxiety and affective disorders |
|
|
Term
| night terrors: who gets them, why |
|
Definition
preschool kids
not smooth transition in sleep stages (arousal from stage 4) |
|
|
Term
|
Definition
| do not stimulate child it makes it worse allow them to transition into the next stage, they do not know thier screaming |
|
|
Term
| define somnambulism, who gets it |
|
Definition
sleep walking
stage 3 or 4 of sleep
school age kids |
|
|
Term
|
Definition
|
|
Term
|
Definition
teeth grinding/bruxism
thumb sucking
stuttering
tics
tourettes |
|
|
Term
| what is the cause of habit disorders |
|
Definition
|
|
Term
| what do you do if your kid has tourettes |
|
Definition
ignore it
encourage them to speak slow |
|
|
Term
| what are two anxiety disorders in kids |
|
Definition
|
|
Term
| what do you need to ask in diagnosis of mood disorders |
|
Definition
most recent episode, past symptoms
SIGE CAPS, DIG FAST, SAD PERSONS
substances, medical conditions
dysthmia, cyclothymic, PDD, post-partum, seasonal, catatonia, melancholia, atypical, rapid cyclind
severity (symptoms, interruption with social, occupation) |
|
|
Term
| when should you hospitalize someone with a mood disorder |
|
Definition
also have severe illness
suicide ideation and plan
intention to die
recent suicide attempt
multiple suicide risk factors and losses
catatonic
melancholia
psychotic features
feelings of hopelessness |
|
|
Term
| what is the first line for suicidal, psychotic, agitated or tx resistant patients who cannot tolerate meds |
|
Definition
|
|
Term
| depressed pt must have __+ of these 9 symptoms for ___ not due to general medical condition |
|
Definition
5+ symptoms for 2 weeks
depressed mood
sleep -insomnia typical, escess atypical
interests diminished
guild and worthlessness
low energy
concentration poor
appetite: poor typica, excessive atypical
psychomotoe retardation or agitation
suicidal ideation |
|
|
Term
| 13 things that show increased risk for suicide |
|
Definition
female > male in attempts
male > female in completion
age <24 and >65
depression current or hx
prior attempt
EtOH or drugs current or hx
rational loss/psychosis current or hx
social support lacking
organized plan or intent
no spouse or single
sickiness, esp chronic, painful, terminal |
|
|
Term
| in general what is dysthmic disorder |
|
Definition
| minor depression without suicidal thoughts |
|
|
Term
| what qualifies late or early dysthhmic disorder |
|
Definition
|
|
Term
| what are the signs of dysthmic disorder |
|
Definition
depressed for more days but than not but without major depression in 2 years (1 in kids) never without symptoms for >2mo
no mania, mixed, hypomanic, psychosis, substances, general medical condition with impairment of social, ccupational, or other functions
2+ of the following:
poor appetite or over eating
insomnia or hypersomnia
low energy or fatigue
low self-esteem
poor cognition or difficulty making decisions
feelings of hopelessness |
|
|
Term
| who usually gets premenstural dysthmic disorder |
|
Definition
| often people with anxiety disorders |
|
|
Term
| what is the criteria for diagnosis of premenstural dysthmic disorder |
|
Definition
present in menstural cycles in past year during last week fo luteal and absent post menses that interefers with work, social, relationships, productivity and is not an exacerbation of another disorder
5+ symotoms:
depression, hopeless, self-depreciating
andiety, tension, feeling on edge
affective liability: suddenly sad
anger, irritability, conflict
decreased interest in activities
difficulty concentrating
lethargy
under/over eating, cravings
hypersomnia, insomnia
overwhelmed feeling
breast tenderness, breast swelling, headache, joint pain, bloating |
|
|
Term
| what do you need to diagnose seasonal pattern depression |
|
Definition
regular relationship with time of year (usually fall and winter) without cause with full remission between seasons for at least 2 yrs
can be applied to major depression or bipolar |
|
|
Term
| what are the severity levels of depression |
|
Definition
mild
moderate
severe without psychosis
severe with pyschosis |
|
|
Term
| what are the descriptive types for depression |
|
Definition
catatonic: unable to move
melancholic: (typical) lack of appetite and sleep
atypical: eating, sleeping too much
post partum
seasonal |
|
|
Term
| what is the first line of tx for depression |
|
Definition
| psychotherapy: CBT, interpersonal therapy |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| what NT to bupropion act on |
|
Definition
|
|
Term
| what NT do nefazodone act on |
|
Definition
|
|
Term
| what NT do mirtazapine act on |
|
Definition
|
|
Term
| what NT do reboxetine/atomoxetine act on |
|
Definition
|
|
Term
| what NT do fluoxetine act on |
|
Definition
|
|
Term
| what NT do paroxetine act on |
|
Definition
|
|
Term
| what NT do sertaline act on |
|
Definition
|
|
Term
| what NT do fluvoxamine act on |
|
Definition
|
|
Term
| what NT do citalopram / escitalopram |
|
Definition
|
|
Term
|
Definition
| major depression, enuresis |
|
|
Term
|
Definition
| major depression, anxiety, impulse control, bulimia |
|
|
Term
|
Definition
| major depression, social phobia |
|
|
Term
|
Definition
|
|
Term
|
Definition
| major depression, smoking cesation |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| use reboxetine/atomoxetine |
|
Definition
| major depression, ADD, ADHD |
|
|
Term
|
Definition
| major depression, anxiety, impulse control, bulemia |
|
|
Term
|
Definition
| major depression, panic, GAD, OCD |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| use citaopram/escitalopram |
|
Definition
| major depression, panic, agoraphobia |
|
|
Term
|
Definition
| dry mouth, constipation, urinary retention, blurred vision, hypotension, cradiac toxicity, sedation |
|
|
Term
|
Definition
| agitation, insomnia, headache, nausea, vomiting, sexual dysfunction, hyponatremia |
|
|
Term
|
Definition
| HTN, insomnia, nausea, agitation, confusion |
|
|
Term
|
Definition
| HTN, nausea, insomnia, dry mouth, sedation, sweating, agitation, headache, sexual dysfunction |
|
|
Term
|
Definition
| agitation, insomnia, deaache, nausea, vomiting, seizure |
|
|
Term
|
Definition
| dizzy, hepatotoxicity, sexation, hypotension, paresthesia, priapism |
|
|
Term
|
Definition
| weight gain, sedation, dizzy, headache, sexual dysfunction (rare) |
|
|
Term
| SE reboxetine/aotomexitine |
|
Definition
| dizzy, sweating, insomnia, dry mouth, constipation, urinary hesitency, tachycardia |
|
|
Term
|
Definition
| long half life, protein bound |
|
|
Term
|
Definition
| sedation, anti-cholinergic, short half life |
|
|
Term
| SE citalporam/escitalopram |
|
Definition
|
|
Term
| what are the three types of bipolar disorder and their differences |
|
Definition
bipolar 1: one more more manic/mixed episodes with at least one major depressive episode
bipolar 2: one or more major depressive episodes with at least one hypomanic episode
bipolar NOS: symptoms do not meet criteria for either |
|
|
Term
| signs of bipolar disorder |
|
Definition
elevated/iritable mood for 1wk+ that does not meet criteria for mixed episode, substance abuse, medical condition that impairs occupational or social activities
3/7 for a manic episode for a week, 3/7 for a hypomanic episode 4-7d
distractability
insomnia
grandiose inflated self-esteem
flight of ideas, rapid thoughts
activities goal directed
speech rapid, pressured
thoughtless, impulsive |
|
|
Term
| what are the severity levels of bipolar |
|
Definition
mild
moderate
severe without psychosis
severe with psychosis |
|
|
Term
| what are the 6 descriptors of bipolar |
|
Definition
| catatnic, melancholic, atypical, post-partum, seasonal, rapid cycling |
|
|
Term
| what is the most important part of bipolar tx |
|
Definition
| CBT, interpersonal therapy |
|
|
Term
| what are the DOC for bipolar |
|
Definition
mood stabilizers: lithium, valproic A. lamotrigine, carbamazepine, oxcarbasepine
atypical anti-psychotics: olanzapine, ariprazole (can add to mood stabilizer) |
|
|
Term
| medication for bipolar depressive episode |
|
Definition
| atypical anti-psychotic, lithium, lamotrigine |
|
|
Term
| medication for bipolar manic episode |
|
Definition
| atypical anti-psychotic, valproic acid, carbamezpine |
|
|
Term
| medications for agitated bipolar pt |
|
Definition
|
|
Term
| what caution do you need to use when medicating a bipolar pt |
|
Definition
| careful antidepressants can induce mania |
|
|
Term
| what are the signs of cyclothymic disorder |
|
Definition
2yrs+ of hypomanic and depressive symptoms that do not qualify for major depression (1 yr in kids)
not accounted for by psychotic disorder, medication, substance, medical condition
impairment in social, occupational, and other areas of functioning |
|
|
Term
| why is it important to keep organic brain disorders in the ddx |
|
Definition
must exclude before diagnosing anxiety, psychotic, or mood disorders
treatment and prognosis are much different |
|
|
Term
| what are the 5 categories of causes od delirum |
|
Definition
metabolic/endocrine
substance intoxication and withdrawl
medications
infection
other |
|
|
Term
| what are 10 metabolic/endocrine causes of delirum |
|
Definition
| Na, K, Mg, Ca, anoxia, ketoacidosis, hepatic and uremia encephalopathy, thyroid/parathyroid disorders |
|
|
Term
| what are 6 intoxication/withdrawl causes of delirium |
|
Definition
| alcohol, sedatives, opoid OD, cocaine, amphetamines, phencyclidine intoxication |
|
|
Term
| what 9 medicatiosn can cause delerium |
|
Definition
| anticholinergics, BDZ, sedatives, opiates, anti-psychotics, anti-epileptics, seronergics, anti-virals, anti-fungals |
|
|
Term
| what 10 infections can cause delirium |
|
Definition
| pneumonia, encephalitis (viral or bacterial), sepsis, AIDS encephalopathy, TB, mycosis, toxoplasmosis, CMV, UTI esp with dementia |
|
|
Term
| what 13 other conditions cause delirium |
|
Definition
depression
dementia
dialysis dysequlibrium syndrome
hyperthermia
hypertensive crisis
wernicke's encephalopathy - alcoholic
CO poisoning
heavy metal poisoning
MS
SLE
postical confusion: partial/grand mal seizure
cushing syndrome
addisons disease |
|
|
Term
| what are the 8 risk factors for delirium |
|
Definition
| age, dementia, sleep deprivation, opiates, sedatives, restraints, rapid decline in function, severe illness (polypharmacy) |
|
|
Term
| what are the types of delirium and their prevelence |
|
Definition
mixed 46%
hyperactive 30%
hypoactive 24% |
|
|
Term
| what are the 6 general signs of delerium |
|
Definition
confusion
disorientation
short term memory loss
visual hallucinations and agitations
acute onset
rapid deterioration |
|
|
Term
| if someone has myoclonus their delerium could be from (3) |
|
Definition
|
|
Term
| if someone has asterixis their delirium could be freom (2) |
|
Definition
hepatic enceophalopathy
hypoxia |
|
|
Term
| if someone has hyporeflexia their delirium could be from (2) |
|
Definition
|
|
Term
| if someone has ataxia and nystagmus their delirium could be from |
|
Definition
| wernicke's encephalopathy |
|
|
Term
| if someone has lateralizing or focal signs their delirium could be from (2) |
|
Definition
|
|
Term
| if someone has tremor, ragidity, bradykinesia their deirium could be from (3) |
|
Definition
|
|
Term
| what does a mini mental status exam include |
|
Definition
|
|
Term
| what are the 5 parts to initial assessment of someone with delerium |
|
Definition
is the pt safe?
do they need emergency hold?
do they need restraints?
need observation 1:1
percautions for agitation, psychosis, suicide
ICU care with monitoring of vitals, O2, fluids |
|
|
Term
| what are important aspects of a medical history for a delirium pt |
|
Definition
ask nurses, pt family, friends, caretakers, previous physicians
review medical records and meds
previous labs and studies |
|
|
Term
| what labs should you order for dilirium |
|
Definition
CBC, CMP, urinalysis and drug screen, thyroid studies
as needed: lithium levels, CT, MRI, O2 stat/AGB, LP, EEG, XR |
|
|
Term
| what will an EEG show in delirium |
|
Definition
|
|
Term
|
Definition
| Na, K, glucose, BUN/CR, liver enzymes, bilirubin |
|
|
Term
| what are the non-medication tx for delirium |
|
Definition
coordinate with other physicians
monitor safety
monitor other medical conditions
environmental intervention: orientate using lighting, clocks, family, etc
sleep: agv ICU <2h sleep. sedative, opiates, and ventilator pt are not sleeping, their over sedated
remove all cath, line, tube, vent, opiate, sedative asap to reduce hospital stay and prognosis |
|
|
Term
| when diagnosing delirium how do you determine the prefence of order in your ddx, what conditions should come first |
|
Definition
diagnose and tx conditions that are reversible first
hypoglycemia, hypoxia, hyperthermia, hypertension, alcohol/substance withdrawl, anti-cholinergic delirium |
|
|
Term
| what is DOC for psychosis and agitation, how should it be administered, what are the percautions |
|
Definition
haldol and atival (lorazepam) / H2A protocol
IV haldol has better absorption, dosent depend on pt cooperation, and min effect on BP, HR, RR
stop if QTc > 500
stop if QTc > 25% baseline
ativan should be less than half haldol dose |
|
|
Term
| what are alternate medications for delirium |
|
Definition
risperidone
quetiapine + ativan PO
acetylcholinesterase inhibitors: rivastigmine (prevents dilirium), donepezil
a2 agonists: dexmedetomidine
psychostimulatants; hypoactive types |
|
|
Term
| what is the prognosis of delirium |
|
Definition
15% mortality but increases with time
40% recovery (only 4% at discharge)
25% permanent cogantive impairment |
|
|
Term
| what is another name for delirium |
|
Definition
| toxic metabolic encephalopathy |
|
|
Term
| what are the parts to a dementia evaluation |
|
Definition
history: patient, family, chart, nurses
Labs: CBC, CMP, TSH, B12, CT
folstein mini mental status exam
minicognative exam |
|
|
Term
| what is the difference between thw two mental status exams |
|
Definition
folstein: long, maybe education bias, no executive function portion
mini cog: short, less education and culture bias, measures executive functions |
|
|
Term
| what are the 11 steps for a folstein mini mental status exam and their scores |
|
Definition
location 5
date/season 5
repeat 3 obhects 3
sereal 7s/spell wold 5
recall 3 objects 3
name two objects 2
repeat: no ifs ands or buts 1
3 step command 3
read "close your eyes" 1
write a sentence 1
draw intersecting pentagons 1 |
|
|
Term
| what do the score sof a folstein exam mean |
|
Definition
18-30/30 = mild
10-18/30 = moderate
<10 / 30 = severe |
|
|
Term
| what are the steps to the mini cognative exam |
|
Definition
register 3 objects
draw a clock at 11:10 (requires organization)
recall 3 objects |
|
|
Term
| how is a mini mental cognative exam scored |
|
Definition
0 objects recalled = impaired
1-2 objects recalled = look at clock to decide
3 obhects recalled = not impaired |
|
|
Term
| what are the three steps of tx for dementia |
|
Definition
decide level of care: outpt, partial hospital, inpatient, involuntary hold
involve family, friends, caretakers
determine stage |
|
|
Term
|
Definition
| memory problems and decline in social function |
|
|
Term
| what do you need to do in mild dementia |
|
Definition
form alliance with pt, educate family and pt, determine plan, prevent depression and suicide, driving, psychosis, falls
advise on power of attourney, financial planning |
|
|
Term
| treatment of mild dementia |
|
Definition
acetylcholinesterase inhibitior start slow: dnepezil, rivastigmine, galantamine
limit meds adding confusion: anticholinergics, BDZ, anti-psychotics
treat depression with ssri |
|
|
Term
| signs of moderate dementia |
|
Definition
progressive memory loss and impairment of executive and social function
safety issues: driving, cooking, self care, medications, wandering |
|
|
Term
| what you need to do in moderate dementia |
|
Definition
| adress sagety concerns, avoidance of depression, psychosis, agitation, caregiver stress |
|
|
Term
| tx of moderate dementia and side effects |
|
Definition
| memantine (NMDA receptor antagonis): may cause extraparymidal symptoms, tarditive dyskinesia, neuropletic malignant syndrome, metabolic syndrome |
|
|
Term
|
Definition
| incapicated, dependent on others for basic needs, often psychotic or agitated |
|
|
Term
| what you need to do in severe dementia |
|
Definition
duscuss nursing home and preperation for death (CPR/DNR, med withdrawl, feeding tubes)
drugs not effective |
|
|
Term
| what are in the ddx for dementia that must be eliminated (2) |
|
Definition
mild cognative impairment
pseudodementia: major depressive disorder |
|
|
Term
| what is the first, second, and third common form of dementia, what is the prevelence |
|
Definition
50-75% alzheimers
5-35% vascular
20-30% lewy body |
|
|
Term
| how is alzheimers dementia diagnosed |
|
Definition
|
|
Term
| what are the two types of alzheimers dementia |
|
Definition
| early or late onset (before or after 65 yo) |
|
|
Term
| what are 3 causes of alzheimers dementia |
|
Definition
global atrophy
amyloid plaques
neurofibrillary tangles |
|
|
Term
| what are three required signs of alzheimers dementia |
|
Definition
gradual continual decline
social or occupational impairment
memory impairment (inability to learn new information or recall) |
|
|
Term
| you need one of these three symptoms to diagnoze alzheimers dementia |
|
Definition
aphasia: language disturbance
agnosia: failure to recognize or identify obhects despite normal sensory functions
disturbance of executive function: planning, organizing, executing |
|
|
Term
| what determines the prognosis of alzheimers dementia |
|
Definition
| diagnose early, family and pt education, planning, and safety |
|
|
Term
| who gets vascular dementia |
|
Definition
more common in men
associated with HTN, cardiac, and renal disease |
|
|
Term
| signs of vascular dementia |
|
Definition
acute onset
CT/MRI shows CVA
focal/lateralizing signs |
|
|
Term
| what are focal/lateralizing signs |
|
Definition
| hemiparesis, hemiparalysis, hemianopia, hyperactive DTR, babinski |
|
|
Term
| who gets lewy body dementia |
|
Definition
|
|
Term
| signs of lewy body dementia |
|
Definition
parkinsonian: tremor, bradykinesia, rigidity, gair abnormalities
visual hallucinations: auditory and delusions
agitation, varied arousal, depression, frequent falls
poor toleration to anti-psychotics |
|
|
Term
| what is the cause of lewy body dementia |
|
Definition
| dementia due to late stage parkinsons disease |
|
|
Term
| what is another name for picks disease |
|
Definition
|
|
Term
|
Definition
|
|
Term
| symptoms of picks disease |
|
Definition
rapid progression
personality and behavior changes
apathy
impaired judgement
emotional blunting
MRI: prominent frontal-temporal atrophy |
|
|
Term
| causes of substance abuse dementia |
|
Definition
| years of alcoholis, relapses, delerium, falls, subdural hematoma, seizures (hypoxia), cirrhosis |
|
|
Term
| tx for alcohol induced dementia |
|
Definition
| stabilized with abstinence |
|
|
Term
| why is it important to "know thyself" when helping a pt with a personality disorder |
|
Definition
| need to understand your mental and emotional response to create effective tx and alliance and adapt to your pt personality traits |
|
|
Term
|
Definition
| how pt views relationship with doctor |
|
|
Term
| what is a common example of transference |
|
Definition
| usually viws dr as authority figure (esp people with previous authority figure issues) |
|
|
Term
| define counter-transference |
|
Definition
| how you feel about the patient |
|
|
Term
| what is a common example of counter-transferece |
|
Definition
| dr treats pt differently due to issues they didnt deal with in their past |
|
|
Term
| what are the characteristics of a personality disorder that distinguish it from other disorders |
|
Definition
pattern of inner experience that deviates from expercations of culture
inflexible, persuasive pattern of behavior across range of personal or social sitations cause distress, impairment in social or occupational or other functions
onset in adolescence or adulthood
not due to other mental disorder, substance, or general medical condition |
|
|
Term
| what are 4 ways a personality disorder manifest |
|
Definition
cognition: way of percieving self, others, events
affectivity: range, intensity, liability
interpersonal functioning
impulse control |
|
|
Term
| describe cluster A, what are the disorders |
|
Definition
weird, odd, eccentric
paranoid, schizoid, schizotypical |
|
|
Term
| describe cluster B, what are the disorders |
|
Definition
wild, erratic, draumatic, emotional
antisocial, bordering, histrionic, narcissistic |
|
|
Term
| descirbe cluster C, what are the disorders |
|
Definition
wimpy, anxious, fearful
avoidant, dependent, obsessive compulsive |
|
|
Term
| signs of paranoid personality disorder |
|
Definition
| distrust, suspiciousness of others exploiting, harming, or decieving them |
|
|
Term
| ddx of paranoid personality disorder |
|
Definition
| psychotic, mood, substance, GMC |
|
|
Term
| TX goals of paranoid personality disorder |
|
Definition
| develop trust, be sincere and honest obout reality of tx |
|
|
Term
| signs of schizoid personality disorder |
|
Definition
| isolation, detachment, restricted range of emotion, neutral toughts about close relationships |
|
|
Term
| DDX of schizoid personality disorder |
|
Definition
| psychotic, mood, PDD, STPD, APD |
|
|
Term
| TX goals of schizoid personality disorder |
|
Definition
| business approach, emotional engagement can threatn, remain neutral |
|
|
Term
| signs of schizotypical personality disorder |
|
Definition
| eccentric, interpersonal deficit, odd beliefs, magical thinking, odd speech (vauge, circumstantial), severe social anxiety, isolated |
|
|
Term
| DDX schisotypical personality disorder |
|
Definition
|
|
Term
| TX goals of schizotypical personality disorder |
|
Definition
| supportive (aware of decompensation), meds to AP and anxiety |
|
|
Term
| signs of antisocial personality disorder |
|
Definition
| disregard, violation, exploitation, deceit, agression, impulsive, irresponsible, illegal |
|
|
Term
| DDX antisocial personality disorder |
|
Definition
|
|
Term
| TX goals antisocial personality disorder |
|
Definition
develop trust, straight forward, education, set boundries, refer
hardest to treat |
|
|
Term
| signs of borderline personality disorder |
|
Definition
unstable relationships and self-identity
reactive mood (irritability, rage)
parasuicidal
emptiness
love hate fluctuations
act out if shunned (abandoment issues)
"no one has hever been able to help me before! thank you!" then they hate you later for minor conflict |
|
|
Term
| DDX borderline personality disorder |
|
Definition
| mood disorder, substances |
|
|
Term
| TX goals borderline personality disorder |
|
Definition
dont take personally
adress possible hx sexual abuse (PTSD)
develop trust
refer to DIALECTIC BEHAVORIAL THERAPY |
|
|
Term
| signs of histrionic personality disorder |
|
Definition
attention seeking
uncomfourtable if not center of attention
draumatic
seductive often at appt
provocative
superficial relationships |
|
|
Term
| DDX histrionic personality disorder |
|
Definition
|
|
Term
| signs of narcissistic personality disorder |
|
Definition
arrogand
grandiose sense of importance
need for admiration
entitled
preoccupied with success and power
defensive
exoloitive
lack empathy |
|
|
Term
| DDX of narcissistic personality disorder |
|
Definition
|
|
Term
| TX goals of narcissistic personality disorder |
|
Definition
develop trust
point out self esteem issues
individual/group psychotherapy
meds
do not feed fantasies |
|
|
Term
| signs of avoidant personality disorder |
|
Definition
social inhibition
avoids social activities, desires relationships
afraid of rejection
feels inferior |
|
|
Term
| DDX of avoidant personality disorder |
|
Definition
| social phobia, mood, substances |
|
|
Term
| TX foals of avoidant personality disorder |
|
Definition
| develop trust, SSRI, individual CBT, monitor sedative/alcohol abuse |
|
|
Term
| signs of dependent personality disorder |
|
Definition
emotional dependence
seeks another relationship when close to ones end
fear of disapproval and expressing opinions
needs reassurance and advice
codependent |
|
|
Term
| DDX dependent personality disorder |
|
Definition
|
|
Term
| TX goals dependent personality disorder |
|
Definition
support
meds
CBT
psychodynamic assertiveness training
Alanon/ACOA |
|
|
Term
| signs of obsessive compulsive personality disorder |
|
Definition
| preoccupation with orderliness, perfectionism, control, rules, lists, order, organization, schedules to the extent where point of activity is lost |
|
|
Term
| DDX obsessive compulsive personality disorder |
|
Definition
|
|
Term
| TX goals obsessivel compulsive personality disorder |
|
Definition
|
|
Term
| why is schizophrenia such a bad diagnoisis |
|
Definition
it is progressive, chronic, and relapsing
costly to family, pt, and society |
|
|
Term
| what is the best way to improve the prognosis of someone with schizophrenia |
|
Definition
| early intervention, detection, and tx |
|
|
Term
| what is the cause of schizophrenia |
|
Definition
neurodevelopmental, neurodegenerative, neurochemical
nature vs nuture |
|
|
Term
| what are 5 post mortom signs we see in pt with schizophrenia |
|
Definition
enlarged lateral and 3rd ventricles
decreased cortical volume
temporal lobe volume loss (esp hippocampus)
small cortical and hippocampal nsueons
fever neurons in dorsal thalamus |
|
|
Term
| what is the criteria for a schizopnrenia diagnosis |
|
Definition
| at least two positive/negative symptoms and scial, occupational, or self care dysfunction for 6 mo |
|
|
Term
| what are 2 positive symptooms of schizophrenia |
|
Definition
hallucinations: external source, commentary, or dialouge
delusions: false beliefs, paranoid, grandiose, somatic |
|
|
Term
| what are 5 negative symptoms of schizphrenia |
|
Definition
diminished emotions, apathy, amotivation
social withdrawl, lack of social interest
algoia: poverty of speech
disorganized speech (formal thought disorder)
purpousless movement or sequences of movement |
|
|
Term
| what characteristics must the pt not display to be diagnosed with schizophrenia 3 |
|
Definition
schizoaffective mood disorder (schizophrenics can have some mania or depression during episodes)
substance abuse or general medical conditions causing psychological effects
developmentl disorder (autism) unless present with severe symptoms for >1mo |
|
|
Term
| wat are the 3 subtypes of schizophrenia |
|
Definition
paranoied
disorganized
catatonic |
|
|
Term
| what are the characteristics of a paranoid schizophrenic |
|
Definition
hallucinations and delusions
disorganization
flat or inappropirate affect
catatonia |
|
|
Term
| what are the caracteristics of a disorganized schizophrenic |
|
Definition
disorganized speech
disorganized behavior
flat or inappropirate affect
NO catatonia |
|
|
Term
| what are the characteristics of a catatonic schizophrenic |
|
Definition
immobility: cataplexy or stupor
motor hyperactivity w/o porupose
extreme negativism or mutism
peculiar voluntary movement or posture
prominent mannerisms or grimacing
ecchophomena |
|
|
Term
|
Definition
echolia: mimicing words
echopraxia: mimicing behaviors |
|
|
Term
| what is the tx for schizophrenia, which is the best, why |
|
Definition
atypical anti-psychotics are better at negative symptoms like withdrawl and apathy because they interact with 5HT2A receptors
also include psychosocial therapy and education |
|
|
Term
| define schizoaffective disorder, what is the main concern |
|
Definition
fits criteria of schizophrenia but due to major mood episode (unipolar or bipolar)
people are normally higher functioning so have increased risk of suicide |
|
|
Term
| symptoms of mood disorder with psychosis |
|
Definition
mood changes and cingruent ideation
vegetative symptoms
cognative changes
acute or subacute onset in response to psychosocial stressor |
|
|
Term
| what is the prognosis of mood disorder with psychosis |
|
Definition
psychosis is only associated with severe mood episodes with intrepisodic recovery
respond well to psychotherapy |
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Term
| define delusional dissorder |
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Definition
| prominent delusions with behavior and cognition organized around them without other psychosis |
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Term
| why is treatment od delusional disorder difficult |
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Definition
| the pt is functional and illusions are non-bizare so their are refractory to tx |
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Term
| what are the 6 types of delusional disorder |
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Definition
persecutory: someone out to get them, specific to someone
jealous: usually think spouse is cheating, more common in males
smatic: believe parasite in skin
grandiose: claims to have relationship with famous person or to be gifted
erotomanic: insists someone is in love with them
shared: being affected by someone else's delusions |
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Term
| define schizophreniform disorder |
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Definition
| symptoms of schizophrenia before they have hit 6 mo need for diagnosis |
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Term
| brief psychotic disorder: timeline, cause, prognosis |
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Definition
abrupt onset and duration <1mo
due to acute stressor
cognition in tact
good prognosis |
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Term
| signs of drug related psychosis |
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Definition
history of drug abuse and often dependence
impulsitivity
interpersonal, occupational, and legal history
psychosis active during drug use |
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Term
| what drugs are most common cause of drug related psychosis |
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Definition
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