Psychiatry

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Author:
jollyvulcan
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167360
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Psychiatry
Updated:
2012-09-08 07:04:15
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Psychiatry
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Psychiatry
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  1. What are the diagnostic ccriteria for Major Depressive Disorder?
    • Sad Moor or Loss of Interest + 4 symptoms (SIGECAPS)
    • Present for at least 2 weeks
  2. What are the diagnostric criteria for Dysthymia?
    At least two symptoms from SIGECAPS for at least 2 years.
  3. What are the diagnostric criteria for Adjustment Disorder?
    Signs and symptoms of a mood disorder within 6 months of a social stressor which do not meed full criteria for Major Depressive Disorder (MDD).
  4. What are the diagnostric criteria for Bereavement?
    Signs and symptoms of depression within 2 months of the loss of a loved one which last not more than 2-3 months.
  5. How does Bipolar Type 1 differ from Bipolar Type 2?
    • Type 1 --> Mania
    • Type 2 --> Hypomania
  6. What are the diagnostric criteria for a Manic episode?
    • Persistentlyelevated / expansive / irritable mood
    • >1 week or that result in hospitalization
    • 3 or more of DIGFAST
  7. What are the diagnostric criteria for a Hypo-Manic episode?
    • Level of function that is different from baseline but does not cause a marked impairment in funciton.
    • Symptoms of >4days
    • Cannot have psychosis
  8. Define the term Positive Symptoms as it applies to Schizophrenia and list some of the most common positive symptoms.
    • A symptom which is an added factor of the disease.
    • Delusions, Hallucinaitons, Disorganized Speech / Behavior
  9. Define the term Negative Symptoms as it applies to Schizophrenia and list some of the most common positive symptoms.
    • Soemthing that is lacking.
    • Flat Affect, Alogia, Avolition
  10. What are the diagnostric criteria for Schizophrenia?
    • 2 or mote Positive or Negative Symptoms
    • * note * only one if delusions are bizarre
    • Symptoms present for >6 months
  11. What are the diagnostric criteria for Schizoaffective Disorder?
    MixedPsychotic and Mood features but the positive psychotic features must be presentduring times when the patient is not depressed
  12. What are the diagnostic features for a Brief Psychotic Disorder?
    Psychosis lasting more than 1 day but less than 1 month.
  13. What are the diagnostic criteria for Schizophreniform Disorder?
    Psychotic symptoms of >1 month but <6 months.
  14. How do the disorders of Brief Psychosis, Schizophreniform, and Schizophrenia differ?
    • Ther are all characterized by psychotic features of varying lengths
    • Brief Psychosis - >1 day, <1 month
    • Schizophreniform - >1 month, <6 months
    • Schizophrneia - > 6 months
  15. How do the disorders of Schizoaffective and Mood Disorder with Psychotic Features differ?
    • In Schizoaffective, the psychosis is present with or without depressive symtoms.
    • In Mood Disorder with Psychotic Features, psychosis is only present during periods of depression
  16. What is a panic attack?
    Sudden,brief, extremely intense, 20-60 minutes with somatic components (palps,sweating …) and mental (fear of losing control / going crazy
  17. How do Acute Stress Disorder and Post-Traumatic Stress Disorder differ?
    • Acute Stress - < 1month
    • PTSD - > 1 month
  18. In disorders of anxiety associated with trauma, what features are normally seen?
    • Fear of personal injury
    • Re-experiencing – intrusive thoughts, drams, thoughts, feelings
    • Avoidance – people, things, thoughts, feelings, dissociation, detachment
    • Arousal – insomnia, hyper vigilance, anger, hyper startle, poor concentration
  19. What are the diagnostic criteria for Generalized Anxiety Disorder?
    • >6 months of more days than not
    • Excessive worries about multiple activities causing impairment
  20. What are the diagnostic criteria for Obsessive Compulsive Disorder?
    • Obsessions– ego-dystonic, persistent and intrusive thoughts à distress
    • Compulsions - that are designed to cope with the obsessions
  21. What are the three clusters of personality disorder?
    • Cluster A - Odd and Eccentric
    • Cluster B - Dramatic and Emotional
    • Cluster C - Avoidant and Dependent
  22. Define the term Personality Disorder.
    • Enduring pattern of inner experience and behavior
    • Marked deviation from cultural norms
    • Starts in adolescence and are pervasive, inflexible, and stable over time
  23. What are the Cluster A Personality Disorders?
    "The Weird"

    • Paranoid
    • Schizoid
    • Schizotypal
  24. What are the Cluster B Personality Disorders?
    "The Wild"

    • Antisocial
    • Borderline
    • Histrionic
    • Narcissistic
  25. What are the Cluster C Personality Disorders?
    "The Worried"

    • Avoidant
    • Dependent
    • Obsessive Compulsive
  26. Describe Paranoid Personality Disorder.
    Distrust and suspiciousness
  27. Describe Schizoid Personality Disorder.
    • Loners with a restricted range of emotions
    • night-shift at the post office ...
  28. Describe Schizotypal Personality Disorder.
    • Eccentric,odd, paranoid, symptoms to not remit
    • The "crazy" hermit in the house down the street ...
  29. Describe Antisocial Personality Disorder.
    Serial Killers
  30. Describe Borderline Personality Disorder.
    • Fear of abandonment leading to acting out and unstable relationships with a high degree of impulsivity (cutting, suicides, sex,drugs)
    • Think of Angelina Jolie in the movie Girl Interrupted ...
  31. Describe Histrionic Personality Disorder.
    • Flashy, excessively emotional, needs to be the center of attention
    • Most of Hollywood ...
  32. Describe Narissistic Personality Disorder.
    • Grandiosity with need for attention and lack of empathy
    • Anyone in Hollywood who is not Histrionic ...
  33. Describe Avoidant Personality Disorder.
    S ocially inhibited, want interactions but hypersensitive to rejection
  34. Describe Dependent Personality Disorder.
    clingy and need to be taken care of
  35. Describe Obsessive Compulsive Personality Disorder.
    • preoccupationwith orderliness, perfectionism, and control not to avoid obsessions butbecause that is how they should be
    • Most Neurologists ...

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