Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
56 Cards in this Set
- Front
- Back
- 3rd side (hint)
|
Psychiatric Review of symptoms
|
Depressed Patients Seem Anxious, So Claim Psychiatrists (DPSASCP)
Depression/mood disorders Personality disorders Substance abuse disorders Anxiety disorders Somatization disorder Cognitive disorders Psychotic disorders |
Depressed Patients Seem Anxious, So Claim Psychiatrists (DPSASCP)
|
|
|
Major Depression Criteria (DSM-IV)
|
SIG-E-CAPS
-Sleep changes: increase during day or decreased sleep at night -Interest (loss): of interest in activities that used to interest them -Guilt (worthlessness,* hopelessness,* regret) -Energy (lack): common presenting symptom (fatigue) -Cognition/Concentration: reduced cognition &/or difficulty concentrating -Appetite (wt. loss); usually declined, occasionally increased -Psychomotor: agitation (anxiety) or retardations (lethargic) -Suicide/death preocp. |
SIG-E-CAPS
SIG + Energy + CAPSules |
|
|
Dysthymia
|
HE’S 2 SAD
-Hopelessness -Energy loss or fatigue -Self-esteem is low -2 years minimum of depressed mood most of the day, for more days than not -Sleep is increased or decreased -Appetite is increased or decreased -Decision-making or concentration is impaired |
HE’S 2 SAD
|
|
|
Mania
|
DIG FAST
Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talkativeness |
DIG FAST
|
|
|
Hypomania
|
TAD HIGH
Talkative Attention deficit Decreased need for sleep High self-esteem/grandiosity Ideas that race Goal-directed activity increased High-risk activity |
TAD HIGH
|
|
|
Posttraumatic stress disorder
|
THE DARLING ACHES
-Trauma is experienced -Horror, helplessness and fear -rExperiencing the trauma (dreams, flashbacks) -Distress from caused by trauma cues (internal & external cues) -Avoidance of reminders/cues -Recall missing for part of trauma -Lack of attachment to others (detached) -Interest loss in activities -No future sensed (foreshortened) -Goes numb (feels numb, lack of affect) -Anger & irritability -Concentration problems -Hypervigillance -Exaggerated startle -Sleep problems |
THE DARLING ACHES
|
|
|
Generalized anxiety disorder
|
WATCHERS
Worry Anxiety Tension in muscles Concentration difficulty Hyperarousal (or irritability) Energy loss Restlessness Sleep disturbance |
WATCHERS
|
|
|
Anxiety disorder due to a
general medical condition |
Physical Diseases That Have
Commonly Appeared Anxious Pheochromocytoma Diabetes mellitus Temporal lobe epilepsy Hyperthyroidism Carcinoid Alcohol withdrawal Arrhythmias |
Physical Diseases That Have
Commonly Appeared Anxious |
|
|
Causes of Dementia
|
Vitamin deficiency (B12)
Intracranial tumor Trauma/TBA VITAMIN D VEST Anoxia Metabolic (Diabetes) Infection (HIV) Normal pressure hydrocephalus Degenerative (Alz, Hunt) Vascular Endocrine (hypothyroid) Space occupying lesion Toxic (alcohol) |
VITAMIN D VEST
|
|
|
Parasomnias: time of onset
|
SLow and SLeep
NightmaRE and REM SLeep terrors and SLeepwalking occur during SLow-wave sleep (stages 3&4) NightmaRE occurs during REM sleep (and is REMembered) |
SLow and SLeep
NightmaRE and REM |
|
|
Autistic Disorder
|
AAUTISTICS
-Again and Again -Unusual abilities -Talking (language) delay -IQ subaverage -Social development poor -Three years onset -Inherited component (35% concordance) -Cognitive impairment -Self injury |
AAUTISTICS
|
|
|
Symptoms of AIDS Dementia Complex (ADC)
|
AIDS
Atrophy of cortex Infection/Inflammation Demyelination Six months death |
AIDS
|
|
|
Pupils in OD: morphene v amphetamine
|
PHINE FINE
PHET FAT MorPHINE overdose: pupils constricted (fine) AmPHETamine overdose: pupils dilated (fat) |
PHINE FINE
PHET FAT |
|
|
Cholinergic Effects
|
LESS DUMB
Lacrimation Excitation of nicotinic synapses Salivation Sweating Diarrhea Urination Micturition Bronchoconstriction |
LESS DUMB
|
|
|
Action of Benzos
|
Ben's SCAM is not antipsychotic
-Sedation -anti-Convulsant -anti-Anxiety -Muscle relaxant -no antipsychotic activity (NOT BY BRAIN) |
Ben's SCAM is not antipsychotic
|
|
|
Excitatory v inhibitory NeuroTx
|
GABA v Glutamate: GLUe is adding together (+) excitatory
GABA is negative (-) inhibitory |
|
|
|
Broca Aphasia v Wernicke's Aphasia
|
Broca: wanting to speak, no articulation, very slow
Wernicke: good articulation, nonsensical |
Speech machinery is BROken
phonetic sounds of "Wer" and "nicke" make sense apart, but together, don't. |
|
|
REM features
|
R(2)EM(2)
Rapid pulse & Respirations Erection Mental activity increase/Muscle Paralysis |
R(2)EM(2)
|
|
|
Primary gain
Secondary gain Tertiary gain |
P(2)S(2)T
Patient's Psyche improved Symptom Sympathy for patient Therapist's gain |
P(2)S(2)T
|
|
|
Features of Sleep Stages
|
DE DE REM REM
DElta during DEepest (3&4-slow-wave) dREaM during REM sleep |
DE DE REM REM
|
|
|
Antidepressant discontinuation
syndrome |
FINISH
Flu-like symptoms Insomnia Nausea Imbalance Sensory disturbances Hyperarousal (anxiety/agitation) |
FINISH
|
|
|
Neuroleptic malignant syndrome
|
FEVER
Fever Encephalopathy Vital sign instability Elevated WBC/CPK Rigidity |
FEVER
|
|
|
Serotonin syndrome
|
HARMED
Hyperthermia Autonomic instability Rigidity Myoclonus Encephalopathy Diaphoresi |
HARMED
|
|
|
Cluster A Personality Disorders
|
Atypical people are Pretty Seriously Schizo
Paranoid PD Schizoid PD Schizotypal PD |
Atypical people are Pretty Seriously Schizo
|
|
|
Cluster B Personality Disorders
|
Beast: Uncontrolled wildness
Borderline PD Antisocial PD Histrionic PD Narcissistic PD |
Beast
|
|
|
Personality Disorders:
Cluster C Descriptors |
Coward Compulsive Clingy
-Coward= Avoidant PD -Compulsive= Obsessive-compulsive PD -Clingy= Dependent PD |
Coward Compulsive Clingy
|
|
|
Paranoid personality disorder
|
SUSPECT
-Spousal infidelity suspected -Unforgiving (bears grudges) -Suspicious -Perceives attacks (and reacts quickly) -Enemy or friend? (suspects associates and friends) -Confiding in others is feared -Threats perceived in benign events |
SUSPECT
|
|
|
Schizotypal personality disorder
|
ME PECULIAR
-Magical thinking -Experiences unusual perceptions -Paranoid ideation -Eccentric behavior or appearance -Constricted or inappropriate affect -Unusual thinking or speech -Lacks close friends -Ideas of reference -Anxiety in social situations -Rule out psychotic or pervasive developmental disorders |
ME PECULIAR
|
|
|
Borderline personality disorder
|
PRA(3)I(2)S(2)E
-Paranoid ideas -Relationship instability -Affective instability/ Abandonment fears/ Angry outbursts -Impulsiveness/ Identity disturbance -Suicidal behaviour/ -Self-harming behaviour -Emptiness |
PRA(3)I(2)S(2)E
|
|
|
Schizoid personality disorder
|
DISTANT
-Detached or flattened affect -Indifferent to criticism or praise -Sexual experiences of little interest -Tasks done solitarily -Absence of close friends -Neither desires nor enjoys close relationships -Takes pleasure in few activities |
DISTANT
|
|
|
Histrionic personality disorder
|
ACTRESSS
-Appearance focused -Center of attention -Theatrical -Relationships (believed to be more intimate than they are) -Easily influenced -Seductive behavior -Shallow emotions -Speech (impressionistic and vague) |
ACTRESSS
|
|
|
Narcissistic personality disorder
|
GRANDIOSE
-Grandiose -Requires attention -Arrogant -Need to be special -Dreams of success and power -Interpersonally exploitative -Others (unable to recognize feelings/needs of) -Sense of entitlement -Envious |
GRANDIOSE
|
|
|
Obsessive-compulsive personality
disorder |
SCRIMPER
-Stubborn -Cannot discard worthless objects -Rule obsessed -Inflexible -Miserly -Perfectionistic -Excludes leisure due to devotion to work -Reluctant to delegate to others |
SCRIMPER
|
|
|
Dependent personality disorder
|
RELIANCE
-Reassurance required -Expressing disagreement difficult -Life responsibilities assumed by others -Initiating projects difficult -Alone (feels helpless and uncomfortable when alone) -Nurturance (goes to excessive lengths to obtain) -Companionship sought urgently when a relationship ends -Exaggerated fears of being left to care for self |
RELIANCE
|
|
|
Avoidant personality disorder
|
CRINGES
-Criticism or rejection preoccupies thoughts in social situations -Restraint in relationships due to fear of shame -Inhibited in new relationships -Needs to be sure of being liked before engaging socially -Gets around occupational activities with need for interpersonal contact -Embarrassment prevents new activity or taking risks -Self viewed as unappealing or inferior |
CRINGES
|
|
|
Substance dependence
|
ADDICTeD
-Activities are given up or reduced -Dependence, physical: tolerance -Dependence, physical: withdrawal -Intrapersonal (Internal) consequences, physical or psychological -Can’t cut down or control use -Time-consuming -Duration or amount of use is greater than intended |
ADDICTeD
|
|
|
Substance abuse
|
WILD
-Work, school, or home role obligation failures -Interpersonal or social consequences -Legal problems -Dangerous use |
WILD
|
|
|
Alcohol abuse
|
CAGE
Have you ever felt you should CUT DOWN your drinking? Have people ANNOYED you by criticizing your drinking? Have you ever felt bad or GUILTY about your drinking? Have you ever had a drink fi rst thing in the morning to steady your nerves or get rid of a hangover (EYE-OPENER)? |
CAGE
|
|
|
Delirium
|
DELIRIUM
-Disoriented - time (most common) > place > person -Emotionally labile -Level of consciousness is impaired and fluctuates -Irrelevant stimuli distract the patient's attention -Rapid onset (hours to days) -Integration of perceptions is lost -Unintelligible - incoherent speech -Memory is impaired (especially immediate and recent recall) |
DELIRIUM
|
|
|
Obsessive compulsive disorder (compulsions)
|
Washing and Straightening Make Clean House
W-Washing hands,clothes etc. S-Straightening things, ordering rituals M-Mental Rituals-magical words, number counting C-Checking things multiple times H- Hoarding |
Washing and Straightening Make Clean House
|
|
|
Somatization disorder
|
FOOT PAINS
-Four pain symptoms -One sexual symptom -One pseudo-neurological symptom -Two gastrointestinal symptoms -Physical complaints are in excess of actual medical conditions (if any are present) -Age of onset under 30 years -Investigations do not reveal a cause for the complaints -Not due to malingering or factitious disorder -Social, occupational, or academic functioning is affected |
FOOT PAINS
|
|
|
Panic Attack/ Panic Disorder
|
THIS ISN'T FUN
-Trembling -Hot flashes -Increased heart rate -Sweating -Inspiration - intake of air feels obstructed, choking sensation -Smothering, Shortness of breath -Numbness or tingling in the limbs (paresthesias) -Tightness in the chest -Fear of: losing control, going crazy or dying -Unreal sense of: self (depersonalization) the environment (derealization) -Nausea or abdominal distress |
THIS ISN'T FUN
|
|
|
Obsessive-compulsive disorder dx
|
A BIT FORCED
-Attempts are made to ignore or suppress obsessions -Behaviours are not realistically connected with the obsession -Interferes with normal routine (social or occupational functioning) -Time consuming - takes up more than 1 hour per day -Feels anxious -Obsessions (recurrent, unwanted thoughts, impulses, or images) -Recognizes obsessions are a product of own mind (i.e., not thought insertion or hallucinations) -Compulsions(repetitive behaviours of mental acts) -Excessive nature of obsessions and compulsions is appreciated -Distressing to the patient (ego-dystonic) |
A BIT FORCED
|
|
|
Phobic Disorders Symptoms
|
FEARED
-Fear that is excessive and unreasonable -Exposure to the stimulus provokes anxiety -Avoids the phobic situation or object -Recognizes that the fear is excessive -Exclusion of other mental disorders (e.g., OCD, PTSD) -Distress is experienced in the feared situation |
FEARED
|
|
|
Phobic Disorders Types
|
ASP & BOAS
-Animal type - e.g., dog) --Situational type - e.g. flying People (social phobia) -Blood/Injection -Other - when other categories don't fit -Agoraphobia - avoidance of places where escape or getting help is difficult -Surroundings - elements in the natual environment (e.g, heights) |
ASP & BOAS
|
|
|
Delusional Disorder
|
NO FAME
-Non-bizarre delusions -One month minimum duration -Functioning not markedly impaired -Absence of other schizophrenia criteria -Mood episodes brief compared to duration of illness -Exclusion of substance-related & general medical conditions |
NO FAME
|
|
|
Types of Delusions
|
J-PEGS
-Jealous Type (Othello syndrome) -Persecutory Type (paranoid type) -Erotomanic Type -Grandiose Type -Somatic Type |
J-PEGS
|
|
|
Altheimer's Disease
|
DEAR GRAMPA
-Decline in social or occupational functioning -Executive functioning declines -Apraxia - motor activities are impaired -Rule out - delirium, substance use, and general medical conditions -Gradual onset and continual decline -Relatives - runs in families -Aphasia - language impairment -Memory impairment -Personality changes can occur (disinhibition, exaggerated traits) -Agnosia - failure to recognize objects |
DEAR GRAMPA
|
|
|
Conversion Disorder
|
VIPERS
-Voluntary motor or sensory function is affected -Intentional production of symptoms is absent -Psychological factors are associated with onset of symptoms -Explanation of symptoms is not medically possible -Ruled out other disorders - e.g., pain, sexual dysfunction -Significant impairment in social or occupational functioning |
VIPERS
|
|
|
Hypochondriasis
|
DRIPS
-Delusional intensity of thoughts is not present -Reassurance does not lessen the patient's concern -Impairment in social or occupational functioning -Preoccupation with the idea of having a serious illness -Six-month minimum duration |
DRIPS
|
|
|
Conduct Disorder
|
ID'S BRAT SWITCH
-Initiates fights -Destruction of property -Sexual activity has been forced on another person -Break & Enter -Runs away from home -Arson -Truant from school -Stolen items (confrontational and non-confrontational) -Weapon used in a fight -Intimidates others -Truth not told (lies -Curfew ignored -Harms people and animals |
ID'S BRAT SWITCH
|
|
|
Anorexia Nervosa
|
I FEAR LARD
-Image of body is distorted - an abnormality of perception -Fear of gaining weight is intense -Expected weight gains are not made -Amenorrhea - 3 consecutive menstrual cycles missed -Refusal to gain weight -Laxative use (characteristic of Binge-eating/Purging type) -Anhedonia - high prevalence of mood symptoms -Restricting Type (no binging or purging) -Denial - of weight loss or emaciated body shape |
I FEAR LARD
|
|
|
Bulimia Nervosa
|
A BINGE
-Average of 2 binges/week over 3 months -Behaviour after consumption compensates for ingestion -Ingestion of large amounts of food (binge eating) -Not occuring exclusively during anorexia nervosa -Guilty feelings after binge eating -Evaluation of self is unduly based on appearance |
A BINGE
|
|
|
Impulse-Control Disorders types
|
Kick-In-The-Pants Psychotherapy
Kleptomania Intermittent Explosive Disorder Trichotillomania Pyromania Pathological Gambling |
Kick-In-The-Pants Psychotherapy
|
|
|
Adjustment Disorder
|
IT'S BAD
-Impairment of social, occupational, or academic functioning -Three-month (or less) onset of symptoms from time of stressor -Six-month (or less) duration of symptoms from end of stressor -Bereavement has been excluded -Another (Axis I) diagnosis is excluded -Distress is beyond expectation for the stressor involved |
IT'S BAD
|
|
|
Antisocial Personality Disorder
|
CALLOUS MAN
-Conduct Disorder before age 15y & current age at least 18 y -Antisocial acts; commits acts that are grounds for arrest -Lies frequently -Lacunae - Lacks a superego -Obligations not honored -Unstable - can't plan ahead -Safety of self and others ignored -Money problems - spouse and children are not supported -Aggressive, Assaultive -Not occuring exclusively during schizophrenia or mania. |
CALLOUS MAN
|
