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10 Cards in this Set

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Manifestation of Major Depressive Disorder

(1) Major Depressive Episode – depressed mood, loss interest/pleasure for 2wks. +


[1] Depressed Mood (90%) – may be masked depression


[2] Anhedonia – inability to enjoy activities


[3] Change in Appetite (70%)


[4] Change in sleep (80%) – Insomnia (Late common)


[5] Change in body activity (½) – slow thinking, anxiety


[6] Loss of Energy


[7] Feeling of worthlessness & excessive or inappropriate guilt


[8] Indecisiveness or ↓ concentration


[9] Suicide Ideation – ↑chance 6-9m after initial treatment



(2) Lab Findings – none.

Clinical Features of Generalized Anxiety Disorder

GAD – persistent worry + hyperarousal


(1) General Psychological/Biological Vulnerability



(2) Stress



(3) Anxious Apprehension



(4) Worry Process


[1] Intense cognitive processing - inadequate problem solving skills


[2] Avoidance of imagery - restricted autonomic response

Clinical findings of Panic Disorder

(1) Recurring



(2) Spontaneous, unexpected anxiety attacks



(3) Rapid onset, short duration – Peak severity in 10min (or sec)



(4) Symptoms – minimum of 4 symptoms


[1] Short Breath, Tachypnea


[2] Hold-Cold sensation, chest discomfort


[3] Depersonalization or derealization


(5) Patients think – going crazy, having heart attack, & worry about attacks

Clinical Findings of Phobic Disorders

Phobic Disorders – intense irrational fear to object/situation


(1) Fear of Animals – insect/spiders



(2) Natural Environment – storms



(3) Blood Injection



(4) Injury



(5) Situations – height, closed places, elevators, airplanes



6) Social Phobia – extreme anxiety that person will be observed by others

Clinical Findings of Disossiative Conversion Disorder

What are Mood Disorders

(1) Major Depressive Disorder



(2) Dysthymic Disorder – low self-esteem, pessimism, lost interest, social withdrawal, chronic fatigue, guilt, irritable/anger, ↓activity & thinking



(3) Bipolar Disorders



(4) Cyclothymic Disorders

What are Anti Depressants

(1) Anti-Depressants


[1] MAOI – Monoamine Oxidase Inhibitors (Phenelzine, Tranylcypromine)



[2] TCA – Tricyclic Antidepressants (Amitriptyline, Imipramine, Doxepin)



[3] SSRI – Selective Seratonin Reuptake Inhibitors (Fluxetine, Paroxetine)



(2) ECT



(3) Nonpharmocological Treatment

What are Anti Psychotics

(1) Pharmocological Treatmen


[1] Initiation – Neuroleptics low dose Haloperidol (EPS Side Effect)


[2] Typical Anti-Psychotic Drugs – Chloropromazine


[3] Atypical Anti-Psychotic Drug


|1| Clozapine


|2| Risperidone & Olanzapine


|3| Quetiapine, Sertindole, Ziprasidone



(2) ECT



(3) Nonpharmocological

Signs and Symptoms of Cognitive Disease

Dx Criteria and Features of Delirum