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58 Cards in this Set

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What are non-epileptic seizures (pseudo-seizure) an ex of?
conversion d/o
Most common somatoform D/O
conversion d/o
Somatization disorders:
-def?
-tx?
-polysymptomatic recurrent disorder that begins early in life (must begin before 30) has symptoms from each of the following categories: GI, sexual, pseudoneurological, and pain; symptoms are not consciously feigned; complaints often described in a dramatic fashion, but lack precision; these patients doctor-shop; more common in women

Treatment:
-Do NOT prescribe pain killers!
-Tell them that you cannot promise to make all of their symptoms go away.
-Schedule regular appointments (even without presence of symptoms). Otherwise, they will demand more time and attention.
Hypochondriasis
preoccupation with fears of having or idea that one has a serious disease, based on the misinterpretation of bodily signs and symptoms (for at least 6 months)

*not psychotic or delusional
if child presents w/psychotic Sx, often d/t what
mood d/o
Oppositional Defiant D/O
-duration
at least 6 months
conduct d/o
-duration
at least 12 months
age to be Dx with enuresis
at leat 5 y/o
age to be Dx with encopresis
at least 4 y/o
to make Dx of MR, must have something in add;n to low IQ. What?
impaired adaptive functioning
dyslexia?
inab to recognize written words

-they do NOT have a prob w/letter reversal, rather deficity in ab to map out letter structure to the sound
autism
prob w/
1. behavior
2. social interaxn
3. communication
aspergers'
prob w/behavior and social interaxn, but not w/communication
somatoform
unconconscious primary gain
factitious
conscious primary gain
malingering
conscious, secondary gain
factitious d/o--
assoc d/o?
mood d/o
personality d/o
anxiety d/o
substance d/o
of all personality D/O, what personality type is most assoc w/malingerer
antisocial personality d/o
predictors of violence
Best predictors:
-xs alcohol use
-past violence
-Hx of chld abuse/neglect

*Schizophrenia does NOT predict violence
Demographic:
-male
-15-24 y/o
-poverty
-access to guns
does schizophrenia predict violence?
no
predictor for infanticide
psychotic or delusional mom (PPD, often assoc w/mood d/o)
strongest risk factor for suicide
hopelessness
best predictor of future suicide attempt
past suicide attempt
risk factors for suicide
-mood d/o (not schizo)
-substance abuse
If person is energetic, irritable, manic
--what drug?
corticosteroids
IFN-alpha for Hep C can cause...?
depression
what drugs can cause psychosis?
anticholinergics, DA agonists
what drug can cause delusions?
DA
DA agonists can cause
delusions, psychotic sx, manic
what can anticholinergics cause
psychossi
what can antihypertensives cause?
depression
what can sympathomimetics cause
anxiety, manic
(not sleepy)
Body Dysmorphic D/O:

koro
preoccupation with genitals shrinking
Body Dysmorphic D/O:

disassociative d/o
amok,
piblotoq (artic hysteria=emotional stress, truma, or family discord)
Body Dysmorphic D/O:

ataque de nervios
depression or panic
Body Dysmorphic D/O:

susto
susto="loss of soul"

depression or anxiety
Body Dysmorphic D/O:

pilotoq
=artic hysteria;

emotional stress, trauma, or family discord
depression
Addison's
MS
Pancreatic cancer
Park (also dementia)
depression or mania
Cushing's
depression or anxiety/panic attack
hyperthry
depression or psychosis
hypothyroid,
hyponatremia
psychosis
B12 deficiency
anxiety/panic attach
pheochromocytoma
Addison's
depression
MS
depression
pancreatic cancer
depression
Park
depression, dementia
Cushing's
depression, mania
hyperthyroidism
depression,
anxiety, panic attack
hypothyroidism
depression,
psychosis
hyponatremia
depression,
psychosis
B12 def
psychosis
pheochromocytoma
anxiety/panic attach
what % of HIV pts get cognitive impairment?

-HIV-assoc dementia?
cognitive impairment: 70-80%

HIV-assoc dementia: much lower
residual schizophrenia
Negative Sx:

flat affect
decreased range of intensity
robotic
incr range of intensity
bipolar
borderline
bipolar
incr range of intensity
borderline
incr range of intensity