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18 Cards in this Set

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Schizophrenia
Psychosis + disturbed behavior > 6 months
(>2)
1) Delusions
2) Hallucinations
3) Disorganized speech
4) Catatonic/Disorganized behavior
5) Negative Sx
Schizophrenia sx between 1-6 month duration
Schizophreniform disorder

Usually stress related
2 weeks of a stable mood with psychotic symptoms and hx of MDE
Schizoaffective disorder
Manic Episode

Mnemonic?
DIGFAST

(>3)
1) Dellusions
2) Irrersponsibility
3) Grandiosity
4) Flight of ideas
5) Activity
6) Reduced Sleep
7) Talk - pressured speech
Similar to manic, but mood disturbance does not cause marked impairment?
Hypomanic episode

- No psychotic features
Bipolar I vs. Bipolar II

How do you treat mania?
I = MDE + Manic
II = MDE + hypomanic

Lithium, valproic acid, carbamazepine, atypical antipsychotics for psychotic features
Mild form of bipolar disorder lasting for 2 years?
Cyclothymic disorder
MDE

Mnemonic?
SIG E CAPS

(>5 for 2 wks with depressed mood)
1) Sleep disturbance
2) Interest
3) Guilt
4) Energy
5) Concentration
6) Appetite
7) Psychomotor
8) Suicidal Ideations
Mild depression lasting for more than 2 years?
Dysthymic disorder
Someone consciously faking in order to get secondary gain?
Malingering

Avoids treatment by medical personal, complaints cease after gain is achieved
Consciously creates sx in order to assume the sick role?
Fictitious disorder.

Medical care is a primary gain

Chronic = munchausens or munchausens by proxy
Motor or sensory sx. Patient is aware but indifferent.
Conversion disorder

The larger category is somataform disorders (Somatization, Conversion, Hypochondriasis, Body dysmorphic, Pain)
Variety of complaints in multiple organ systems, 4 pain, 2 GI, 1 sexual, 1 pseudoneuro or a period of years?
Somatization disorder
Cluster A Disorders (3)

"Weird"
1) Paranoid
2) Schizoid - voluntary social withdrawal
3) Schitotypal - odd beliefs/appearance and magical thinking
Cluster B Disorders (4)

"Bad to the bone"
1) Antisocial - M>F, criminals, Conduct disorder if <18
2) Borderline - unstable mood and relationships, self mutilation, F>M
3) Histrionic - emotional, sexually provocative, concerned with appearance
4) Narcissistic - grandiosity, sense of entitlement, lack of empathy
Cluster C (3)

C for clingy, cowardly, and compulsive
1) Avoidant - hypersenitive to rejection, desires relationships unlike schizoid
2) Obsessive - compulsive - egosyntonic behaviors (they think it is ok)
3) Dependent - submissive, clingy, low self confidence
Criteria for somatoform disorders
1) Physical sx with no identifiable physical cause
2) Unconscious drives
3) Not intentional
4) More common in women
Emotional distress over imagined defect in appearance?
Body Dysmorphic disorder