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32 Cards in this Set
- Front
- Back
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What is the mnemonic for the the SEVEN major adult diagnostic categories in the DSM-IV-TR?
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Depressed Patients Sound Anxious, So Claim Psychiatrists:
Depression/mood (MDD, bipolar, dysthymia) Psychotic (schizophrenia, schizoaffective, delusional) Substance abuse Anxiety (panic, GAD, agoraphobia, OCD) Somatoform (somatization and eating d/o) Cognitive (dementia, MR, ADHD) Personality |
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MDD mnemonic
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SIGECAPS: 4 of these PLUS depressed mood or anhedonia for at least 2 wks.
Sleep increased or decreased Interest deficit (anhedonia) Guilt (worthlessness, hopelessness, regret) Energy deficit Concentration deficit Appetite increased or decreased Psychomotor retardation or agitation Suicidality |
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Length of time needed to qualify for MDD, and # of sxs needed
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at least 2 wks
need 4 of SIGECAPS plus either anhedonia or depressed mood |
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Mnemonic for dysthymia |
ACHEWS: 2 years of depressed mood (1 in kids/adolescents) plus 2 of these sxs: Appetite increased or decreased Concentration decreased Hopelessness Energy deficit Worthlessness Sleep disorder |
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Length of time and # sxs needed to qualify for dysthymia
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2 years, 2/6 sxs from ACHEWS plus depressed mood
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Mnemonic for manic episode
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DIGFAST: 1 week of elevated mood PLUS 3 of the below, OR irritable mood PLUS 4 of the below:
Distractibility Indiscretion Grandiosity Flight of ideas Activity increase Sleep deficit Talkativeness |
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Length of time and # sxs needed to qualify for manic episode
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1 week
If mood is elevated, need 3/7 of DIGFAST If mood is irritable, need 4/7 of DIGFAST |
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Mnemonic for schizophrenia |
Delusions Herald Schizophrenic's Bad News: 2 of these for 1 month with 6 total months prodromal or residual sxs: Delusions Hallucinations Speech disorganization Behavior disorganization Negative sxs |
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Length of time and # sxs needed to qualify for schizophrenia
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1 month of 2/5 sxs
PLUS 5 prior months of prodromal/residual sxs (6 months total) |
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Mnemonic for substance dependence
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Tempted With Cognac
Tolerance - need more to achieve intox Withdrawal syndrome has occurred Control lost with alcohol use (ACT SORE) |
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What do we mean by loss of control in substance dependence?
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Control lost with alcohol use: ACT SORE
Amount: Often ingested in larger than intended amounts Cut down: Tried to cut down (unsuccessfully) Time spent: great deal of time spent related to obtaining or recovering from EtOH SOR: social/occupational/recreational activities decreased EtOH use continues despite knowing it is causing sig probs |
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Mnemonic for panic attack |
1 mo of 4/13 sxs pluspersistent concern of next attack or maladaptive behaviors:
STUDENTS FEAR the 3 Cs Sweat, trembling, unsteadiness, depersonalization, elevated HR, nausea, tremor, SOB, FEAR of loss of control/going crazy/dying, chills, chest pain, choking
Patient clutching chest (heart cluster), hyperventilating (breathlessness cluster), shaking with fear (fear cluster) and shouting, "Three-five-five!" Heart cluster: Palpitations Chest pain Nausea Breathlessness cluster: Shortness of breath Choking sensation Dizziness Paresthesias Chills or hot flashes Fear cluster: Fear of dying Fear of going crazy Shaking Sweating Derealization or depersonalization (a way to psychologically escape panic) |
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# sxs needed for panic attack
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4 out of 13
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Heart cluster of panic attack
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Chest pain
Palpitations Nausea |
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Breathlessness cluster of panic attack
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Related to hyperventilation:
SOB Choking sensation Dizziness Paresthesias Chills or hot flashes |
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Fear cluster of panic attack
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Fear of dying
Fear of going crazy Shaking Sweating Derealization or depersonalization |
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Criteria for agoraphobia
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Fear of being in places where escape might be difficult
Efforts to avoid such places |
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Mnemonic for OCD
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Washing and Straightening Make Clean Houses: Obsessions, compulsions, or both --> sig dysfxn.
Washing Straightening (ordering rituals) Mental rituals (magical words or numbers) Checking Hoarding |
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Mnemonic for PTSD
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Remembers Atrocious Nuclear Attacks
Reexperiencing via intrusive memories, flashbacks, or nightmares Avoidance (amnesia, avoid things a/w trauma, restricted affect and activities) AND Numbing (detachment, foreshortened future) Arousal increase (insomnia, irritability, hypervigilance, startle response, concentration poor) |
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Number of sxs needed for PTSD dx
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> 1 month
One of Reexperiencing One of Avoidance or Numbing Two of Arousal increase |
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Mnemonic for GAD
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Has worried excessively about something for 6 months. Six anxiety sxs must be present:
Macbeth Frets Constantly Regarding Illicit Sins: Muscle tension Fatigue Concentration probs Restlessness, feeling on edge Irritability Sleep probs |
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Length of time needed and number of sxs needed for GAD
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6 months of worrying and need all 6 sxs - Macbeth Frets Constantly Regarding Illicit Sins (Muscle tension, fatigue, concentration probs, restlessness/feel on edge, irritability, sleep probs).
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Recipe for somatization disorder
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Recipe 4 pain: convert 2 stomachs to 1 sex (8/8 sxs, onset before age 30)
4 pain sxs 1 conversion sx 2 GI sxs 1 sex sx |
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Mnemonic for bulimia criteria
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Bulimics OverConsume Pastries (ALL 4 of these)
Binging Out of control feeling while eating Concern with body shape Purging |
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Mnemonic for anorexia criteria |
3 months of ): Intense fear of wt gain or becoming fat or persistent behavior that interferes with wt gain
Restriction of energy intake leading to low body wt
Body image distortion/lack of insight
Can binge/purge or restrict as long as BMI < 18.5 |
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Mnemonic for dementia
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Memory BREW: memory impairment PLUS 1/4 BREW
Memory impairment Behavior disorganization (apraxia) Recognition impairment (agnosia) Executive fxn impairment Word probs (aphasia) |
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Number of criteria needed for anorexia or bulimia
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all 4
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Number of criteria needed for Dementia
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memory impairment plus 1/4 sxs of BREW
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Mnemonic for delirium
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Medical FRAT: (need all 5)
Medical cause Fluctuating course Recent onset Attention impaired Thinking (cognitive) disturbance |
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Number of criteria needed for delirium?
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All 5 of Medical FRAT
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Mnemonic for ADHD
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MOAT
Movement excess (hyperactivity) Organization probs (difficulty finishing tasks) Attention probs Talking impulsively |
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Anorexia nervosa M:F |
1:3 |
