Depression and Anxiety
Key screening tool for depression in FM?
PHQ-9
First-line treatment for acute psychosis?
Antipsychotics
Chronic widespread pain syndrome?
Fibromyalgia
Alcohol withdrawal can progress to?
Delirium tremens
Common SSRI side effect affecting adherence?
Sexual dysfunction
Typical duration before judging antidepressant effectiveness?
4–6 weeks (I will also accept 6-8 weeks)
Schizophrenia requires symptoms for how long?
≥6 months
First-line treatment for fibromyalgia?
Exercise + CBT
Delirium hallmark?
Fluctuating attention and consciousness
Common early side effect of SSRIs that often improves?
Nausea / GI upset
What should you assess (condition) before starting antidepressants in a depressed patient?
History of mania/hypomania
Brief psychotic disorder duration?
<1 month
Personality disorder with unstable relationships and self-harm?
Borderline personality disorder
Benzodiazepine withdrawal can cause?
Seizures
Antidepressant helpful for low energy + smoking cessation
Bupropion
Key components of suicide risk assessment in FM? List any 3
Ideation, plan, intent, means, protective factors
What is the diagnosis for: Psychosis + fluctuating attention + disorientation
Delirium
What is the diagnosis for preoccupation with having serious illness despite reassurance
Illness anxiety
Serotonin syndrome neuromuscular finding?
Clonus / hyperreflexia
Lithium toxicity early symptoms?
- GI upset
- Tremor
A patient develops restlessness, agitation, and insomnia within days of starting an antidepressant, without hallucinations, fever, or autonomic instability
A. Serotonin syndrome
B. SSRI activation syndrome
C. Bipolar switch
D. Akathisia
B. SSRI activation syndrome
Medical causes of psychosis to rule out? (List 3)
Thyroid disease, CNS lesions, substances
I am marked by excessive emotionality, attention-seeking, and discomfort when not the center of attention, What am I?
Histrionic personality disorder
A patient is started on an antipsychotic but develops marked rigidity, fever, and autonomic instability. What life-threatening reaction is this?
Neuroleptic malignant syndrome
I am an atypical antipsychotic often used for both schizophrenia and bipolar depression, and I tend to be weight-neutral compared to others in my class
Aripiprazole