Psycho-pharm
1st line treatment for MDD
SSRI
treatment for insomnia
College students feels embarrassed with public speaking or choosing a seat in cafeteria and experiences blushing, muscle twitching, and shame. Endorses sadness about not having friends.
Social Anxiety Disorder
Fixed, false believes that remain despite evidence to the contraty and cannot by accouantd for by cultural background of the individual
Delusions
Brief psychotic disorder
< 1 month
Anti-psychotic reserved for patients who have failed multiple other anti-psychotic trials
Clozapine
Borderline Personality Disorder 1st line
DBT
Patient with self reported concerns of brain tumor; no symptoms suggestive of brain tumor, but states he has a cousin who died of brain tumor. PE unremarkable. Neuroimaging negative, patient repeatedly requests MRI, still concerned about tumor.
Illness Anxiety Disorder
Criteria for capacity
Choice
Understanding
Appreciation
Reasoning
Generalized Anxiety Disorder
Lithium exposure in first trimester pregnancy increases risk of this congenital abnormality in which organ
Ebsteins anomaly
Treatment for GAD
25 yo male brought in by family for psych eval, family reports no past psych history, has gotten suspicious, withdrawn, hostile. Talks to self, talks about being controlled by aliens, believes the government is putting thoughts in his head, hears voices. Medical work-up unremarkable. Urine drug screen negative
schizophrenia
Treatment option for treatment resistant depression
ECT
Mania vs hypomania
4 days
7 days
Tx severe performance anxiety
propranolol
who developed CBT
Aaron Beck (1960s)
72 year old admitted with pneumonia. Not sleeping at night, confused, disrobing, irritable with nurses, does not know where he is, pulling at lines, neuro exam normal.
Delirium
Cluster B personality disorders
Antisocial
Borderline
Histrionic
Narcissitic
PTSD
> 1 month
Dopamine pathways blocked by anti-psycotics
definition of mindfulness
focusing one's awareness on the present moment, while calmly acknowledging and accepting one's feelings, thoughts, and bodily sensations,
27 yo depressed patient treated with SSRI and tranylcypromine now presents with VH, mild confusion, myoclonic jerks, diaphoretic, flushing, restless
Serotonin syndrome
Delirium definition
acute onset of waxing and waning fluctuations in attention/congition +/- psychomotor disturbances
Schizoaffective Disorder
psychosis 2 weeks with no mood symptoms