Depressive D/O
Depressive symptoms, constant low mood, pessimistic outlook, at least 2 years is what dx:
PDD - Persistent Depressive Disorder
True or False: During a panic attack, you should provide the patient privacy.
False, stay with the patient and provide a calm, quiet environment.
A milder form of bipolar disorder, hypomania and mild depression noted, lasting at least two years
Cyclothymic d/o or cyclothymia
Avoid Caffeine, consistent Na diet, 2.5-3L fluid a day.
Diet education for Lithium
A healthy BMI has a range of
18.5-24.9
Sudden reduction of depressed symptoms, increase in energy, and giving possessions away is a concern for
Suicide
Anxiety Level
- Difficulty concentrating and focusing
- tension
- palpitations
- increased HR
- diaphoresis
Moderate
Priorities during acute mania
Prevent injury, ensure safety. Secondary is fluids, food, sleep.
Serotonin Syndrome signs
Hyperreflexia, myoclonus, fever, tachy, confusion/delirium, diarrhea.
Having periods of blackouts, lost time, and multiple alters could be a sign of:
Dissociative Identity Disorder
The two hallmark symptoms for a diagnoses of MDD
1)depressed mood
2) loss of interest or pleasure in activities
Anxiety Level?
- Sense of impending doom
- difficulty sleeping
- light headedness
- Nausea
- tremors
Severe
BUN, creatinine, TSH, and Na. Labs during what therapy?
Labs during Lithium therapy
Common SE of Amitriptyline (TCA)
Dry mouth, drowsiness, dizziness, wt. changes.
True or False: The presence of lanugo is associated with Bulimia Nervosa
False, it is associated with Anorexia Nervosa.
Covert or Overt statement?
"Soon no one will have to worry about me"
Covert
True or False: Depersonalization is commonly seen in GAD.
False: It is commonly seen in Panic D/O
Pt. experiences 4 or more episodes of mania, hypomania, or depression in one year, this is known as:
Rapid cycling
Long term medication tx for GAD
Buspar
True or False: You should discuss anxiety provoking triggers with a pt. with OCD?
True: This is part of CBT, understanding your behaviors to gradually change them.
Elevated TSH could potentially rule out.
MDD
Overwhelming symptoms of panic when exposed to phobic stimulus is what dx?
Specific Phobia
Alterations in bodily movements ranging from immobility, odd posturing, to mimicking the movements or speech of others.
Catatonia
Anticholinergic adverse effects
Hot, dry, decreased saliva, constipation, urinary retention, blurred vision, tachy, confused
Fixation on bodily symptoms, diagnostics are negative, seeks numerous 2nd opinions, is associated with:
Somatic Symptom Disorder