Psychotic disorders
Tactile
Name that Dx: restrictive eating with possible binge and purge motivated by losing weight/not being fat
Anorexia
This type of NCD typically develops after 50 yr old and is seen in higher rates in patients with repeated head trauma and down syndrome
Alzheimer's
Most common cause of accidental death
Who gets more somatic disorders: men or women?
women
What kind of symptoms present first in physotics (+ or -) and how do you treat them?
Negative symptoms and atypical antipsychotics
*Atypicals: antiphyschotics: aripiprazole, clozapine,olanzapine, quetiapine, and risperidone
*Black Box: increased mortality with elderly
Most common type of eating disorder
Binge eating disorder
Kuru/mad cow and Creutzfeldt-Jakob disease are an example of this kind of NCD
Prion disease
Define at risk users/substance misuse
Men >14drinks per week or >4 per occasion
women & seniors >7 drinks per week or 3 on occasion
What two psychiatric disorders are often comorbid with somatoform disorders?
anxiety and depression
Which medications can cause psychosis?
STEROIDS, stimulants, dopa agonist and anticholinergics
Medication approved for bulimia
Prozac
What does an EEG in a patient with delirium show?
Diffuse slowing
Signs of opiate abuse
pupillary constriction, resp depression, lower body temp, lower bp, muscle relaxation, and stupor/nodding
*withdrawl is opposite all this stuff plus diarrhea, panting/yawning, insomnia and flu-like symptoms
Most commonly seen sensory deficit in conversion disorder?
Blindness
*Think about conversion disorder if had prior combat encounter. This is who the disorder has been studied most in.
Describe and erotomanic delusion
Believes another person, usually a celebrity, is in love with them.
Name that Dx: normal diet followed by compensatory behaviors such as self-induced vomiting, laxitive use, enemas, fasting or excessive exercise.
Bulimia
Risk factors of delirium (8)
1.age >70
2.poor functional status
3.hearing/visual impairment
4.dehydration
5.sleep deprivation
6. metabolic derangment
7.infection
8.polypharmacy
Describe the pleasure pathway
Locus ceruleus in brainstem -->ventral tegmental area-->nucleus accumbens-->override of executive control/prefontal cortex
Best treatment for illness anxiety disorder?
reassurance and regular office visits
This psychotic disorder has an onset in the late 20s or early 30s and is associated with a HIGH RISK OF SUICIDE
Brief psychotic disorder
medication for binge eating disorder
vyvanse
Boxcar ventricles on imaging
Huntington's dementia
This med is a weak Mu agoinst and partial antagonist that can be used to treat opiate addiction in a physician's office
Buprenorphine (Suboxone)
*Dr. Stohers favorite drug? An entire slide devoted to it in 2 separate lectures
Two most effective treatments for SSD?
CBT and mindfulness