Demographics
Which demographic population is the most common victims of suicide?
Your patient experiences sundowning, in which he becomes increasingly confused and agitated at night, screaming "Leave me alone! Get away from me!"
Dementia
What is the most common type of antidepressant medication?
SSRIs
______ is a characteristic/phase of bipolar disorder in which the patient is euphoric, has fast speech and is overly confident.
Mania
T/F: Anosognosia is a positive symptom of schizophrenia.
False! (it's a negative symptom)
Are younger or older populations susceptible to increased lethality with suicide attempts?
Older populations
You've been monitoring your patient for a couple weeks now, and start every session asking questions. Recently, while asking your questions, your patient repeatedly tells you, "I give up, there's just no point"
Depression
What is the major side effect of taking an SSRI?
Bonus: Give me 1 more side effect
1. Weight gain!!
Bonus: GI, HA, dizziness, somnolence, sexual dysfxn
A patient with bipolar disorder may be in this phase if he tells you that over the weekend, he took out all his savings and bet it on the Giant's winning against the Chiefs.
Hypomania
What happens if a patient is administered a single antipsychotic that does not seem to be effective?
Switch to a 2nd antipsychotic
Give me 2 red flags that warrant a referral for geriatric clients.
Your patient is an 80 y/o man admitted to a SNF 2 weeks ago who recently loss his wife in an MVC. He seems distant, not wanted to engage with the other residents, which is unusual considering his son told you his father used to be a very social man. When you ask him why he doesn't participate, he says, "I just have no interest, I don't want to"
Tricyclics have a long half life, and are well absorbed in the GI tract, putting the patient potentially at greater risk for this negative consequence...
What's the difference between Bipolar 1 and Bipolar 2?
Bipolar 1: very high ups - mania
Bipolar 2: doesn't quite reach mania to the same degree (hypomania achieved) but can have very low lows
What is a major side effect of many antipsychotics? (this may be a side effect of older medication use, prolonged use, or if the patient wasn't properly titrated off medication)
Tardive Dyskinesia
You are set to see a client in your outpt clinic. He tells you he has depression, but you try to figure out if it's mild, mod, or severe. If he tells you that he's on 2 different medications, is going to counseling and is participating in intense psychotherapy sessions with his therapist, how would you characterize his depression?
Severe Depression
This score on the GDS is suggestive of depression...
>5
T/F: Electrotherapy is safe to use today for patients experiencing severe depression; this is performed under anesthesia & with stimulation lasting only 2-8 seconds.
True
Is Rapid Cycling Bipolar disorder more or less responsive to Lithium?
Bonus: How many episodes does someone need to go through qualify as having this disorder?
1. Less responsive
Bonus: 4 +
What can trigger Conversion Disorder?
Bonus: What's the new terminology for the disorder?
1. hx of physical/sexual abuse
2. life trauma/stressor
3. emotional event/stressful life event
Bonus: functional movement disorder
How many symptoms must a pt display within the same 2 week period to be characterized as having Major Depression?
5 or more
What is the one major difference between the PHQ-9 and the GDS?
PHQ-9 includes a question about suicide
T/F: An issue with SSRI administration in a hospital setting is that the patient may not reach the therapeutic dose within the short term stay in that facility.
True!
Lamictal
What's the clinical presentation of Conversion Disorder?
1. fatigue
2. exaggerated limb mvmt
3. bradykinesia
4. ataxia
5. ballismus