Anxiety/OCD/Depressive related DO
Sweating, trembling, shaking, chest pain/, SOB, Nausea, GI distress, dizziness, chills, hot flashes, numbness or tingling sensations, derealization or depersonalization, fear of loosing control “going crazy”/ dying
What are symptoms of panic attack?
Paranoid personality disorder, Schizoid personality disorder, and Schizotypal personality disorder.
What is Cluster A personality disorders?
Maladaptive reaction to a stressor or results in clinically significant emotional or behavioral symptoms. Sx occur W/I 3M of the stressor & last <than 6 months
What is an adjustment Disorder.
One or more manic or mixed episodes
What is BP DO I?
Russell's sign, discoloration of teeth and/or tooth decay, esophageal variscies, electrolyte imbalance
What are signs of purging.
Recurrent thoughts, impulses, or images experienced as intrusive and stressful, and unable to be expunged by logic or reasoning.
What are obsessions?
Suspicious others are exploiting/harming/deceiving them. Preoccupied W/ doubts RE others loyalty or trustworthiness. Reads hidden negative meanings into benign remarks/events. Bears grudges. Perceives attacks not apparent to others.
What is paranoid personality disorder?
Getting hurt, Previous Hx of trauma, Lack of social support, Hx of MH Dx, Hx of Substance abuse, Ongoing stress, and Poor coping skills.
What are increase risk factors for developing PTSD?
Period of abnormally persistently elevated/expensive or irritable mood, increased activity or energy, lasting at least 4 consecutive days, present most of the day
What is hypomania?
Common feelings that eating disorders can lead to
What are guilt, depression, anxiety and shame?
Citalopram, Lexapro, Prozac, zoloft, paxil
What are first line SSRI's used to treat anxiety?
Difficulty making daily decisions W/O an inordinate amount of advice/reassurance from other people. Fear loss of support or approval.
What is Dependent Personality DO ?
Create a Safe Environment,Support Control/Choice/ Autonomy, and Create Collaborative Relationships and Participation Opportunities
What are a few principles of trauma informed care?
At least 2 years with many periods of sub-clinical hypomanic/MDD, Sx present @ least 1/2 the time and not absent for >2 at a time.
What is cyclothymic DO?
gymnastics, dancing, cheer leading, figure skating, and wrestling
What atheletic activities are the most concerned with body image and have the highest incidence of eating disorders?
Repetitive ritualistic behavior or thoughts, the purpose of which is to prevent or reduce distress or to prevent some dreaded event or situation
What are compulsions?
Discomfort when they are not the center of attention
What is Histrionic personality disorder?
Changes in: cortisol levels, Corticotropin-releasing hormone (CRH), and adrenocorticotropic hormone
What are hormonal markers of PTSD?
DO not avoid Na, monitor your fluid intake, and avoid regular use of NSAIDS unless your provider is aware.
What are important patient educations facts for patients taking Lithium?
Vyvanse, contrave (WBN+Naltrexone)
Medications FDA approved for binge eating DO and weight loss.
Urges involving pulling out hair from the scalp, eyebrows, or other areas of the body.
What is trichotillamania ?
Desperate efforts to avoid abandonment (actual or imagined). Unstable, intense relationships that are viewed in polarized manner.
What is Borderline Personality Disorder?
Alpha 1-adrenergic antagonist/Beta Blockers
What are medications useful for decreasing nightmares, reexperiencing & hyperarousal Sx?
A severe mental condition in which there is disorganization of the personality, deterioration in social functioning, and loss of contact with, or distortion of, reality.
What is psychosis?
Hypophosphatemia and fatal metabolic changes.
What are refeeding dangers?