Somatic Symptom and Related Disorders
A 27-year-old woman is brought to the clinic by her husband because she suddenly developed complete blindness in both eyes two days ago. The symptoms began shortly after she witnessed a traumatic car accident. On examination, her pupillary light reflex is normal, and she successfully navigates the room to avoid obstacles without assistance. She has this disorder.
What is functional neurological disorder?
This term describes the heavy feeling in the arms and legs often reported by patients with MDD with Atypical Features.
What is Leaden Paralysis?
This diagnosis is used for patients who have experienced at least two years of hypomanic and depressive symptoms that never quite meet the full DSM-5 criteria for a manic, hypomanic, or major depressive episode.
What is cyclothymic disorder?
This specific melatonin agonist is uniquely FDA-approved for treating non–24-hour sleep-wake disorder in individuals who are totally blind.
This class of medications manages Tardive Dyskinesia by depleting intracellular monoamines like dopamine.
What are VMAT2 inhibitors?
Unlike in schizophrenia, in this disorder, reality testing remains intact.
What is Depersonalization/Derealization?
This "highest" risk factor for suicide should always be assessed during a clinical interview.
What is a previous suicide attempt?
What are 4 consecutive days?
Atypical antipsychotics produce fewer extrapyramidal side effects because their antagonism of these specific receptors actually stimulates dopamine release in the striatum.
What are 5HT2A receptors?
The use of a given substance that with cessation, withdrawal symptoms occur.
What is dependence?
Contrary to the common misconception that symptoms must be "all in the head," this disorder can be diagnosed even if the patient has a confirmed, concurrent medical diagnosis.
What is Somatic Symptom Disorder?
Standard MDD therapies & light therapy are treatment options for this diagnosis.
What is MDD with Seasonal Pattern?
A 22-year-old male is brought to the emergency department by his parents after 10 days of sustained energy, decreased need for sleep, and spending his entire savings account on three luxury cars. He claims he has discovered a secret code to the stock market. He is loud, wears multiple bright scarves, and shifts rapidly from laughing to shouting. He has this.
What is Bipolar I Disorder?
Ketamine’s rapid antidepressant effect is triggered by blocking NMDA receptors on these specific neurons, which subsequently disinhibits glutamate release and activates the mTOR pathway.
What are GABA interneurons?
While benzodiazepines are a first-line treatment for both, this specific serotonin antagonist is reserved for managing moderate to severe Serotonin Syndrome.
What is Cyproheptadine?
This bedside neurological maneuver identifies functional weakness when hip extension strength improves during contralateral hip flexion against resistance.
What is Hoover's Sign?
A patient recently gave birth. She has been experiencing panic attacks and anxiety. There are no hallucinations or thoughts of harm. It is in this amount of time post delivery that these symptoms may arise.
What are 4 weeks?
Clinical management of Lithium requires caution when prescribing these three classes of medications, as they all can decrease renal clearance and lead to toxicity.
What are thiazide diuretics, ACE inhibitors, or NSAIDs.
What are suvorexant, lembrorexant, and daridorexant?
This is the part of the brain that is preoccupied with/in anticipation of a given substance during the addiction cycle.
What is the prefrontal cortex?
This portmanteau term is a potential treatment option for patients experiencing bodily distress syndromes like SSD or IAD.
What is Theragnosis? (Therapy + Diagnosis)
"Treatment-resistant depression" is defined as MDD that persists despite trials of at least this many antidepressants at optimal doses.
What are 2 (or more) antidepressants?
To meet the technical definition of a "Mixed State," a patient must simultaneously exhibit at least three symptoms of mania (DIGFAST) and at least this many symptoms of depression (SIGECAPS).
What is five (or more)?
When treating early AD with monoclonal antibodies like Lecanemab, clinicians must use regular MRIs to monitor for these two specific adverse effects.
What are ARIA-E (Edema) and ARIA-H (Hemorrhage)?
The central dopamine hypoactivity that defines NMS is commonly caused by this drug class.
What are Typical Antipsychotics?