Mood Stabilizers
Antipsychotics
Mood Disorder/Bipolar Disorder
Schizophrenia/ Psychosis
Anger/Aggression
100

True or False: A pregnant woman can continue her lithium prescription

False, may cause harm to fetus

100

Name 1 first generation antipsychotic (typical) and 1 second generation antipsychotic (atypical)

FIRST GEN: haloperidol, fluphenazine, chlorpromazine, thioridazine

SECOND GEN: aripiprazole, clozapine, quetiapine, risperidone, olanzapine, ziprasidone, lurasidone

100

Length of time depressive sx last to meet criteria for Major Depressive Disorder

2 weeks

100

Onset of schizophrenia symptoms in males vs female

Male: Early-mid 20s

Female: late 20s

100

Definition of assault

aggressive behavior that violates another person or a person’s property

200

Lithium Therapeutic Levels

0.6-1.2 mEq/L

200

What receptors do 1st generation antipsychotics work on? What receptors do 2nd generation antipsychotics work on?

1st GEN: Dopamine

2nd GEN: Dopamine and Serotonin

200

Time period Seasonal Affective Disorder (SAD) occurs

October to April

200

Risk factors for childhood schizophrenia

 Genetic influences

 Complications during pregnancy or birth

 Biochemical imbalances

 Environmental factors

200

Theorists who developed theories on aggressive behaviors

Charles Darwin and Sigmund Freud

300

MOOD STABILIZER ASSOCIATED WITH STEVENS-JOHNSON SYNDROME (SJS)

Lamotrigine (Lamictal)

300

List symptoms of EPS

Acute dystonia: sudden contraction of one or several muscle groups (head/neck)
Akathisia: motor restlessness (pacing, inability to stay still)
Pseudoparkinsonism: arms swinging when walking, reduced facial expressiveness,
gait impairment

300

Symptoms of Post-Partum Depression

tearfulness; irritability, Hypochondria, Sleeplessness, Impaired concentration,

Headache

300

4 stages of schizophrenia

1. Prodromal Phase

Early warning signs such as social withdrawal, poor hygiene, decreased motivation, and changes in behavior.

2. Prepsychotic Phase

Symptoms worsen, with increased suspiciousness, unusual thoughts, and changes in perception, but without clear, sustained psychosis.

3. Acute Phase

Active psychosis with prominent hallucinations, delusions, and disorganized speech or behavior.

4. Remission

Psychotic symptoms significantly decrease or resolve, and functioning may improve. Some negative symptoms may remain.

300

List three disorders related to aggressive behaviors

Conduct Disorder, Oppositional Defiant Disorder, Intermittent Explosive Disorder

400

RISK OF INJURY TO WHICH ORGAN CAN OCCUR IN A PATIENT TAKING VALPROIC ACID

liver

400

Antipsychotic requiring lab monitoring of absolute neutrophil count (ANC)

Clozapine

400

Symptoms of Mania

Emotions that are elevated, expansive, and irritable accompanied by loss of identity, increased activity, and grandiose thoughts and actions,  Decreased sleep, excessive/rapid speech, excessively cheerful, distractibility, excessive, involvement in risk-taking or pleasure-seeking activities

400

Subtypes of Schizophrenia

  • Catatonic: Problems with movement and responsiveness.

  • Disorganized: Problems with organized thinking, speech, and behavior.

  • Paranoid: Prominent suspiciousness, persecutory delusions, or hallucinations.

  • Residual: Positive symptoms have decreased, but negative symptoms remain.

  • Undifferentiated: A mixture of symptoms without one dominant subtype.

400

Examples of impulsive control disorders

 Intermittent explosive disorder

 Kleptomania

 Pathologic gambling

 Pyromania

 Trichotillomania

500

Labs to monitor for a patient taking lithium

Electrolytes (especially sodium), thyroid, renal function

500

List the symptoms of Neuroleptic Malignant Syndrome

Reduced consciousness and responsiveness, increased muscle tone (lead pipe rigidity), and autonomic dysfunction.

500

Differences between BP I and BP II

BP 1:  Episodes of depression alternate with episodes of mania; More severe and incapacitating form of bipolar illness, delusions common during periods of mania, hallucinations may occur

BP II:  Major episodes of depression alternate with periods of hypomania Often marked by 1 to 2 weeks of severe lethargy, withdrawal, and melancholy followed by several days of hypomania (no psychosis or need for hospitalization)

500

Positive symptoms of schizophrenia vs negative symptoms of schizophrenia

Positive = ADDED

  • Hallucinations

  • Delusions

  • Disorganized speech

  • Disorganized behavior

Negative = The 5 A's

  • Affective flattening (diminished emotional expression)

  • Alogia

  • Avolition (Lack of motivation or ability to initiate and complete everyday activities.)

  • Anhedonia

  • Asociality

500

5 stages of assault cycle

 Trigger

 Escalation

 Crisis

 Recovery

 Depression