Week 2 Flashcards
How is Acute Distress Disorder diagnosed?
Symptoms lasting from 3 days to 1 month following exposure to trauma with ≥ 9 PTSD Symptoms.
How long must symptoms persist for a diagnosis of PTSD to be made?
> 1 month
PTSD has way too many diagnostic criteria… What are the 6 general categories?
- Exposure to Death, Serious Injury, or Sexual Violence
- Re-experiencing
- Avoidance of Associated Stimuli
- Negative Change of Cognition / Mood
- Alterations of Arousal / Reactivity
- > 1 Month of Disturbance
What are the 6 Potential Effects of Benzodiazepines?
- Reduce Anxiety
- Interfere with Memory Formation
- Sedation
- Treat Seizures
- Treat Nausea and Vomiting
- Relax Muscles
What is the gist of the three questions of the Audit-C?
- How often?
- How much?
- Binge? {≥6}
What is Adjustment Disorder?
Is the development of emotional or behavioural symptoms in response to an identifiable stressor occurring within 3 months of the onset of the stressor. Once the stressor is gone symptoms cannot last more than 6 months. Symptoms must be clinically significant.
Post Traumatic Stress Disorder is more common in ______ even though ______ are more likely to experience trauma.
Women, Men
- Likely due to the type of trauma {rape}.
What gene is significant in PTSD?
FKBP5
What medications have been shown to reduce nightmares in PTSD?
Clonidine and Prazosin
What is the Pharmacological treatment for PTSD?
SSRIs are first line.
May need to add AAP.
What drug should you not give someone following trauma?
Benzodiazepines. They make memory extinction harder and increase the proportion which develop PTSD.
What conditions are associated with OCD?
ADHD and Tic Disorders
What bacteria is associated with OCD?
Group A Streptococci.
- GAS infection may result in antibodies which attack the Caudate.
What percentage of OCD presentations will remit by early adulthood?
40%
What is Body Dysmorphic Disorder?
A preoccupation with ≥ 1 perceived defects that appear slight to others. Repetitive behaviours or comparing to others in response to their appearance concerns.
How is ADHD treated?
- Stimulants {Methylphenidate: Ritalin}
- Antidepressants, Antihypertensives, and Modafinil depending on the patient.