Chapter 9: Psychiatric (DSM-5) Disorders (continued)

Question 1

What disorder is the most genetic of all the psychiatric disorders?

Answer 1

bipolar disorder

Question 2

What are the requirements to be diagnosed with bipolar disorder?

Answer 2

• symptoms of mania > 1 week, with loss of functioning
• symptoms of major depressive disorder are very common but not necessary for diagnosis

Question 3

What are the 2 types of bipolar disorder? Describe what differentiates them.

Answer 3

bipolar I: involves mania and depression
bipolar II: involves hypomania and depression

Question 4

What are characteristics of cyclothymic disorder?

Answer 4

more mild bipolar disorder

• mood swings
• periods of hypomania alternating with periods of milder depression (neither meets criteria for mania or MDD)

Question 5

Treatment for cyclothymic disorder?

Answer 5

psychotherapy

Question 6

What is the time frame to be diagnosed with cyclothymic disorder?

Answer 6

Must have 2 years duration

Question 7

Duration of time experiencing symptoms in bipolar II?

Answer 7

months

Question 8

Anxiety disorders have which gender predisposition?

Answer 8

women > men

Question 9

Duration of time requirement to be diagnosed as someone with panic disorder.

Answer 9

presence of panic attacks for > 1 month

Question 10

Panic disorder symptoms.

Answer 10

involves worry about having more attacks and significant maladaptive behavioral changes related to the attack

Question 11

Treatment for panic disorder?

Answer 11

benzodiazepines for panic attack or SSRIs for panic disorder

Question 12

GAD characteristics?

Answer 12

generalized anxiety disorder is constant sense of worry for > 6 months about things on should not have to worry about

Question 13

Treatment for GAD?

Answer 13

SSRIs or buspirone

Question 14

Social anxiety?

Answer 14

fear of being embarrassed or humaliated in a social situation, or public speaking (called stage fright or performance anxiety only if related to performance in public)

Question 15

Treatment for social anxiety?

Answer 15

antidepressants and beta-blockers (for stage fright, given b4 an event)

Question 16

OCD?

Answer 16

Obsessive-Compulsive Disorder a disorder characterized by

obsessions: thought that are intrusive, senseless and time consuming

and

compulsions: acts that are repetitive, and time consuming

Question 17

Treatment for OCD?

Answer 17

antidepressants and behavioral modification (exposure and response prevention)

Question 18

Body Dysmorphic Disorder?

Answer 18

belief that some part of one’s body is abnormal

Question 19

Treatment for Body dysmorphic disorder?

Answer 19

psychotherapy and SSRIs

Question 20

Treatment for hoarding disorder?

Answer 20

SSRIs and psychotherapy

Question 21

What is trichotillomania?

Answer 21

irresistible urge to pull out one’s own hair followed by a sense of relief. Many eat or chew their hair

Question 22

What are common symptoms of PTSD?

Answer 22

re-experiencing even in form of nightmares or flashbacks

Question 23

PTSD has what gender predisposition?

Answer 23

women> men

Question 24

Compare onset of PTSD with Acute stress disorder.

Answer 24

PTSD: anytime
Acute stress disorder: > 3 days but < 1 month

Question 25

Treatment for PTSD?

Answer 25

exposure therapy and SSRIs

Question 26

Compare duration of PTSD with acute stress disorder.

Answer 26

PTSD ≥ 1 month Actue stress disorder: < 1 month

Question 27

What is adjustment disorder?

Answer 27

maladaptive response to an identifiable stressor causing distress in functioning

Question 28

How long should onset of symptoms and duration of symptoms last in adjustment disorder?

Answer 28

* symptoms must occur within 3 months of stressor * symptoms a cannot last >6 months in duration

Question 29

What is anorexia nervosa?

Answer 29

characterized by restriction of food intake that leads to > 15% - 20% loss of ideal body weight or BMI < 17 kg/m2

Question 30

Treatment for anorexia nervosa?

Answer 30

hospitalization, behavioral modification, SSRIs, and family therapy

Question 31

What are major characteristics of bulimia nervosa?

Answer 31

characterized by binge eating followed by purging.

Question 32

Compare weight in bulimia nervosa to anorexia.

Answer 32

anorexia: BMI < 17 bulimia: weight normal

Question 33

Treatment for bulimia nervosa?

Answer 33

behavioral modification and SSRIs

Question 34

Binge eating disorder typical weight?

Answer 34

weight above normal

Question 35

Treatment for binge eating disorder?

Answer 35

stimulants

Question 36

What is somatic symptom disorder?

Answer 36

excessive thoughts, feelings, and behavior related to the somatic symptoms

Question 37

Duration required to be diagnosed with somatic symptom disorder?

Answer 37

> 6 months

Question 38

Treatment for somatic symptom disorder?

Answer 38

should be by one identified physician along with psychotherapy

Question 39

What is illness anxiety disorder?

Answer 39

Illness anxiety disorder is characterized by the belief that one has an underlying illness, despite constant reassurance

Question 40

What is the duration of illness anxiety disorders?

Answer 40

> 6 months

Question 41

Are somatic symptoms present in illness anxiety disorder?

Answer 41

* somatic symptoms are not present; if present, mild

Question 42

Treatment for illness anxiety disorder?

Answer 42

psychotherapy

Question 43

What is conversion disorder?

Answer 43

development of neurological symptoms following psychological stressor that cannot be medically explained

Question 44

Characteristics of conversion disorder?

Answer 44

* all work-up tests will be negative * patients will be indifferent to symptoms ( la belle indifference

Question 45

Treatment for conversion disorder?

Answer 45

psychotherapy

Question 46

What is factitious disorder

Answer 46

conscious production of signs and symptoms of a mental or physical illness

Question 47

What are the 2 types of factitious disorders?

Answer 47

imposed on self and imposed on others

Question 48

Treatment for factitious disorder?

Answer 48

psychotherapy

Question 49

What is malingering?

Answer 49

not a mental illness. * conscious production of signs and symptoms of mental or physical illness

Question 50

Compare and contrast symptoms production in Somatic Symptom Disorder, factitious disorder, and malingering?

Answer 50

Somatic symptom: unconsious Factitious: intentional Malingering: intentional

Question 51

Compare and contrast motivation in somatic symptom disorder, factitious disorder, and malingering.

Answer 51

somatic symptom: unconscious factitious: unconscious malingering: intentional