Intro adol. psych Flashcards Preview

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Flashcards in Intro adol. psych Deck (32):
1

what is epi of dep in adols

- 6-8%
- 2:1 females
- high risk for recurrence

2

what is diagnosis issue for dep in adols

- only 50% diagnosed before adults
- only 50% receive treatment

3

reasons diagnosis is missed

- lack of confidence
- fluctuating course
- social stressors of time

4

diffs. in adol vs. adult

- more irritbality
- mood reactivity
- low self esteem

5

general features of treatment

- engage and educate
- assess for hopelessness
- suicide risk

6

4 types of antideps.

SSRIs
SNRIs
TCAs
antypicals

7

how to start meds

start slow, but if not working in 2-4 weeks move up

8

best evidence for treatament

SSRI - fluoxetine
- NOT TCAs

9

what is effect on suicide

doesn't seem to increase

10

what is use for CBT

not that great
- can be good for suicide in combo with drugs

11

2 types of bipolar

1. at least one manic episode
2. recurrent MDD with at least one hypomanic episode

12

bipolar epi

1%
M=F
high risk for suicide

13

def. of manic episode

period of abnormally or persistently elevated, expansive, or irritable mood
3 or more assoc. Sx

14

assoc. sx

thoughts
- grandiosity
- pressured speech
- flight of ideas
behav.
- decreased need for sleep
- increased goal directed act.
- activities lacking judgment

15

what is associtaed with greater risk of BP

- recurrent ADHD, CD, dep/anx
- fam hx
- NOT severe mood dysregulation

16

main treatment of BP

lithium
- not much evidence for anti-convulsants

17

3 key features of psychosis

- delusions
- hallucinations
- disorganized speech

18

sx of schizo

- pos and neg. sx
- social and occup dysfunction

19

heritability of schizo

pretty there

20

main risk for schizo (env)

early THC use

21

average duration of untreated psychosis and total illness

psychosis - 1 year
total - 3 years

22

2 other types of psychotic disorders

1. schizo spectrum
2. delusional disorders

23

3 disorders with psychosis and a Sx

1. depression
2. cognitive (dementia/delerium)
3. borderline

24

2 types of antipsych and their SEs

typical - movement disorders
atypical - metabolic

25

what is best evidence for use of anti-psych drugs

in ASD

26

which anti-psych is best

seem equal - all have bad SE and no one tends to stay on them

27

mech and major SE of risperidone

- DA and 5HT antag
- TD

28

mech and major SE of olanzipine

- DA and 5HT antag
- metabolic

29

mech and major SE of clozapine

- DA antag
AGRANUlocytosis

30

what is suicide epi

more in males
- 90% have diagnosis
- 50% have more than 2
- most common is depressiokn

31

risk factors for suicide

SADPERSONS
Sex-male
Age - 15-24
Depression
Previous attempt
Ethanol use
Rational thnking loss
Suidide in fam
Organized plan
No supports
Serious illness

32

what is suicidality in schizo

50% will attemp
10-15% complete

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