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Flashcards in Intro to Psychiatric Disorders Deck (23):
1

DSM is what?

Diagnostic and statistical manual of mental disorders

2

Generalized Anxiety Disorder DSM-5

A- Amount of time, Excessive anxiety and worry more days than not for at least 6 months

3

Multiaxial Patient Evaluation? DSM-4

Axis 1- V
- Principal psychiatric disorder
- Developmental and personality disorders
- Physical disorders of conditions
- Severity of psychosocial stressors
- Global assessment of function

4

Personality disorder cluster A

Odd or eccentric
Paranoid, schizoid

5

Cluster B

Appear dramatic, emotional, or erratic
Antisocial, borderline

6

Cluster C

Anxious or fearful
- Avoidant, dependent, obsessive

7

Mental Status Examination (MSE)

Description of patients current behavior thoughts...

8

Appearance or behavior

- Dress/grooming
- Cooperativeness
- Eye contact
- Attitude

9

Speech and Language

Quantity, rate, speed

10

Mood and Affect

Mood- sustained feeling (how the patient feels)
- Depressed
Affect- Current emotional tone
- Flat, blunted
- labile (rapid changing affect)
- congruent or incongruent with mood

11

Thought Process

- How we are think (organize our thoughts)
- Circumstantial
- Tangential
- Linear (Normal)
- Flight of ideas (pipolar)
- WOrd Salad

12

Thought content

- Suicidal ideation
- Homicidal Ideation
- Obsessions
- Paranoia.....

13

Neuropsychiatric eval

- Concentration
- Memory
- Attention
-Abstraction
- Orientation
- Constructional ability

14

Mini-Mental State Exam

- Orientation (Day month , year,
- Registration
- Attention and calculation
- Recall
-Language

15

MMSE Barriers

Someone cant read or has trouble with math

16

Insight/judgment

- Insight
+ What brought you to the hospital?
Judgement-
Self address mail

17

Mental Status Exam

Helps turn some subjective info into more objective. Its a counterpart to a physical exam not in place of

18

Medication History

Ask about all medications
- Ask about past meds
- Dose, Duration
- Adverse effects
- Compliance
- Family Hx of successful psychiatric medication use

19

Physical Exam

- Medical causes of symptoms
- Lab test
+ Urine drug screen
+ Blood count
+ Electrolytes
+ Thyroid function test (Hypothydroid can cause depression)
+ Liver enzymes

20

Psychiatric Rating Scales

- Purpose: Provide objective data
- Types of symptoms and how severe
Rating scale not diagnostic instruments

Used clinically to guide treatment

21

Rating scale example:
Schizo

Brief Psychiatric Rating Scale

Positive and Negative Syndrome Scale

- Clinical Global Impression Scale

22

Rating Scale Anxiety

Hamilton Anxiety Scale (HAM-A)

Yale- Brown Obsessive Compulsive Scale

23

Depression

HAM-D
MADRS
Beck Depressive Inventory