Flashcards in Mood and Psychiatric Disorders Deck (13):
Sleep disturbances (too much or too little)
Interest (lack of...)
Energy (lack of...)
One needs at least _________ of the SIGECAPS symptoms for _________.
5/9; 2 weeks
Differentiate bipolar I and II.
Bipolar I: patients must have mania but may also have hypomania or depression
Bipolar II: hypomania plus depression
There are five symptoms that define psychotic disorders and schizophrenia-spectrum disorders.
1). Delusions: a fixed belief not amenable to change in light of conflicting evidence
2). Hallucinations: perception-like experiences that occur without an external stimulus
3). Disorganized speech: frequent derailment or incoherence
4). Grossly disorganized or catatonic behavior (including echolalia)
5). Negative symptoms: apathy, avolition
Describe the timeline of psychotic diagnosis.
- less than one day: delirium
- greater than one day but less than one month: acute psychotic disorder
- one month to six months: schizophreniform disorder
- greater than six months: schizophrenia
How many symptoms does a person need to have for a diagnosis of schizophrenia?
2/5, but one has to be from the first three (listed in the symptom flash card)
Differentiate schizoaffective disorder and bipolar disorder with psychotic features.
Both involve a mix of psychotic symptoms and mood disturbances, but the psychotic features are more the baseline in schizoaffective disorder while the mood symptoms are foundational in bipolar disorder with psychotic features.
Patients with schizophrenia have a higher rate of ____________.
What is the DIGFAST mnemonic?
Flight of ideas
Describe dysthymia and cyclothymia.
Dysthymia: subsyndromal depression
Cyclothymia: subsyndromal depression and hypomania
In general, the DSM requires symptoms to be present after ___________ of sobriety before ruling out substance-related mental disorders.
What are neuroleptics?