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ECOS 4 > Mood Disorders > Flashcards

Mood Disorders Flashcards

(45 cards)

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1
Q

In what setting is the Psychiatric Review of Symptoms performed?

A

Primary care setting

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2
Q

What are 12 components to the PROS?

A 
Sleep
Appetite
Substance use
Concentration
Anxiety
Depression
Suicide/homicide
Self harm
Psychosis
Mania
Motor
Trauma
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3
Q

What are the 12 components to the Psychiatric Review of Symptoms?

A 
Sleep
Appetite
Substance use
Concentration
Anxiety
Depression
Suicide/Homicide
Self harm
Motor
Mania
Psychosis
Trauma
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4
Q

CAGE screen

A

Alcohol use

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5
Q

PHQ-9 screen

A

Depression

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6
Q

GAD-7 screen

A

Generalized Anxiety

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7
Q

SLUMS screen

A

Dementia

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8
Q

DAST-10 screen

A

Drug use

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9
Q

MDQ screen

A

Bipolar mania

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10
Q

C-SSRS screen

A

Suicide

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11
Q

AIMS screen

A

Abnormal involuntary movements

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12
Q

GSAQ screen

A

Sleep questionnaire

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13
Q

What are the 10 components to the mental status exam?

A
  1. Appearance
  2. Behavior
  3. Speech
  4. Mood
  5. Affect
  6. Thought process
  7. Thought content
  8. Perception
  9. Cognition
  10. Insight/judgment
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14
Q

What are the 10 components to the mental status exam?

A
  1. Appearance
  2. Behavior
  3. Speech
  4. Mood
  5. Affect
  6. Thought process
  7. Thought content
  8. Perception
  9. Cognition
  10. Insight/judgment
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15
Q

What are the 10 components to the mental status exam?

A
  1. Appearance
  2. Behavior
  3. Speech
  4. Mood
  5. Affect
  6. Thought process
  7. Thought content
  8. Perception
  9. Cognition
  10. Insight/judgment
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16
Q

Behavior involves assessing attitude, eye contact and movements. What dysfunction can be seen with Schizophrenia?

A

Eye Tracking Dysfunction

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17
Q

Mood is?

A

How the patients say they feel

– in quotes

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18
Q

Affect is?

A

Emotional state that we observe

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19
Q

If the Mood matches the Affect, it is?

20
Q

If the Mood does not match the Affect, it is?

21
Q

What is Blunted Affect?

Study These Flashcards
A

ABSENT facial expression, gestures, etc.

22
Q

What are loose associations?

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A

Illogical shifting between unrelated topics

    • seen with psychosis
  • In the Thought Process category
23
Q

What are Delusions?

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A

Fixed beliefs despite contradictory evidence

- In the Thought Content category

24
Q

What are Ideas of Reference?

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A

Incidents in outside world have direct personal reference to the patient
- In the Thought Content category

25
What are 2 preoccupations?
SI - suicidal ideation | HI - homicidal ideation
26
What must you determine if SI or HI preoccupations are present?
Active vs. Passive threat | -- intent, plan, means, C-SSRS
27
Perception involves what findings?
Hallucinations Illusions Pseudohallucinations
28
Auditory Hallucinations (AH) are seen with?
Psychosis
29
Visual Hallucinations (VH) are usually due to?
Organic conditions
30
Pseudohallucinations differ from Hallucinations how?
Internal/subjective space | -- voices in head for example
31
What is an example of abnormal Cognition?
Delirium
32
Insight
Awareness of one's self
33
Judgment
Ability to anticipate consequences or make decisions for self
34
Behavioral Health Consultants job
Specialized training in health services delivery
35
What are 3 BHCs?
Social worker Counselor PsyD
36
What is Motivational Interviewing?
Method of approaching and achieving behavior change
37
What does Motivational Interviewing do for the client?
Helps client resolve ambivalence
38
What are the 6 stages of change?
1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance 6. Termination
39
What are the 6 stages of change?
1. Precontemplation 2. Contemplation 3. Preparation 4. Action 5. Maintenance 6. Termination
40
Which medications have the fastest onset?
Atypical Antipsychotics
41
Before starting Atypical Antipsychotics, what labs should you get?
``` CBC with diff. CMP A1C Lipids TSH Urinalysis ```
42
Before starting Atypical Antipsychotics, what labs should you get?
``` CBC with diff. CMP A1C Lipids TSH Urinalysis ```
43
After starting Atypical Antipsychotics, when should you redo labs?
2 months 6 months Then periodically
44
After starting Atypical Antipsychotics, how often should you get an AIMS?
Every 3 months | - Atypical Involuntary Movement Scale
45
Ask patients to discuss conflicting feelings about behavior change
Motivational Interviewing

ECOS 4 (13 decks)

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