Mood Disorders Flashcards
(42 cards)
Anxiety criteria for GAD
Generalized worry about most things on most days greater than or equal to 6 months per year with greater than or equal to 3 somatic complaints including irritibility, weight change, sleep change, concnetration change, or somatic pain.
Treatment for GAD versus Panic disorder
GAD is more chronic so we treet with psychotherapy and an SSRI
Acute anxiety in panic attacks are treated with CBT, SSRI’s/SNRI’s, and then benzos as an abortive med in the moment
Symptoms of a panic attack
SOB
Trembling
Unsteadiness
Depersonalization
Excessive Heart Rate
Numbness
Tingling
Sweating
Palpitations
Abdomnial distress
Nausea
Intesne fear of losing control/dying
Chest Pain
Agoraphobia
fear or avoidance of public areas, crowds, public transpotrtation, or going outside alone
Thi
How to we treat fear of public speaking
Beta blockers; beta blockers are NOT for panic attacks
How do we treat specific phobias?
CBT, Systemic desensitization or flooding
Disorder characterized by persistent intrustive unwanted thoughts that provoke anxiety that is releived by specific behaivors or mental acts
OCD
What is the major difference between OCD and OCPD?
OCD individuals are painfully aware of their obsessions/compulsions (Ego-dystonic) whereas those with OCPD are unaware most of the time and their behavior is in line with their sense of self (ego-syntonic)
How is OCD treated?
CBT (exposure and response prevention)
Its technically a chronic anxiety disease so treatment with SSRI’s and adjuct TCAs specifically clomipramine can work. BENZOs are NOT for OCD!
subset of male patients preoccupied with insufficient musculature resulting in use of anabolic steroids, excessive lifting, and exercise
Body Dysmorphia
How do we treat body dysmorphia?
Give them SSRIs and CBT
How do we differentiate between trichotellomania and alopecia?
Hair of differing lengths is strongly associated with trichotillomania
Trichobezoar
hair ball that can cause SBO in trichotillomania
For a patient with patchy hair, what would you want to rule out before jumping to trichotillomania?
Fungus!
Impulse control and destructive disorders are treated how?
The DSM4 used to think there was an issue with serotonin so we’d treat with an ssri but basically meds, therpy, and combo of the two all work equally poor
Criteria forintermittent explosive disorder?
Twice a week in 3 months without harm; 3 times in the past year with harm
How do we treat intermittent explosive disorder?
SSRIs and group therapy directed at self reflection
again- its an impulse control and destructive disorder so treatment will likely work poorly
What is the difference between arson and pyromania?
Arson: monetary gain
Pyromania: arousal, pleasure, anxiety reduction
Theft vs klepto
Theft= no remorse, planned, object has value and pt cannot afford
klepto= remorse, stashes stolen things away, unplanned wthout help, has no value and pt can afford
What is the treatment for intermittent explosive disorder, pyromania, and kleptomania?
All treated with SSRIs and group therapy. Intermittent explosive disorder may require incarceration if harm involved
How do you differentiate PTSD from ASD?
PTSD= greater than or equal to one month= ptsd
ASD= greater than 3 days but less than a month
How do we treat PTSD and ASD?
Group therapy (best)
If meds; SSRI SNRI (adjunct)
Benzos (if panic attacks)
CBT
How do we treat sleep problems/nighmares in PTSD?
Prazosin
What is the diff between RAD and DSED?
RAD= fail to attach to anyone
DSED= attaches to anyone (disinhibited social engagement disorder)
