Psycatrivc (R) Flashcards
(47 cards)
what is the criteria for diagnosing autism ?
1- persistent deficits in social communication ans interaction
(A): social-emotional reciprocity
(B): nonverbal complication impaired
(c): difficult making or maintain friends
=all should meet
2- restricted and repetitive patterns in interests :
(A): repetitive speech or movement
(B): adherence to routine
(C): highly restricted and fixed interest
(D): hypo/hyper response to sensory input
= 2 should meet
mainstay of behavioral therapy for autism ?
early intensive behavioral therapy for at least 25hour/week
early at age 2-7 years
first and second line Rx for bipolar ?
1st lithium
2ed lamotrigine
how lithium exerted and what is the adversed effecet ?
by kidney (need renal adjusmint)
many adversed effect : hupothyrosim
oppositional defiant disorder
criteria ?
> 6 month , not only with sibiling , 4 of the next
- angry
-argues
-intionally annoys people
-easly annoyed
-blames others - spiteful
what is tma mangment of oppositional defiant disorder ?
what is the risk if not managed ?
enroll the Pt and parent in CBT
if not managed Pt could progress to conduct disorder
whan to hospitalised Pt with eating disorder ?
-dehydration
- acute food refusal
-vitally unstable
-electrolyte disturbance
-BMI<75%
most common 2 eating disorder ? what is the different in pattern between them ?
1 anorexia nervosa :
thin , rrrrestrict eat , purging behaviour
2 bulimia nervosa :
over Wt , episode of eating , purging behaviour
what is the 2 component of joiner theory of suicide ?
thwarted belongingness
=> alone
perceived burdensomeness.
=> i am not good
what is the earliest sign of autism ?
No babbling at age of 9 month .
when to screen for autism ?
by age 18-24 month for all child .
if child suspect to be autism what other screening test you should order ?
- audiologic screening
- lead level
what is the early signs of autism ?
Parent concern :
-social skill
-communication
-angre
delayed :
- no babbling at 9 month
- no orientation of her name at 12 month
- no pretend play at 18 month
- no tow-word phrases at 2 year
how to dignosed generalized anxiety disorder ?
DSM criteria :
- uncontrolled worry for 6 month (most days) about multiple thing
^affect life quality
^not explained by medical or mental or substance abuse
-somatic symptome (at least 3 ) :
-restlessness
- muscle tension
- sleep disturbance
-fatigue
-difficult concentration
-irritability
what is encopresis ?
causes ?
repetitive voluntary or involuntary pass of stool out of toilet , ( incontact for adult )
think about abuse and stool withholding
how to diagnose depression ?
SIGECAPS
1 major : low mood / lose of interest
4 minor :
Sleep - appetide
fatigue - concentration
guilty - subside
mangment of generalized anxiety disorder ?
1st line:
SSRI (fluoxetine, sertraline,citalopram)
buspirone
B-blocker
benzodiazepines
health promoting dose not help
what is dysthymia ?
persistent depressive disorder >2 year
Pt dignosed with anorexia nervous with indication for hospitlization , what is the complication could happen after introducing food ?
refeeding syndrome
how to dignosed bulimia nervosa ?
episodes of eating followed by compensatory mechanism at least once /week for 3 month
binge eating disorder dignosis ?
large amount of food in short time
at least once/week for 3 month
$$same bulimia nervosa with out compensatory mechanism
most effective treatment of binge eating disorders?
CBT
which mental health disorder has the highest mortality rate ?
anorexia NERVOSA
When and who to screen for anxiety ?
all children from age 8-18
