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Flashcards in Psych Disorders Deck (69)
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Prion Dz

Time: rapidly progresses over several months, death w/in 1 yr



Cause: Zika virus, targeting progenitor cells



*aka Acute Confusional State, Acute Brain Syndrome, Encephalopathy
ROS: disturbance in awareness and attention; physiological cause, plus cognitive disturbance
Onset: sudden w/ sx that fluctuate
Time: usually resolves w/in 3-7 days


Schizophreniform Disorder

1 or more core psychotic domain symptom
Time: active phase > 1 mo, but total disturbance LESS THAN 6 mo


Alzheimer's Dementia

ROS: significant memory impairment + 1 other cognitive domain, most common type of dementia
Onset: gradual w/ steadily progressive decline
Early: memory, anomia
Middle: agnosias, mood changes
Late: global aphasia, motor dysfunction, death
*cortical atrophy


Schizoaffective Disorder

ROS: actives phase of schizophrenia occur concurrently w/ MDE or manic episode
Time: active phase >2 wks w/o mood sx
Subtypes: BP type (if mania), or depressive type (if depression but no mania)


Antisocial Personality Disorder (ASPD)

*Cluster B
ROS: pervasive disregard for others rights - unlawful acts, deceitfulness, aggressiveness, lack of remorse
Time: must be 18+ for dx w/ evidence of Conduct Disorder before age 15


Histrionic Personality Disorder

*Cluster B
ROS: excessive emotionality - must be center of attention, exaggerated emotions, provocative behavior, rapidly shifting emotions



Symptoms: intrusions, avoidance, negative cognition/mood, altered arousal/reactivity
Features: traumatic stressor exposure may include direct experience of event, witnessing or learning about event to close fam member/friend
Onset: usually w/ in 3mo of trauma
Time: lasts > 1mo


Focal Cortical Dysplasia

Abnml lamination and failure to mature or apoptosis fails, etc., elevated risk of intellectual disability and FDC-associated focal epilepsy
*cognitive deficits are present in FCD at group level but may vary individually



*aka Dementia Syndrome of Depression
ROS: MDD pt often show memory and other cognitive disturbances resembling dementia


Disruptive Mood Dysregulation Disorder

Severe temper outbursts; sad/angry mood daily, rxn is disproportionate to sitch
Onset: pt must be @ least 6yo and sx must begin before age 10
Time: 3X per wk


Factitious Disorder

ROS: fakes/induces sx in absence of "external" reward, inconsistent PMH, histrionic presentation of HPI
Subtypes: on self, on others (by proxy)


Avoidant Personality Disorder

*Cluster C
ROS: inferiority complex - avoids activities for fear of criticism, unwilling to start relationships unless certain of being liked, negative self image, DOES want relationships


Conversion Disorder

*aka Functional Neurological Syndrome
ROS: altered voluntary motor or sensory function, evidence of incompatibility btwn sx and neuro conditions
Time: sudden onset after traumatic stressor, short duration w/o recurrence


Narcissistic Personality Disorder

*Cluster B
ROS: grandios - sense of self-importance, preoccupied w/ success, require admiration, sense of entitlement, lacks empathy with haughty attitude


Illness Anxiety Disorder

ROS: preoccupation w/ having/acquiring a serious illness, no physical c/o but nonetheless worries about their health
Time: >6 months


Obsessive-Compulsive Personality Disorder

*Cluster C
ROS: inflexible perfectionism and control - preoccupation w/ details, perfectionism interferes w/ task completion, rigid/stubborn, over conscientious, "type A" personality, hoarding


Panic Disorder

Unexpected/recurrent panic attacks (intense fear w/ somatic or cognitive symptoms)
Time: > 6 months w/ at least 1 month of panic attacks


Major Depressive Disorder (MDD)

Experiences 1 or > MDE and no h/o mania/hypomania, must have 2 wks of 5 or > SIGECAPS sx's (1 req to be depressed mood OR anhedonia)
Time: persists for 6-12 months
Subtypes: melancholic, atypical, psychotic, anxious, peripartum, seasonal



Recurrent obsessions (intrusive thoughts/urges/images that increase distress), and compulsions (repetitive behaviors/mental acts that are performed to decrease distress)
Subtype: "absent insight"
Tx: SSRI, psychotherapy, deep brain stimulation


Generalized Anxiety Disorder

Persistent uncontrolled anxiety about multiple events
Time: > 6 months


Neuroleptic Malignant Syndrome (NMS)

ROS: tachycardia, HTN, tachypnea, fever, extreme rigidity, delirium, death
Onset: w/in first 2 wks of starting med or increasing dose (of anti-psychotic dec DA levels)


Specific Learning Disability: w/ Reading Impairment

Thickening of left fusiform gyrus, right superior temporal gyrus, rightward plenum temporale lateralization found to contribute to loss of integrity in reading networks



distress about discarding items, hoarding causes significant functional impairment
Subtype: "absent insight"


Somatic Symptom Disorder

ROS: 1 or more distressing/disruptive somatic symptom + abnml or excessive behaviors/thoughts/feelings in response to the distressing somatic sx
Time: > 6mo


Acute Stress Disorder

Exposure to traumatic stressor, PTSD-like symptoms that start an resolve w/in the first 30 days after trauma
Time: lasts 3 days to 1mo post-trauma (< 1 month)



Misplaced gray matter lining lateral ventricles, 6 layers of cortex preserved in the heterotopic nodule so molecular signaling still there to form the 6 layers



Fear of enclosed or open spaces, must have to do with fear of humiliation or inability to escape the embarrassment
Time: > 6 months


Brief Psychotic Disorder

1 core psychotic symptom (delusion/hallucination/disorganized speech), pt returns to full function
Time: LESS THAN 1 mo
Subtypes: w/ or w/o marked stressor