Psych path 3

Question 1

Delusional disorder

Answer 1

Fixed, persistent, nonbizzare belief system:
Lasting > 1 month
Functioning otherwise not impaired
Example: someone thinks shes married to a celebrity.

*Shared psychotic disorder (folie a deux): development of delusions in a person in a close relationship with someone with delusional disorder–often resolves upon separation

Question 2

Dissociative disorder:

Dissociative identity disorder

Answer 2

Formerly known as multiple personality disorder

Presence of 2 or more distinct identities or personality states

More common in women

Associated with hx of sexual abuse

Question 3

Dissociative disorder:

Depersonalization disorder

Answer 3

Persistent feelings of detachment or estrangement from one’s own body, social situations or environment

Question 4

Dissociative disorder:

Dissociative fugue

Answer 4

Abrupt change in geographic location with inability to recall the past, confusion about personality identity, assumptions of a new identity

Associated with traumatic circumstances (natural disaster, wartime, trauma)

Leads to significant stress or impairment
Not the result of substance abuse or general medical condition.

Question 5

Mood disorder

Answer 5

Abnormal range of moods or internal emotional states or loss of control over them

Severity of mood causes distress and impairment in social and occupational functioning.

1) major depressive disorder
2) bipolar disorder
3) dysthymic disorder
4) cyclothymic disorder.

Psychotic features (delusion/hallucination) may be present.

Question 6

Manic episode: definition

Answer 6

Distinct period of abnormally and persistently elevated, expansive or irritable mood and abnormally and persistently increased activity or energy

Lasting at least 1 wk
Often disturbing to patient

Question 7

Manic episode: diganosis

Answer 7

Dx requires hospitalizaiton or 3 of the following

Distractability
Irresponsibility (hedonistic)
Grandiosis (inflated self-esteem)

Flight of ideas (racing thoughts)
Activity (goal directed) and Agitation
Sleep gone
Talkative or pressured speech

“DIG FAST”

Question 8

Hypomanic

Answer 8

Like manic episode
Except mood disturbance is NOT severe enough to cause marked impairment in social and occupational functioning or to necessitate hospitalization

No psychotic features

Question 9

Bipolar disorder

Answer 9

At least 1 manic (bipolar 1)
or hypomanic (bipolar 2, less worse) episode

Depressive symptoms always occur EVENTUALLY

Pts’ mood and functioning usually return to normal between episodes

Use of antidepressants can lead to mania
High suicide risk

Tx: mood stabilizer (lithium, valproic acid, carbapazepine), atypical antipsychotics.

Question 10

Cyclothymic disorder

Answer 10

Dysthymia and hypomania
Milder form of bipolar disorder

Lasting at least > 2yrs