Psychology Flashcards
(7 cards)
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
According to symptoms, personal and familiar history reported, which of the following diagnosis would be more suitable with the patients condition?
Major depressive episode
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
Which of the following factors best supports the need for therapeutic intervention in this patient?
Hindered productivity
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
What risk factors can be identified that testify for a diagnosis of a proven psychiatric disorder in this patient?
Answers A, B and D are correct (Hindered productivity, duration of symptoms and family history of mood disorders)
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
Which of the following is the best course of treatment for this patients condition?
Antipsychotics
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
Which of the reported symptoms suggest being cautious in introducing an antidepressant drug in this patient?
Anxiety
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
Which of the following additional symptoms should be carefully assessed in this patient?
Loss of appetite
A 48 year old woman, without major medical comorbidities presents with a 3 month history of worsening insomnia and anxiety without any previous psychiatric problems but wit a family history of mood disorders. She says that she has an important job meeting in the next few weeks for which she has to put in many hours of work each day. Despite the urgency of her circumstances, she states that she is unable to focus and concentrate, is anxious, irritable and has lost interest in almost all activities. She also says that she has trouble falling asleep and wakes up several times during the night. She claims that her current emotional state (i.e. not enjoying anything, irritability and anxiety) has severely hampered her productivity and is a major problem for her. She denies hearing voices, abnormal thoughts, or any other psychotic symptoms.
Which of the following organic conditions could be considered among the possible reasons for the onset of such clinical picture in this patient?
Menopause
