Psychosomatic Medicine Flashcards
What are the psychological factors affecting medical conditions?
Mental disorder Psychological sxs Personality traits/coping style Maladaptive health behaviors Stress-related physiological response Other psychological factors
What’s the measurement method used for stress-induced psychiatric/mental illness risk?
Social Readjustment Scale
Delirium = what?
Encephalopathy
Which class of psych medications has the highest incidence of GI disturbance? Why?
SSRIs d/ their disturbances to serotonin
TCAs are what, based on SEs including constipation and dry mouth?
Anticholinergics (affects/inh on muscarinic Rs, inh parasymps)
Define stress.
Circumstance that disturbs, or is likely to disturb, the normal physiological and/or psychological functioning of a person
Stimulation of ANS (sympathetics)
What’s a common psychiatric sx of DM?
Depression
Pt presents w/ excessive thirst, polydipsia, stupor, seizures.. and perhaps coma. What psychiatric sxs would you expect in this pt?
Confusion, lethargy, personality changes
Pancreatic carcinoma is associated w/ what psychiatric sx?
Depression
Pt has lost their sense of smell and ability to form speech. Mood changes, impaired judgement are also seen. Likely dg?
Frontal Lobe Tumor
Tx options for stress management?
Daily diary
Relaxation exercises
Hypnosis
Cognitive restructuring (substitute negative assumptions for positive ones)
What’s the most common cause of confusion or disorientation among hospitalized pts? Presentation and likely cause?
Delirium
- quick onset
- medications or infections
Is Delirium reversible?
Yes
What should you NEVER prescribe elderly hospitalized pts?
Benzodiazepines
Define delirium.
Reversible, acute onset of IMPAIRED cognition, attention, consciousness, perception, sleep patterns
