1. This document discusses various anxiety disorders, mood disorders, impulse control disorders, and psychotic disorders. It provides diagnostic criteria and treatment recommendations for conditions like generalized anxiety disorder, panic attacks, obsessive-compulsive disorder, post-traumatic stress disorder, depression, bipolar disorder, and schizophrenia.
2. Key symptoms and treatments are outlined for additional disorders such as specific phobias, kleptomania, anorexia, and body dysmorphic disorder. Medications like SSRIs, SNRIs, benzodiazepines, lithium, and antipsychotics are commonly used as well as psychotherapy.
3. Diagnostic tests that may be useful include blood tests, CT scans, and
Original Description:
My Psychiatry notes while preparing for the Psych exam in medical school.
1. This document discusses various anxiety disorders, mood disorders, impulse control disorders, and psychotic disorders. It provides diagnostic criteria and treatment recommendations for conditions like generalized anxiety disorder, panic attacks, obsessive-compulsive disorder, post-traumatic stress disorder, depression, bipolar disorder, and schizophrenia.
2. Key symptoms and treatments are outlined for additional disorders such as specific phobias, kleptomania, anorexia, and body dysmorphic disorder. Medications like SSRIs, SNRIs, benzodiazepines, lithium, and antipsychotics are commonly used as well as psychotherapy.
3. Diagnostic tests that may be useful include blood tests, CT scans, and
1. This document discusses various anxiety disorders, mood disorders, impulse control disorders, and psychotic disorders. It provides diagnostic criteria and treatment recommendations for conditions like generalized anxiety disorder, panic attacks, obsessive-compulsive disorder, post-traumatic stress disorder, depression, bipolar disorder, and schizophrenia.
2. Key symptoms and treatments are outlined for additional disorders such as specific phobias, kleptomania, anorexia, and body dysmorphic disorder. Medications like SSRIs, SNRIs, benzodiazepines, lithium, and antipsychotics are commonly used as well as psychotherapy.
3. Diagnostic tests that may be useful include blood tests, CT scans, and
GAD (inappropriate to stressor) 6months, 3 of (irritab, muscle They feel better after doing tension, restless, easily fatigue, act. difficulty sleeping or concentrating) Tx. SSRI > Mood Tx. Psychother!!! > pills stabilizers. and Group control state with SSRI (if u are to Therapy use pills PYROMANIA PHOBIA Acts to v Anxiety or SPECIFIC Pleasure (sexual arousal CBT even). Flooding (pills to r/o Arson control anxiety) ** if you set fire for Desensitation (pills revenge, its Intermittent to control anxiety) explosive! not pyromania! SOCIAL (its not pleasure or stress CBT reducing) B-Blockers! no real treatment > Jail KLEPTOMANIA (mostly women) PANIC ATTACKS Act to reduce anxiety Palpitations (similar to OCD) linked to abd pain/ distress Bulimia! nausea Sees object = anxiety intese fear of death Steels object= v anxiety chest pain/tightness Dx. r/o theft!! profound dyspnea Kleptos usually steel the #1 r/o medical conditions: same object (if hx of P.attacks unknown) Tx: SSRI, then CBT ECG + troponin Trichotilomania (mostly women) Asthma pulls out hair (v anxiety) TSH (hyperthy) r/o fungus (KOH) Drugs (spec r/o Allopecia cocaine) Tx. SSRI if hx of P.attacks known: f/u: Bezoar (abd pain) do KUB (eats ( F 20yr (no med hair, clogs bowel) conditions)) #1 ABORT- Benzos MOOD DISORDERS #2 CONTROL- MAYOR DEPRESSION causes loss of SSRI!! > functioning. psychothe(may Dx: improve SSRI) Depressed mood or f/u Agoraphobia loss of interest OCD + Suicide or 4 of OBSESSION= thought (provoke symptoms below anxiety) Sleep,Guilt, COMPULSIONS= action (reduce Energy, anxiety) Concent, TX. SSRI! or Clomipramine (tca) > Appetite/w Desensitation eight, PTSD psychomot * life threatning event (seen, or or. experienced) TYPICAL: 1-Anhedonia LESS of all, 2-hypervilance except 3-avoidance Guilt 4- Flashbacks (daydreams, typical is a shorter word, so nightmares) is less. > 1 month ATYPICAL < 1 month = Acute stress Same but disorder sleep, Psychotherapy!!!! >SSRI (to help appetite with anxiety) Dx. do all bellow! TYPICAL= IMPULSE CONTROL SSRI ATYPICAL= to have hallucinations even with SNRI treatment. Therapy The 3 phases must total to 6m. very Two or more of the following must be helpful! present 1month: 1. Delusions2. Best= Hallucinations 3. Disorganized speech 4. ECT!! Grossly disorganized or catatonic behavior (amnesia/st 5. Negative symptoms (such as flattened igma) affect) f/u hypoth, rheuma, anemia, chronic CT scan of the head- shows enlargement of pain ventricles and diffuse cortical atrophy. DYSTHYMIA Schizophrenics usually have good memory no loss of function and orientation!! Dx. r/o suicide and mayor concrete understanding of proverbs depressive Better prognosis: Tx. SSRI presence of more positive symptoms ADJUSTMENT DISORDER: Acute onset within 3mo of stressor, lasting no Worse prognosis more than 6mo after stressor ends more negative symptoms ^anxiety or ^depression or gradual onset ^disturbed behavior. family hx If the full criteria of MDD is met, it antipsychotic meds = neuroleptics!! is NOT adjustment dis MANIC DISORDERS R Schizotypal BIPOLAR (personality disorder)paranoid, Type1: Mania odd or magical beliefs, eccentric, Type2: Hypomania +Mayor lack of friends, social anxiety. Depress Criteria for true psychosis are not Mania: DIG FAST met. Schizoid(personalitydisorder) (Distractable, Insomnia, -withdrawn, lack of enjoyment from Grandiosity, flight of social interactions, emotionally ideas, agitated, sexual restricted exploits, talkative (extremely)) DILUSION Tx of Mania: Mood A firm belief that is false but stabilizers ( plausible (non-bizarre) does not Lithium best! if not affect functioning. lamotrigine, Seen more in 40yrs, immigrants valproate and hearing impaired. CYCLOTHYMIA (variant of Bipolar) (no funct loss) EATING DISORDERS Hypomania + dysthymia + ANOREXIA: NO loss of funct! (super Can have binge and productive) vomiting, but WILL always Dx. r/o bipolar have low body weight Tx. Mood stabilizers (15% below normal) Can be treated as outpatients unless >20% SCHIZOPHRENIA below ideal weight Tx. Behavioral and family Prodromal become socially therapy and supervised withdrawn and irritable. May have weight programs. physical complaints and/or Antidepressants that newfound interest in religion or the hunger (paroxetine, occult. mirtazapine) can help. Psychoticperceptual BULIMIA NERVOSA disturbances, delusions, and have normal body weight disordered thought process/content Their symptoms are ego- 1month dystonic(distressing) ResidualIt is marked by flat binge/compensate cycle affect, social withdrawal, and odd must occur 2 times a week, thinking or behavior (negative for 3 months. symptoms). Patients can continue Tx. psychotherapy and PP DEPRESSION: SSRI does not care about baby, will neglect, but not DEATH actively injure. w/1mo Grief vs depression: Tx. needs treatment! Grief does NOT have PP PSychosis Suicide ideas Fear of baby, baby will hurt Grief symptoms come and me so I must kill it!!. go, are not persistent w/1mo no impaired fxn (so no Tx. mood stabilizers(if need for SSRI) mayor depressive is Grief lasts <1yr. although predominant), usually <2mo antipsychotics (for both have psychotic psychotic features) features (hearing, seeing the departed) ADDICTION: Grief usually has insight, know its Abuse: using drug inappropriately impossible. Dependence Depression- can have conversations ALCOHOL: with departed. no Intoxication: insight. give Naloxone, Thiamine, D50 Depression: (glucose) (must give thiamine for persistent, the Glucose to be used!!) +suicide, >1yr, Withdrawal: impaired fxn (need HTN + Tachycardia (1st sign) SSRI) Anxious depression should be tx DX. Benzodiazepines taper, then quickly cause it wont get prn Benzos better and can lead to Wiernickes: reversible suicide. Korsakoffs= irreversible Dx. Group therapy! POST-PARTUM BABY BLUES: Benzo intox give flumazenil sad, but cares about baby, w/2weeks. Excited Tx. reassurance