Kstevick1386 Shared "psychiatric disorders" - 15 Picmonics
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psychiatric disorders
Bipolar Disorder Assessment
- Mechanism
- Neurotransmitter Dysregulation and Genetic Factors
- Mania Signs and Symptoms
- Euphoric Mood
- Nonstop Physical Activity
- Flight of Ideas
- Rapid Speech
- Depression Signs and Symptoms
- Mood Changes
- Sad Affect
- Psychomotor Retardation
- Suicidal Thoughts
2 mins
Bipolar Disorder Interventions
- Drug Therapy
- Lithium
- Valproic Acid (Valproate)
- Lamotrigine
- Manic Episode
- Hospitalization
- Nutrition
- Hygiene
- Depressive Episode
- Monitor for Vegetative Signs
- Suicide Precautions
2 mins
Bipolar Disorder Pharm
- Lithium or Valproate: First line
- Frequent Relapse: Add antiepileptics or antipsychotics
- Kidney failure: Valproate
- Pregnancy
- Lithium and Lamotrigine ok
- Valproate and Carbamazapine contraindicated
- Lamotrigine more useful for bipolar depression
- Lithium best for mania
Lithium
- Mechanism of Action
- Mood Stabilizer
- Unknown Mechanism
- Indications
- Bipolar Disorder
- Side Effects
- Nephrogenic Diabetes Insipidus
- Hypothyroidism
- Tremor
- Heart Block
- Contraindication
- Pregnancy
- Considerations
- Monitor Plasma Levels
2 mins
Mood Disorders and imitators
- Dissociative disorders (not true mood disorders)
- Acute stress disorder
- PTSD
- Dysphoria after a TRIGGER (not true mood disorder)
- Grief
- Adjustment disorder
- Post-partum blues
- Actual Mood Disorders
- Major depressive disorder
- Mood disorders with Mania
- Manic/Hypomanic episodes
- Bipolar 1 disorder
- Bipolar 2 disorder
- Cyclothymia
- Any mood disorder can present with psychotic features
- Dysthymia (persistent depressive disorder)
Mood Disorders (other)
- Major Depressive Disorder (MDD)
- Persistent Depressive Disorder (PDD, Dysthymia)
- Seasonal Affective Disorder (SAD)
- Tx: Phototherapy
- Atypical Depression: Leaden Paralysis, Rejection Sensitivity
- Tx: Phototherapy, MAOIs
- Postpartum Blues (< 10 days) vs. Depression
- Postpartum Psychosis
- Risk Factors: Bipolar Disorder, 1st Pregnancy
- Tx: Hospitalization + SGAs (Risperidone)
- Depression with Insomnia
- Tx: Trazodone, Mirtazapine
- Monoamine Hypothesis: Dec. 5-HT, NE, DA
Obsessive-Compulsive Disorder (OCD)
- Assessment
- Repetitive and Intrusive Thoughts
- Suppressed by Thought or Action
- Interferes with Daily Functioning
- May or May Not Be Aware
- Interventions
- Cognitive Behavioral Therapy (CBT)
- Selective Serotonin Reuptake Inhibitors (SSRIs)
- Clomipramine
- Venlafaxine
3 mins
Clozapine (Clozaril)
- Mechanism
- Atypical Antipsychotic
- Indications
- Schizophrenia
- Levodopa-Induced Psychosis
- Side Effects
- Weight Gain
- Hypersalivation (Sialorrhea)
- Myocarditis
- Agranulocytosis
- Sedation
- Orthostatic Hypotension
- Constipation (Risk of Bowel Ileus)
- Considerations
- Weekly Lab Tests
2 mins
Antipsychotics Overview
- Generations
- Typical
- Atypical
- Mechanism
- Blocks D2 Receptor
- 2nd Generation Blocks the 5-HT 2 Receptor
- Indications
- Psychosis
- Delirium
- Bipolar Disorder
- Tourette’s Syndrome
- Side Effects
- Hyperprolactinemia
- Extrapyramidal Symptoms
- Tardive Dyskinesia
- Neuroleptic Malignant Syndrome
4 mins
Schizophrenia
- Increased Dopamine
- Young Adult (20-30 Years)
- Positive Symptoms
- Delusions
- Hallucinations
- Disorganized Speech
- Disorganized Behavior
- Negative Symptoms
- Flat Affect
- Anhedonia
- Poverty Of Thought/Speech
- Declining Mental Function
- Any 2 sx at least one from 1-3
- Rule out drug
- Antipsychotics
- Increased Serotonin
- Decrease Of GABA
- chart
Schizophrenia Assessment
- Positive Symptoms
- Hallucinations
- Delusions
- Associative Looseness
- Negative Symptoms
- Flat Affect
- Poverty of Thought
- Absence of Something that Should be Present
- Cognitive Symptoms
- Illogical Thinking
- Impaired Judgment and Memory
- Affective Symptoms
- Dysphoria
2 mins
Schizophrenia Interventions
- Drug Therapy
- Antipsychotics
- Interventions
- Build Trust
- Assistance with Self-care
- Reality Testing
- Monitor for Neuroleptic Malignant Syndrome
- Monitor for Tardive Dyskinesia
- Family Therapy
2 mins
Child and Elder Physical Abuse Assessment
- Physical Abuse
- Inconsistent Injuries
- Delay in Treatment
- Various Stages of Healing
- Child Abuse
- Symmetrical Burns
- Sexually Transmitted Infection
- Bloody/Torn Undergarments
- Shaken Baby Syndrome
- Elder Abuse
- Poor Hygiene
- Overmedication
2 mins
Substance Use Disorder Assessment (Formerly Substance Abuse Assessment)
- Changes in Mood
- Poor Hygiene
- Odd Sleep Patterns
- Frequent Injuries
- Relationship or Job Difficulty
- Poor Performance
- Anorexia OR Weight Loss
- Social Isolation
- Financial Problems
2 mins
Alcohol Use Disorder Assessment (Formerly Alcohol Abuse Assessment)
- Intoxication
- CNS Depression
- Withdrawal
- Wernicke-Korsakoff Syndrome
- Medical Complications
- GI Distress
- Cardiomyopathy
- Pancreatitis
- Cirrhosis
- Immunosuppression
- Sexual Dysfunction
- Considerations
- Screening (Assessments)
3 mins
