PsychPANCE

All mental disorders, including substance abuse and developmental disorders

Personality disorders and mental retardation

Any general medical condition or physical disorder

Psychosocial and environmental situations that contribute to the disorder (homelessness, economic difficulties)

The global assessment of function, a rating system designed to assess the level of daily functioning based on social, occupational, and psychological assessment

characterized by disorganized speech or behavior and flat or inappropriate affect

motor immobility, excess motor activity that is without purpose, extreme negativism or mutism, perculiarily voluntary movement, and echolalia or echopraxia

mimicking sound

mimicking behavior

negative sx predominate

late onset, acute onset, obvious precipitating factor, presence of positive sx

functional decline, social withdrawal, and irritability

• occurs between psychotic episodes
• blunted affect, odd thinking or behavior, and other negative sx

At least two sx present during a 1 month period, and continuous signs of disorder persisting for at least 6 months

blunted affect, poor posture, lack of goal-directed activities or initiative

• combo of antipsychotic drugs and psychosocial treatment
• second generation antipsychotics
• Second line: clozapine, or haldol

clozapine

4-6 weeks

meets criteria for major depressive episode, manic episode, or mixed episode, during which criteria for schizophrenia are also met

GI, reproductive, or neurologic sx, in addition to pain

• monthly scheduled visits with health care provider; group and individual psychotherapy
• minimize secondary gain and medications

the face

SSRIs, tx of any coexisting depression or anxiety disorder (depression m/c)

one of more neurologic complaints that cannot be confirmed clinically

shifting paralysis, blindness, and mutism

conversion disorder, pts display an unexpected lack of concern and indifference to their sx

• insight-oriented or behavioral therapy is first line
• hypnosis, anxiolytics, relaxation therapy

• group and insight-oriented psychotherapy
• regularly scheduled appointments with provider

SIGECAPS x 2 weeks, and not the result of bereavement

an abnormally and persistantly elevated, expansive, or irritable mood that lasts for at least 1 week

at least four continuous days of an abnormall and persistantly elevated, expansive, or irritable mood where social and occupational functioning are not affected, nor is hospitalization needed

15%

GI upset, HA, sexual dysfunction

• caused by MAO and SSRI combo
• acute mental status changes
• restlessness
• diaphoresis
• tremor
• hyperthermia
• coma and death

the occurence of one or more manic or mixed episodes, which often cycle with depressive episodes

At least one or more major depressive episodes, and at least one hypomanic episode, but pt has never experienced a manic or mixed episode

chronic, persistent, mild depression that is manifested b pessimism, brooding, loss of interest, decreased productivity, feelings of inadequacy, and social withdrawal

pt is in depressed mood for most of the day, for more days than not, for at least 2 years

• moody, erratic, impulsive, volatile
• alternating periods of severe depressive episodes and hypomania over a two year period

maladaptive behavioral or emotional sx that develop within three months after a stressful life event and end within 6 months of an event

individual psychotherapy

• lifelong pattern of voluntary social withdrawal, seen as eccentric and reclusive
• quiet, unsociable, restrained affect

• group therapy and psychotherapy
• low dose, short term antipsychotics or antidepressants for comorbidity

• pervasive pattern of eccentric behavior and peculair thought patterns
• person is seen as strange and eccentric
• Pt experience delusions of grandeur

• psychotherapy (social skills training) is Tx of choice
• short course of low dose antipsychotics, antidepressants, or benzos

psychotherapy with social skills training, behavioral therapy, individual and group therapy

• sadomasochistic: looking to humiliate more than hurt
• sadistic: looking to hurt

• acute stress disorder lasts < 1 mo, PTSD can last longer
• acute stress disorder: sx have to develop within 1 mo of event; in PTSD, they can develop at any time

pts < 85% of expected body weight

• hospitalize if < 20% below body weight
• therapy
• certain antidepressants if depression is present
• using drugs with appetite stimulant or weight gain

strattera

Severe sx within 2 months, all sx within 1 year