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What are the diagnostic ccriteria for Major Depressive Disorder?
- Sad Moor or Loss of Interest + 4 symptoms (SIGECAPS)
- Present for at least 2 weeks
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What are the diagnostric criteria for Dysthymia?
At least two symptoms from SIGECAPS for at least 2 years.
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What are the diagnostric criteria for Adjustment Disorder?
Signs and symptoms of a mood disorder within 6 months of a social stressor which do not meed full criteria for Major Depressive Disorder (MDD).
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What are the diagnostric criteria for Bereavement?
Signs and symptoms of depression within 2 months of the loss of a loved one which last not more than 2-3 months.
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How does Bipolar Type 1 differ from Bipolar Type 2?
- Type 1 --> Mania
- Type 2 --> Hypomania
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What are the diagnostric criteria for a Manic episode?
- Persistentlyelevated / expansive / irritable mood
- >1 week or that result in hospitalization
- 3 or more of DIGFAST
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What are the diagnostric criteria for a Hypo-Manic episode?
- Level of function that is different from baseline but does not cause a marked impairment in funciton.
- Symptoms of >4days
- Cannot have psychosis
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Define the term Positive Symptoms as it applies to Schizophrenia and list some of the most common positive symptoms.
- A symptom which is an added factor of the disease.
- Delusions, Hallucinaitons, Disorganized Speech / Behavior
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Define the term Negative Symptoms as it applies to Schizophrenia and list some of the most common positive symptoms.
- Soemthing that is lacking.
- Flat Affect, Alogia, Avolition
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What are the diagnostric criteria for Schizophrenia?
- 2 or mote Positive or Negative Symptoms
- * note * only one if delusions are bizarre
- Symptoms present for >6 months
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What are the diagnostric criteria for Schizoaffective Disorder?
MixedPsychotic and Mood features but the positive psychotic features must be presentduring times when the patient is not depressed
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What are the diagnostic features for a Brief Psychotic Disorder?
Psychosis lasting more than 1 day but less than 1 month.
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What are the diagnostic criteria for Schizophreniform Disorder?
Psychotic symptoms of >1 month but <6 months.
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How do the disorders of Brief Psychosis, Schizophreniform, and Schizophrenia differ?
- Ther are all characterized by psychotic features of varying lengths
- Brief Psychosis - >1 day, <1 month
- Schizophreniform - >1 month, <6 months
- Schizophrneia - > 6 months
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How do the disorders of Schizoaffective and Mood Disorder with Psychotic Features differ?
- In Schizoaffective, the psychosis is present with or without depressive symtoms.
- In Mood Disorder with Psychotic Features, psychosis is only present during periods of depression
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What is a panic attack?
Sudden,brief, extremely intense, 20-60 minutes with somatic components (palps,sweating …) and mental (fear of losing control / going crazy
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How do Acute Stress Disorder and Post-Traumatic Stress Disorder differ?
- Acute Stress - < 1month
- PTSD - > 1 month
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In disorders of anxiety associated with trauma, what features are normally seen?
- Fear of personal injury
- Re-experiencing – intrusive thoughts, drams, thoughts, feelings
- Avoidance – people, things, thoughts, feelings, dissociation, detachment
- Arousal – insomnia, hyper vigilance, anger, hyper startle, poor concentration
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What are the diagnostic criteria for Generalized Anxiety Disorder?
- >6 months of more days than not
- Excessive worries about multiple activities causing impairment
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What are the diagnostic criteria for Obsessive Compulsive Disorder?
- Obsessions– ego-dystonic, persistent and intrusive thoughts à distress
- Compulsions - that are designed to cope with the obsessions
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What are the three clusters of personality disorder?
- Cluster A - Odd and Eccentric
- Cluster B - Dramatic and Emotional
- Cluster C - Avoidant and Dependent
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Define the term Personality Disorder.
- Enduring pattern of inner experience and behavior
- Marked deviation from cultural norms
- Starts in adolescence and are pervasive, inflexible, and stable over time
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What are the Cluster A Personality Disorders?
"The Weird"
- Paranoid
- Schizoid
- Schizotypal
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What are the Cluster B Personality Disorders?
"The Wild"
- Antisocial
- Borderline
- Histrionic
- Narcissistic
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What are the Cluster C Personality Disorders?
"The Worried"
- Avoidant
- Dependent
- Obsessive Compulsive
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Describe Paranoid Personality Disorder.
Distrust and suspiciousness
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Describe Schizoid Personality Disorder.
- Loners with a restricted range of emotions
- night-shift at the post office ...
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Describe Schizotypal Personality Disorder.
- Eccentric,odd, paranoid, symptoms to not remit
- The "crazy" hermit in the house down the street ...
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Describe Antisocial Personality Disorder.
Serial Killers
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Describe Borderline Personality Disorder.
- Fear of abandonment leading to acting out and unstable relationships with a high degree of impulsivity (cutting, suicides, sex,drugs)
- Think of Angelina Jolie in the movie Girl Interrupted ...
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Describe Histrionic Personality Disorder.
- Flashy, excessively emotional, needs to be the center of attention
- Most of Hollywood ...
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Describe Narissistic Personality Disorder.
- Grandiosity with need for attention and lack of empathy
- Anyone in Hollywood who is not Histrionic ...
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Describe Avoidant Personality Disorder.
S ocially inhibited, want interactions but hypersensitive to rejection
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Describe Dependent Personality Disorder.
clingy and need to be taken care of
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Describe Obsessive Compulsive Personality Disorder.
- preoccupationwith orderliness, perfectionism, and control not to avoid obsessions butbecause that is how they should be
- Most Neurologists ...
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