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8 Cards in this Set

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Schizophrenia Diagnostic criteria
>6 months; 2 or more of:
Delusion
Hallucination
Disorganized speech
Disorganized Behavior
Negative symptoms (4As)
Social/occupational dysfunction
(Exclude other mental d/o, substance/medical excluded)
Shizophrenia vs. Schizophreniform vs. Brief Psychotic D/O vs Schizoaffective d/o vs delusional d/o
Schizophrenia >6mo
Schizophreniform >1mo <6mo
Schizoaffective d/o: maj dep. manic, mixed w/ sx of Schizophrenia
Delusional d/o: non-bizarre delusions, high function
Brief psychotic d/o: >1day <1month
Subtypes of Schizophenia
Paranoid: does not require paranoia
Undifferentiated: poor prognosis (can tell something wrong)
Disorganized: poor prognosis (VERY low functioning)
Residual: absence of del, hall, disorg. speech/behav
Catatonic: motoric immobility (consider EPS too)
Clozapine in schizophrenia
D2 blocker but Serotonin increase seems to help symptoms too
Tx of SCP
Tx underlying cause of sx
Correct diagnosis imperative for correct tx
Symptom management & improve functioning, no cure
Family support key
Pharm; ECT (refractory); Psycosocial (CBT = Cog-Behav Therapy)
GAD Diagnosis
CRIMES: 3 of 6 >6mo (children 1 of 6)
C: Concentration (difficulty)
R: Restlessness
I: Irritability
M: Muscle tension
E: Easily fatigued
S: Sleep disturbances
MDD vs Dysthymia
SIG E CAPS D
MDD: 5 symptoms w/in 2 wks
Dysthymia: 2 symptoms >2yrs w/o resolution for >2mo
Bipolar 1 vs Bipolar 2
Type 1 vs Type 2:
1) Full depressive episodes w/ full manic episodes
(One manic episode is enough: DO NOT NEED DEPRESSIVE EPISODE TO DIAGNOSE Propose treatment w/ one manic episode)
2) Full depressive episodes w/ hypomanic episodes