Psychiatry Questions
Explore questions in the Psychiatry category that you can ask Spark.E!
Do you need depressive episodes to be diagnosed with bipolar 1?
Rapid development of memory loss, executive dysfunction, and behavioral change following a stroke is suggestive of what?
Median age of onset: 16 yo-Rare for onset after 25Frequent in women, lower edu, never married / lives w/ parents
May occur in childhood but peaks in adolescence and early adulthood~75% have panic disorderHigh risk of developing MDD and / or substance use disorder
What are common triggers for conversion disorder?
AgoraphobiaFear/anxiety about ≥2/5 for ≥ 6 mo:-Using public transportation-Being in open spaces-Being in enclosed places-Being outside of the home alone-Standing in line or being in a crowd
Sudden onset of neurological symptoms with examination findings that are not consistent with the pathophysiology of known neurological disease is called what?
Often remit spontaneouslyBut if persists into adulthood, unlikely to remit
AkathesiaSerotonin syndromeSSRI Discontinuation syndrome
Thoughts/BeliefsAvoidance and escape responses-Maintains the fear and dysfunctional thinking patterns
4/13 s/s of:PalpitationsSweatingTrembling/shakingSOBFeeling of chokingCP / discomfortNausea or abd distressDizziness, unsteady, or lightheadednessChills / heat sensationsParesthesiasDerealization / depersonalizationFear of losing control / going crazyFear of dying
Age of onset: 20-30, often 20-24 yo-Rare in kids and after 40 yo78% of initial attacks have no triggerCan have episodic outbreaks w/ years of remission / continuous symptoms
Panic attack + ≥1 mo of one or both of:-Persistent concern / worry about having additional panic attacks or their consequences-Maladaptive changes in behavior r/t attacksTx: Breathing retraining
Fear/anxiety about ≥2/5 for ≥ 6 mo:-Using public transportation-Being in open spaces-Being in enclosed places-Being outside of the home alone-Standing in line or being in a crowd
First line/maintenance therapies for panic disorder
What is this describing: early, insidious short term memory loss, language deficits and spatial disorientation, later personality changes
Excessive anxiety and worry for at least 6 moAssociated w/ 3/6 sx-Restlessness/keyed up/on edge-Easily fatigued-Difficulty concentrating or mind going blank-Irritability-Muscle tension-Sleep disturbance
Organic-CVD-Respiratory: Asthma/COPD-Endocrine: Pheo, carcinoid, hyperglycemia, hyperthyroid-Drug intoxication/withdrawal-Neurological disorders: temporal lobe epilepsy, CVA, trauma, infection
Which personality disorder is this: suspicious, distrustful, hypervigilant
Antidepressants: SSRIs, SNRIs, TCA, MAOIAnti-epileptic: Gabapentin, pregabalinAntihistamines: hydroxyzineBeta blockersBuspironeClonidineBZD: SHORT TERM