Step 2 Psych 3 (1-4-16)

ruhland1's version from 2016-01-05 01:47

Section 1

Question Answer
maoi to ssri switchdiscontinue for 14 days
SIGECAPSSleep Interest Guilt Energy Concentration Apetite Psychomotor agi/retardation Suicidal ideation
normal bereavementcan occur for up to one year with illusions and halluc as long as patient believes they arent real
dn Achlinked to alzheimers (sx are amnesia aphasia agnosia apraxia)
agnosiainability to recognize things
apraxiainability to perform particular puruporsive actions
delta DAin Parkinsons and Schizo
ADHDdisorganized, not listen, butts into conversation, "explosive at home" initial tx is methylphenydate
ADHD evalalways look out for any co-existing learning disorders
quetiapineatypical antipsycg used in psychosis, bipolar depression
Axis Ipsychiatric disorders
Axis IIpersonality d o
developmental d o Axis II
mental retardAxis II
Axis IIImedical conditions (thyroid, DM, HTN, CLBP, asthma.....O
Axis IVpsychosocial enviro stressors that factor into a altering psychiatric disorders
Axis VGlobal Assessment of Functioning (includes social, ocupational, and psychological functioning)
etoh abuseAxis I
Axis Imood d o, psych d o, anx, delirium, substance abuse
Axis IIborderline personality d o
Axis I II III IV VPsychiatric, Personality/developmental/retard, Medical Conditions, Psychosocial stressors, GAF

Section 2

Question Answer
dissociative fugueindividual experiences traumtic thing suddenly and unexpectedly disappear and cannot seem to recall their past, adopt a new identitiy
depersonalization d oresponse to extreme stress where patient feels that they are elements of external enviroment are impermament and change size and shape and that other people are unreal
dissoc amnesiatraumatic event and memory loss but do not leave home
dissociative identit d o response to trx event and has more than one person inhabiting same individual (aka multiple personality d o )
PTSDresponse to trx that involves reliving the stressful event

Section 3

Question Answer
dissoc fuguepsychodynamic psychotherapy
interpersonal therapyfocus over 1. grief over loss 2. interpersonal disputes 3. role transitions, 4. interpersonal skill deficits
psychodynamic psychotherapuunconvers the unconsicious patterns of interpersonal relationships, conflicts, and deaires with the goal of improved functioning (like looking over childhood experiences, previous relationships, past unresolved conflicts)
cognitive therapyhelp patient identiy and correct distorted, maldaptive beliefs (therapy for a racist, homophobe....)
behavioral therapythought exercises or real experiences to facilitate sx reduction and improved function
CBTMDD, GAD, PTSD, panic d o, eating d o, OCD, insomnia, smoking, CLBP
dialetic behavior therapyfor borderline personality d o