Psych Excel Final Copy

8/19/2019 Psych Excel Final Copy

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Disease

Phobias

Visual Hallucinations

Cyclothymic

Impulse control disorder

Dissociative

Bulimia Nervosa

Adjustment Disorder

Delusional Disorder

OCRD hoardin!" e#coriation" trichotill$eperation an#iety disorder

Autism

Panic Disorder

$uicide Increases %&

Addicts

'neuresis

'ncoprisis

Disease

(AD

OCRD trichotillomania" hoardin!" e#co

$ocial Phobia&$ocial An#iety Disorders

OCD

Panic Disorder

P)$D

$eperation an#iety disorder

Acute Delerium in elderly

Delerium

Acute *ania

$leep Apnea

$peci+ic Phobia e#, +ear o+ drivin!" spid

Dementia

A$D

)ourette-s

Re+ractory Bulimia

Per+ormance an#iety


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A.athisia

R'* $leep behavior disorder

Narcoleptics %& cataple#y

$omatic $# Disorder

Conversion

Illness an#iety disorder hypochondriasiODD

Conduct Disorder

$elective mutism

Personality Disorders

Dissociative Disorders +u!ue" amnesia"

Anore#ia Nervosa

Adjustment )herapy

Persistent Depressive Disorder

Cyclothymic Disorder

Bin!e eatin! disorder Depersonali/ation Disorder

*DD

Premature 'jaculation

)obacco

Impulse control d&o Pyromania" Intermi

Insomnia

*aintenance +or *ania&Bipolar

Re+ractory or $evere Depression or Pre!

Restless le! syndrome

Diabetic Neuropathy$leep )errors

P)$D Ni!hmares

Dru!

$$RIs

Atypical anti1psychotics

)ypical anti1psychotics

Amo#apine

Ramelteon

'C)

Dru! (roup

Non1ben/odia/epine an#iolytics

Disease

Personality Disorder

Bereavement 12 Persistent Comple# Ber


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Persistent Depressive Disorder

)ourette-s

$elective mutism

'neuresis

'ncopresis

$e#ual abuse$omatic $# Disorder

$e#ual disorders not caused by Dru!s

ADHD

ODD

$eperation An#iety Disorder

$chi/ophrenia

*ania&Bipolar

Hypomania

Delusional Disorder

(AD

Disease

Panic Attac.s

)ourette-s

Autism

P)$D

$chi/ophrenia

Huntin!tons

OCD

Al/heimer Dru!s

3ithium


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Related Disease

An#iety" *ood and $ubstance Abuse

Delerium" Alcohol 4ithdra%al" Dru! Into#ication" 3e%y Body Dementia

Bipolar" Boderline personality disorder" or $ubstance abuse

$ubstance abuse

Psychotherapy

5leptomania

Acute $tress Disorder&P)$D" Bereavement" *DD

$chi/ophrenia" $ubstance abuse" Dementia&delirium" *ania&hypomania&bipolar

OCD and other OCRDs*DD and Panic Disorder as an adult

Rule out dea+ness

An#iety" *ood and $ubstance Abuse

Depression" Bipolar" $chi/ophrenia

*otivAtional )herapy

Rule out 6)I" diabetes" sei/ures

Rule out constipation" hypothyroidism" anal +issures

Dru!s primary7

$$RIs 8 CB)s

CB) 8 $$RIs

$$RI or CB)

CB) more e++ective" but not appropriate +or all70 $$RIs 9st line7 and Clomipramine

9st line treatment $$RIs0 Immediate relie+ Ben/odia/epines

$$RIs 8 CB)s 0 Pra/osin +or ni!htmares

CB) and $$RIs

I* Hi!h1potency Anti1psychotics Ben/os CI in delerium" e#cept D)s7

Anti1psychotics

Atypical Antipsychotics

CPAP

CB) %& e#posure therapy $ystematic desensiti/ation" +loodin!70 :nd Ben/os" and $$RIs

Choliner!ic a!onists, Donepe/il" !alantamine" rivasti!mine 12 $lo%s decline but cannot reverse

Remedial 'ducation and Behavioral )herapy

A: a!onist clonidine" !uan+acine7" Anti1psychotics haloperidol" risperidone7

)opiramate

B1bloc.ers propanolol7" Ben/os


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Propanolol

Clona/epam avoid in Renal Disorders7

$odium O#ybate

;ollo% up %& primary care0 )ests should be limited but not eliminated

'ducation and reassurance s# %ill improve over time

Remove Psycholo!ical $tressor Psychotherapy

Psychotherapy

Psychotherapy" behavior therapy" mana!ement o+ an#iety

Psychotherapy

Psychotherapy

Psychotherapy0 $$RIs don-t %or. b&c nutritional de+icit in )ryptophan

$upportive Psychotherapy

Psychotherapy 1 $$RIs

Psychotherapy

Psychotherapy$ymptomatic t# +or < depression $$RIs7" an#iety $$RIs" ben/os7

$$RIs0 $$RIs0 12 antidepressant" )CA" *AO1I" Antipsychotics

$$RIs

Varenicline" Buproprion" Nicotine

CB)

CB) 1 Ben/os" Non1ben/o (ABA" $edatin! non1(ABA

3ithium" Valproic Acid" 3amotri!ine" Risperidone

'C)

Ropinirole or pramipe#ole dopamine a!onists70 $econdary 1 (abapentin" opiods" ben/os

)CAsDia/epam 1 small doses

Pra/osin = Ima!ery Rehersal )herapy

Diseases

*DD" OCD" Bulimia Nervosa" Panic Disorder" Diabetic Neuropathy" Premenstrual Dysphoric Disorder

87 s# o+ shi/ophrenia

*DD %& psychotic +# inhibits N' reupta.e" Bloc.s dopamine receptors7

$leep aid 1 *)9 and *): a!onist

Re+ractory or Very $evere Depression or i+ Rapid )# needed

Dru!s

9st !en anti1histamines hydro#y/ine" diphenhydramine7" Buspirone" Propanolol" Barbiturates

)imeline

29 year

29: months

87 = 1 s# o+ schi/ophrenia


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2: years

29 year

9 month

:#&%ee. +or > months 1 a+ter a!e ?

9#&month +or > months 1 a+ter a!e @

2 months o+ duration2 months o+ duration

2 months o+ duration





29 %ee.

2@ days

29 month


Brain

3ocus Ceruleus and Decreased Amy!dala

Caudal Nucleus Atrophy" Decreased +rontal lobe mass

Increased cortical thic.ness" inc0 total brain volume

Decreased Hippocampal Volume

'nlar!ed Ventricles

Caudate Nucleus 8 Putamen

Orbito+rontal corte# abnormalities = $triatum and Caudal Nucleus

Di++use cortical atrophyAvoid

)hia/ides" N$AIDs" Ace1I


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)#,


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111227

$ummary

1> months over in

Adjustment Disorder

$ocial Phobia&An#iety

Acute $tress Disorder


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9 month

$elective mutism

Delusional Disorder

$chi/ophrni+orm

P)$D


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Dysthymic Disorder 1 Venla+a#ine or Buproprion

$$RI = CB) 1 All an#iety disorders e#cept Per+ormance Phobia

(AD

$ocial Phobia&$ocial An#iety Disorders 1 B1bloc.er or Ben/os +or Per+orm&$pea.in!

OCDRD Hoardin!" '#coriation" )richo" Body Dysmorphic7OCD 1 Clomipramine :nd line

Panic Disorder 1 Ben/os immediate relie+

P)$D 1 Pra/osin +or ni!htmares" Clonidine and B1bloc.ers also e++ective +or an!er" ra!e p

$eparation An#iety Disorder

Anti1psychotics not used in psychosis

Delerium 1 'lderly Patients avoid ben/os7

Delerium 1 A'IO6 )IP$

Acute *ania 1 Atypical Antipsychotics

CPAP

$leep Apnea

'#ceptions

Dementia 12 Anti1choliner!ics donepe/il" !alantamine" rivasti!mine7

$peci+ic Phobia 12 CB)" '#posure 12 Ben/os 8 $$RIs

A$D 12 Remedial 'ducation and behavioral therapy

)ourettes 12 a: a!onist clonidine" !uan+acine7 12 antipsychotics halo" resper7

Re+ractory Bulimia Nervosa 12 )opiramate

Per+ormance An#iety 12 B1bloc.ers or Ben/os Propanolol7


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A.athisia 12 Propanolol

R'* $leep behavior disorder 12 Clona/epam avoid in Renal Disorder7

Narcoleptics %& cataple#y 12 $odium O#ybate

$omatic $# disorder 1pain 12 ;ollo% up %& PCP re!ularly

Conversion 12 Reassurance

Illness An#iety Disorder 12 Remove psycholo!ical $tressor Psychotherapy

ODD

Conduct Disorder

$elective *utism 1 %& behavior therapy" an#iety mana!ement

Personality Disorders

Disociative Disorders +u!ue" amnesia" identity disorder7

Anore#ia Nervosa 1 Olan/apine may help

Bin!e1eatin! Disorder

Adjustment Disorder

Persistent Depressive Disorder Cyclothymic Disorder

$$RIs

Depersonali/ation Disorder 1$$RI +or depression" ben/os or $$RIs +or an#iety too

Bulimia Nervosa 1 )opiramate in re+ractory cases

*DD 1 also %& )CA" *AO1I and Antipsychotics

Premature 'jaculation

Varenicline" Buproprion" Nicotine

)obacco

CB)

Impulsive Control Disorders 1 Intermittent '#plosive Disorder" Pyromania" 5leptomaniaInsomnia 1 Ben/os" Non1ben/o (ABA" $edatin! non1(ABA

*ood $tabili/ers, 3ithium" Valproic Acid" 3amotri!ine" RisperidoneCarbama/epine

*aintenance o+ mania&bipolar

'C)

Re+ractory" Pre!nant or $evere *DD

Ropinirole or pramipe#ole dopamine a!onists70 $econdary 1 (abapentin" opiods" ben/os

Restless le! syndrome

)CA

Diabetic Neuropathy

Dia/epam

$leep )errors

2 @ days

Hypomania

1 mo7

ntil 9 mo7


12/21

months

$e#ual Disorder not complicated %& dru!s

ADHD

$chi/ophrenia

$e#ual Abuse

$AD 1 Adults$omatic $# Disorder or illness an#iety or conversion

ODD

(AD

Conduct Disorder

Prevalance

$chi/ophrenia, P 9E" *F ?E" $ 9E

Bipolar, P 9E" $ G1E

OCD % )ourettes, ?E1GE

Delirium R;, Old A!e

Delirium ''(, Bac.!round slo%in!


13/21

nic hyperarousal7


14/21

Pra/osin = Ima!ery Rehersal )herapy

P)$D

9 %ee. 2: %ee.s

*ania&Bipolar ># *DD ?# %& either Anhedonia or Depression

Brie+ Psychotic Disorder $AD 1 Children 2@ %ee.s

$chi/oa++ective


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9 year : year

Persistent Comple# Bereavement Disorder Persistent depressive disorder 1 Adult

)ourettes-s Cyclothymic Disorder

Personality Disorder

Persistent Depressive Disorder 1 Child


16/21

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17/21

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;riday

Psych 3ecture

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20/21

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Psych Excel Final Copy