Health Status And Determinants

What is the percentage of physical Approximately 70 illness that is due to individual patterns of living (eg, lack of exercise, poor dietary choices, and smoking) What are the primary determinants Education level of socioeconomic status Income Which socioeconomic group tends to delay seeking health care and present with more progressive illnesses People of low socioeconomic status due to lack of funds for health care Which gender is most likely to seek medical care Which gender has the lowest...

Clinical Vignettes

You are the third-year medical student on the psychiatry consult service. You and your resident are called to the ER for a patient who was recently admitted to the inpatient psychiatry service for depression and suicidal ideation. While in the hospital, he complained of having trouble sleeping and was given a medication to help both his depression and sleep problems. The patient also received a prescription for this medication when he was discharged. He now presents to the ER with a 3-hour...

Other than primary psychotic disorders what other types of psychiatric illness often manifest psychotic symptoms

Brief psychotic disorder (< 1 month of symptoms) 2. Schizophreniform disorder (1 to 6 months of symptoms) 3. Schizophrenia (> 6 months of symptoms) Mood disorders Major depression or manic episodes may include psychotic symptoms, but only during a mood disturbance. Substance use Acute intoxication (especially with cocaine, lysergic acid diethylamide LSD , phencyclidine PCP , and amphetamines) or withdrawal (especially alcohol). Anytime a patient has tactile hallucinations, you should think...

Psychopathology

What is the most common psychiatric illness of the elderly What factors can lead to depression in the elderly What common disease process involving cognitive decline may mimic depression in the elderly What three methods can be used to successfully treat depression What changes in sleep patterns occur in the elderly Less cerebral blood flow Decreased brain weight Enlarged ventricles and sulci Increased amount of senile plaques and neurofibrillary tangles (also found in older brains from...

Jean Piagets Theory of Development

Which stage of development is characterized by infants and toddlers focusing on their eyes, ears, hands, and other senses Sensorimotor period from birth to age 2 years Which stage of development is characterized by children acquiring representational skills in the area of mental imagery and language Which stage of development is characterized by children being more logical, flexible, and organized than in early childhood Which stage of development is characterized by being able to think...

What are the important nonpsychiatric differential diagnoses for panic disorders

A panic disorder develops when the patient has recurrent panic attacks and has anticipatory fear about future panic attacks. Yes. Evidence does support an upregulation of adrenergic output responsible for stimulating anxiety centers in the brain which predisposes certain people to panic attacks. Agoraphobia. Patients have anticipatory fear which prevents them from venturing outside alone. Cognitive behavioral therapy including relaxation techniques SSRIs (first-line) Tricyclic antidepressant...

What is downward drift

There is no difference in the prevalence of schizophrenia between men and women however, the age of onset is affected. Men tend to develop it between 15 and 25 years of age and women between 25 and 35 years of age. Having a first degree relative with schizophrenia increases a patients' risk of schizophrenia tenfold. Being born in the cold winter months or in an area of high population density have also been associated with increased risk (though less so). This is the tendency of schizophrenics...

What are the symptomsdiagnostic criteria of dependent personality disorder

Social phobia, specific phobia, and agoraphobia Psychotherapy and assertiveness training, SSRIs, Beta-Blockers Patients are passive and may let others direct their lives and make important decisions. (Think Bill Murray's character in What about Bob ) Five or more of the following Inability to make decisions without advice Refusal to assume responsibility Has difficulty expressing disagreement Difficulty initiating projects Need for excessive nurturing and support Feelings of discomfort and...

Psychoanalytic Theory

What are the two major theories of the mind developed by Freud 1. Topographic theory of the mind includes three parts 2. Structural theory of the mind also known as the tripartite theory Which part of Freud's topographic mind contains information that one is unaware of, but can be accessed with prompting Which part of the mind contains thoughts of which a person is aware The conscious this part of the mind has no access to the unconscious. The unconscious includes what we are not aware of such...