dsm - Delirium * decreased attention *altered memory,...

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Delirium * decreased attention *altered memory, orientation, language, mood, perception *Rapid evolution several hours to days! *suspect UTI, alcohol/sedative withdrawl, or Rx. toxicity (elderly) *Acute Brain Failure: treatable!
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Dementia *Slow evolution of multiple cognitive deficits *Impaired memory *Personality Disturbance *Alzheimer’s type: 40 < x <90 yo
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Schizophrenia (Dementia praecox) *2+ x 1 month: delusions hallucinations disorganized speech negative symptoms *Social/occupational dysf(x) in one or more areas with below-average achievement *Exclusion of… Schizoaffective/ mood d/o Substance/medical *Duration= ≥6 mo continuous
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Schizophreniform Disorder *2+ x 1 month delusions hallucinations disorganized speech negative symptoms function preserved absence of blunted/flat affect *Exclusion of… Schizoaffective/ mood d/o Substance/medical *Duration= 6 mo > x > 1 mo
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Brief Psychotic Disorder *Presence of 1+ Delusions Hallucinations Disorganized speech Disorganized or catatonic β * Duration= 1 mo > x ≥ 1 day *Eventual return to normal f(x)
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Schizoaffective Disorder * Major Depressive, Manic or Mixed s/s w/ s/s of schizo superimposed episodes PLUS 2+ x 1 ≥ month : delusions hallucinations disorganized speech negative symptoms *same period Delusions/hallucinations ≥2 wks ( withou t above mood symptoms) *Mood symptoms present for substantial period of time (Bipolar type) (Depressive type)
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Delusional Disorder * Non-bizarre delusions x ≥1 mo *No features of Schizophrenia met *F(x)ing not markedly impaired *Behavior not obviously odd or bizarre *Mood symptoms, if present, only brief *types: erotomanic (love another), grandiose (think diety), jealous (wife cheating), persecutory
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Major Depressive Disorder * 5+ during same 2 weeks (one must be A. depressed mood or B. loss to of interest) depressed mood anhedonia sig weight ∆ sleeping ∆ psychomotor agitation/retardation fatigue feelings of worthlessness diminished concentration recurrent thoughts of death *impairment to social occupational areas *Not directly resulting from medical condition (i.e. hypothyroidism) * Not due to bereavement (longer than 2 months) *1 or more major depressive episodes S- sadness I- interest G-guilt E-energy C-concentration A-appetite P-psychomotor S-suicide
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Melancholic subtype of depression 5 of pervasive anhedonia mood unreactive to pleasurable stimuli mood worse in morning early morning awakening psychomotor retardation or agitation significant anorexia or weight loss no premorbid personality disturbance pervious Hx of MDE w/complete recovery & good response to antidepressants
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Dysthymic Disorder *Depressed mood for more days than not * Duration= x ≥ 2 years (mild but chronic) * 3 of 9 symptoms of depression (in notes but not in DSM-IV) *2 + while depressed: ∆ appetite ∆ sleeping fatigue low self esteem poor concentration
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This note was uploaded on 05/20/2008 for the course PSYCH 5155 taught by Professor Singer-chang during the Spring '08 term at Western University of Health Sciences.

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dsm - Delirium * decreased attention *altered memory,...

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