LECOm Psych
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| Ericson showed life cycles as | battle VS
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| 2 social learning people | Mahler and Bowlby
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| Self model sees normal/abnormal as additive of these 4 | DSBP; Developmental, Social Learning, Behavioral, Psychoanylitical
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| Maslow said you can only move up | once all the prerecs are met
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| Piaget is credited with todays | 2 school curriculum
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| Disease model sees abnormal behavior as | “what the Pt has”
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| Dimensional model sees abnormal behavior as | what a Pt is in terms of numbers, gradations, aka normal is under the curve
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| Public Law 102-321 gave | block grants specifically to help those with DSM Dx that intereveres with life activities
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| Medicare Modernization act of 64 effected psych by | giving 65 and over access to care but also increased homeless population by freeing those institutionalized that didn’t act as a threat to themselves or others
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| Criminalization of psychiatric illness means | those who are ill are being jailed
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| Psyching of criminal behavior refers to | criminals malingering into psych treatment
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| Thorazine/chlorpromazine was | the first antipsychotic ish
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| Mnemonic for 5HT. NE, and dopamine blockade | FAS=3-1-0; I D= 30,23; P=030
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| Valproic acid should be Rx to women only after | they are pregnancy tested and told they can’t have unprotected sex
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| Monitor in elder on litium | CBC, EKG, UA
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| Bupropion has the safety advantage of | few drug-drug interactions
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| Litium is removed by | urination, it’s distributed in water and only dialysis can get it out
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| Litium is used in bi-polar patients when then are alcoholics because | litium decreases drinking
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| Clomipramine is the first drug approved for | OCD
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| TCA dosing should be slow and once effect is reached you should | reduce to the lowest active level
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| Bupropion is tolerated well because it does not have | sexual side effects
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| Only SSRI for children is | Prozac aka fluoxetine
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| Monitor this in children taking SSRI | suicidal thoughts
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| 2 drug classes that should be avoided together to avoid serotonin syndrome | MAO-I and SSRI
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| SSRI’s have the advantage of | decreased autonomic action
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| Fluoxetine’s metabolite | norfluoxetine has a half-life of 7-9 days
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| STAR*D studied showed that failure of treatment with citalopram followed by Tx w/ | bupropion, sertraline or venlafaxine, is possible in 25% of Pts
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| SE of citalopram | QT prolongation
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| Difference in euthymia and mood disorder is when | the normal mood beings to interfere with success and happiness
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| Depression mnemonic SIGECAPS | Sleep; Interest; Guilt; Energy; Concentration; Appetite; Psychomotor; Suicide
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| Manic mnemonic: DIGFAST | Distractability; Indiscretion; Grandiosity; Flight of ideas; Activity increase; Sleep decrease; Talkativeness
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| Bipolar I vs II | I can have hallucinations and mania where II is only up to hypomania
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| Difference in normal axiety from pathological anxiety is when | the apprehension causes the individual significant distress and dysfunction
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| Difference in Dx of PTSD vs Acute Stress disorder | PTSD 1 month or more; ASD minimum of 2 days max 4 weeks and occurs within 4 weeks of traumatic event
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| Main problem with extended use of benzos | dependence
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| Be careful prescribing benzos to who and why? | geriatric those with liver disease, low serum albumin, or obesity to avoid oversedation
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| 4 toxicities of benzos | sedative action, additive with alcohol, anterograde amnesia, 1st trimester teratogen
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| Problem with discontinuing alprazolam | relapse of the condition or inability to discontinue
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| The long term use of chlordiazepoxide has | never been investigated
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| Midazolam is used mainly for | pre-op sedation, anxiolytic, and anteriograde amnesia
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| 2 routes of midazolam administration | IM, IV, oral
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| BuSpar treats persistent anxiety well but one downfall is | it takes 2-4 weeks to work
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| BuSpar has been established as outPt therapy for | GAD in which constant symptoms have been present for 1-12 months
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| Regular vs XR zolpidem causes what SE | GI disturbances
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| Zaleplon can cause these complex sleep-related problems | sleep driving, sleep eating, making phone calls
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