Psychiatry
- Psychiatry
- Psychiatric Therapy
- 🗣️ Psycho-Therapy 🔒
- 💊 Pharma Treatment 🔒
- Psychiatric Disorders
- 🎭 Mood disorders
- 😱 Anxiety disorders 🔒
- 😵💫 Psychotic disorders 🔒
- 👹 Personality disorders 🔒
- 🕳️ Dissociative Disorder 🔒
- 🍺 Alcohol & Substance abuse 🔒
- 👵🏽 Disorders of conciousness, memory & cognition 🔒
- 🐣 Pediatric psychiatry 🔒
Psychiatric Therapy
🗣️ Psycho-Therapy 🔒
💊 Pharma Treatment 🔒
- 😵💫 Anti-Psychotics
- 🎭 Anti-Depressants
- ⚖️ Mood Stabilizers
- 😱 Acute Anxiolytics (Benzos)
Psychiatric Disorders
🎭 Mood disorders
*MDD = Major depressive disorder
F - more common in woman
False statement
⇒ M=F (equally distributed)
childhood → somatic, irritability, social withdrawal
adolescents → “ATYPICAL” ⇒ ↑eating + ↑sleep (see below)
elderly → “TYPICAL”/ MELANCHOLIC features ⇒ ANHEDONIA = ↓ interest + pleasure ⇒ ↓eat+sleep
MANIA | HYPOMANIA | |
↑/irritablemood + ↑energy/activity | ✅ | ✅ |
duration | ≥ 1 WEEK | ≥ 4 DAYS |
complete functional impairment | ✅ | Ø |
hospitalization required | ✅ | Ø |
psychotic features | +/- | Ø |
PLUS ≥3 OTHER CRITERIA MET (see “DIG FAST” below)
- 🧠 NEURO
- 🧑🏽🦼MS
- 🦀frontal lobe tumor
- 🦋+🌝 ENDOCRINE
- hyperthyroidism
- cushings
- 🍻 alcohol
- ❄️ cocaine + other amphetamines
- 🧫 Tuberculostatics
- 🎭 anti-depressants
- 🌝 steroid-hormones
- Secondary to other PSYCHIATRIC CAUSES
Mood disorder with..
- Catatonic features (immobility etc.)
- Psychotic features (hallucination+dellusion)
- Melancholic pattern (typical depression)
- Seasonal pattern
- Postpartum
- Mild: Some difficulty in continuing with normal activities
- Moderate: Considerable difficulty in continuing normal activities but still able to function in some domains
- Severe: Unable to continue normal activities
- Antidepressant (SSRI or other) → mainly Fluoxetine (Prozac)
- Psychotherapy
- ECT
⇒more details: see Tx-approach above!
⇒ See psychotherapy types above!
- Chronic ⇒ Mood stabilizers ⇒ see above
- Agitated ⇒ Antipsychotic (quetiapine, olanzapine)
- in depressive episodes there might be an anti-depressant added, but usually not used in bipolar!
- Psychotherapy
- ECT
#1 Lithitium
#2 Valproic acid, Carbamazepin, Lamotrigin
Case 1: A 33-year-old woman has been feeling down for the past six months. She has lost interest in activities she used to enjoy and has trouble sleeping at night. She feels tired all the time and has lost a significant amount of weight. She has also been having thoughts of self-harm.
Case 2: A 25-year-old man has been experiencing episodes of intense excitement and energy for the past year. He has been spending money impulsively, engaging in risky behaviors, and feeling irritable and angry when he doesn't get his way. He has also been experiencing difficulty sleeping but feels wide awake in the middle of the night.
Case 3: A 45-year-old man has been feeling sad and hopeless for most of his life. He has trouble sleeping and finds it difficult to motivate himself to do anything. He has a history of alcohol abuse and has recently been feeling more hopeless and helpless than usual.
Case 4: A 30-year-old woman has been experiencing periods of low mood, irritability, and trouble sleeping for the past two years. She has also been feeling self-critical and lacks confidence in her abilities. She has been struggling to keep up with her daily responsibilities and has been feeling overwhelmed. Sometimes he has periods of an elevated mood. during these episodes she talks way more than usual, her husband reports.
Case 5: A 40-year-old man has been experiencing mood swings for the past ten years. He has periods of high energy and activity, followed by periods of low mood and decreased energy. He has been struggling to keep up with work and relationships and has a history of substance abuse. He tells you, that he already had a major depressive episode in the past.
Case 1: Major Depressive Disorder Case 2: Bipolar I Disorder Case 3: Dysthymic Disorder Case 4: Cyclothymic Disorder Case 5: Bipolar II Disorder
😱 Anxiety disorders 🔒
🍔 Eating disorders
😵💫 Psychotic disorders 🔒
👹 Personality disorders 🔒
🕳️ Dissociative Disorder 🔒
🍺 Alcohol & Substance abuse 🔒
👵🏽 Disorders of conciousness, memory & cognition 🔒
- Delirium
- Dementia
🐣 Pediatric psychiatry 🔒
- 🏝️ Autism spectrum disorder (ASD)
- 🕺🏽 Attention-deficit hyperactivity disorder (ADHD)
- 👿 Conduct disorders (CD)
- Oppositional defiant disorder (ODD)
- Disruptive mood dysregulation disorder (DMDD)
- 👏🏽 Tourette synd.
- Selective Mutism
- Seperation Anxiety
- Intellectual disability
- Specific learning disability
- 👊🏼Child abuse, Sleep terror & Enuresis