What are the differential diagnosis of Social Anxiety Disorder? - ANSWER 1.
Normative shyness.
2. Agoraphobia
3. Panic disorder
4. Avoidant personality disorder
5. GAD, specific phobias, separation anxiety disorder
6. MDD, body dysmorphic disorder, delusional disorder, autism spectrum
disorder
7. Personality disorders, other medical conditions, other mental disorders,
Oppositional defiant disorder.
Techniques used to elicit information with a reluctant patient. - ANSWER
1.Use open-ended questions.
2. Use continuation techniques (Go on)
3. Change to neutral ground, then back again to psych.
4. Schedule a follow-up interview
Techniques used for adolescent patients. - ANSWER 1. Involve the family
2. Overcome the "I don't know" problem.
3. Anticipate questions regarding drugs, sex and conduct problems
Techniques for talkative patients - ANSWER 1. Utilize closed-ended and
multiple choice questions.
2. Learn the gentle interruption.
3. Inform the patient of the need to hurry with the interview.
,What symptoms would be present in opioid withdrawal? (DMS5) - ANSWER
1. Presence of either:
a. Cessation of opioid use that has been heavy and prolonged.
b. Administration of an opioid antagonist after a period of opioid use.
2. 3 or more of the following developing within minutes to several days after
criterion above:
* Dysmorphic mood
* Nausea or vomiting
* Muscle aches
* Lacrimation o rhinorrhea
* Pupillary dilation, piloerection, or sweating.
* Diarrhea.
* Yawning.
* Fever
* Insomnia
3. The signs or symptoms above cause clinically significant distress or
impairment in social, occupational, or other important areas of functioning.
4. The sins or symptom are not attributable to another medical condition and are
not better explained by another mental disorder, including intoxication or
withdrawal from another substance.
Opioid withdrawal symptoms - ANSWER Severe muscle cramps, bone aches,
profuse diarrhea, abdominal cramps, rhinorrhea, yawning, fever, piloerection,
pupillary dilation, hypertension & tachycardia.
Questions to elicit information for the HPI - ANSWER Crisis approach
, Syndrome approach
Chronological approach
Diagnostic questions
Current and premorbid level of functioning
HPI Crisis approach - ANSWER Why now, focus on 1-4 weeks when crisis
occurred.
HPI syndrome approach - ANSWER when the patient first remembers signs of
illness. Questions trace course of the illness though months or years, arriving at
present.
HPI Chronological narrative - ANSWER when patient jumps into
chronological narrative o their problems, your scouting period
HPI Diagnostic questions - ANSWER when a patient mentions a type of
mood, immediately access for the presence of the diagnostic criteria.
HPI Current and premorbid level of functioning - ANSWER Assess overall
functioning by asking three basic aspect of life; love, work, fun
HPI consists of: - ANSWER 1. Statement of patients baseline functioning of
last period of stability.
2. Past history of psychiatric diagnoses and a brief description of course and
treatment.
3. The time of onset of the symptom and its precipitant.
4. Timeline of 1-33 important symptoms, when worse and events that
precipitated them to worsen.
Normative shyness.
2. Agoraphobia
3. Panic disorder
4. Avoidant personality disorder
5. GAD, specific phobias, separation anxiety disorder
6. MDD, body dysmorphic disorder, delusional disorder, autism spectrum
disorder
7. Personality disorders, other medical conditions, other mental disorders,
Oppositional defiant disorder.
Techniques used to elicit information with a reluctant patient. - ANSWER
1.Use open-ended questions.
2. Use continuation techniques (Go on)
3. Change to neutral ground, then back again to psych.
4. Schedule a follow-up interview
Techniques used for adolescent patients. - ANSWER 1. Involve the family
2. Overcome the "I don't know" problem.
3. Anticipate questions regarding drugs, sex and conduct problems
Techniques for talkative patients - ANSWER 1. Utilize closed-ended and
multiple choice questions.
2. Learn the gentle interruption.
3. Inform the patient of the need to hurry with the interview.
,What symptoms would be present in opioid withdrawal? (DMS5) - ANSWER
1. Presence of either:
a. Cessation of opioid use that has been heavy and prolonged.
b. Administration of an opioid antagonist after a period of opioid use.
2. 3 or more of the following developing within minutes to several days after
criterion above:
* Dysmorphic mood
* Nausea or vomiting
* Muscle aches
* Lacrimation o rhinorrhea
* Pupillary dilation, piloerection, or sweating.
* Diarrhea.
* Yawning.
* Fever
* Insomnia
3. The signs or symptoms above cause clinically significant distress or
impairment in social, occupational, or other important areas of functioning.
4. The sins or symptom are not attributable to another medical condition and are
not better explained by another mental disorder, including intoxication or
withdrawal from another substance.
Opioid withdrawal symptoms - ANSWER Severe muscle cramps, bone aches,
profuse diarrhea, abdominal cramps, rhinorrhea, yawning, fever, piloerection,
pupillary dilation, hypertension & tachycardia.
Questions to elicit information for the HPI - ANSWER Crisis approach
, Syndrome approach
Chronological approach
Diagnostic questions
Current and premorbid level of functioning
HPI Crisis approach - ANSWER Why now, focus on 1-4 weeks when crisis
occurred.
HPI syndrome approach - ANSWER when the patient first remembers signs of
illness. Questions trace course of the illness though months or years, arriving at
present.
HPI Chronological narrative - ANSWER when patient jumps into
chronological narrative o their problems, your scouting period
HPI Diagnostic questions - ANSWER when a patient mentions a type of
mood, immediately access for the presence of the diagnostic criteria.
HPI Current and premorbid level of functioning - ANSWER Assess overall
functioning by asking three basic aspect of life; love, work, fun
HPI consists of: - ANSWER 1. Statement of patients baseline functioning of
last period of stability.
2. Past history of psychiatric diagnoses and a brief description of course and
treatment.
3. The time of onset of the symptom and its precipitant.
4. Timeline of 1-33 important symptoms, when worse and events that
precipitated them to worsen.
