Thread: psychiatry mnemonics

Depression: major depression criteria

DEAD SWAMP:
Depressed mood most of the day
Energy loss or fatigue
Anhedonia
Death thoughts (recurrent), suicidal ideation or attempts
Sleep disturbances (insomnia, hypersomnia)
Worthlessness or excessive guilt
Appetite or weight change
Mentation decreased (ability to think or concentrate, indecisiveness)
Psychomotor agitation or retardation

Schizophrenia: negative features

4 A's:
Ambivalence
Affective incongruence
Associative loosening
Autism

Erikson's developmental stages

"The sad tale of Erikson Motors":
· The stages in order by age group:
Mr. Trust and MsTrust had an auto they were ashamed of. She took the initiative to find the guilty party. She found the industry was inferior. They were making cars with dents [identity] and rolling fuses [role confusion]. Mr. N.T. Macy [intimacy] isolated the problem, General TVT absorbed the cost. In the end, they found the tires were just gritty and the should have used de- spare!

Conduct disorder vs. Antisocial personality disorder

Conduct disorder is seen in Children.
Antisocial personality disorder is seen in Adults.

Parasomnias: time of onset
SLeep terrors and SLeepwalking occur during SLow-wave sleep (stages 3 & 4).
NightmaRE occurs during REM sleep (and is REMembered).

Depression: symptoms and signs (DSM-IV criteria)

AWESOME:
Affect flat
Weight change (loss or gain)
Energy, loss of
Sad feelings/ Suicide thoughts or plans or attempts/ Sexual inhibition/ Sleep change (loss or excess)/ Social withdrawal
Others (guilt, loss of pleasure, hopeless)
Memory loss
Emotional blunting

Biological symptoms in psychiatry

SCALED:
Sleep disturbance
Concentration
Appetite
Libido
Energy
Diurnal mood variation

Psychiatric review of symptoms

"Depressed Patients Seem Anxious, So Claim Psychiatrists":
Depression and other mood disorders (major depression, bipolar disorder, dysthymia)
Personality disorders (primarily borderline personality disorder)
Substance abuse disorders
Anxiety disorders (panic disorder with agoraphobia, obssessive-compulsive disorder)
Somatization disorder, eating disorders (these two disorders are combined because both involve disorders of bodily perception)
Cognitive disorders (dementia, delirium)
Psychotic disorders (schizophrenia, delusional disorder and psychosis accompanying depression, substance abuse or dementia)

Depression

UNHAPPINESS:
Understandable (such as bereavement, major stresses)
Neurotic (high anxiety personalities, negative parental upbringing
Hypochondriasis
Agitation (usually organic causes such as dementia
Pseudodementia
Pain
Importuniing (whingeing, complaining)
Nihilistic
Endogenous
Secondary (ie cancer at the head of the pancreas, bronchogenic cancer)
Syndromal

Depression: melancholic features (DSM IV)

MELANcholic:
Morning worsening of symptoms/ psychoMotor agitation, retardation/ early Morning wakening
Excessive guilt
Loss of emotional reactivity
ANorexia/ ANhedonia

Very good. Thanks!

Depression
PISS CAGE
Psychomotor mov’ts,
↓interest,
suicidal,
↓↑sleep
↓concentration,
↓↑appetite,
Guilt,
↓energy



Suicide risk factors
SAD PERSON
Sex / single / sickness,
age,
depression
Previous attempt,
EtOH,
reality testing,
social support,
organised plan,
note / no spouse