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PSYCHIATRY Notes:
Key words:
Depression
Anxiety
Blunting of affect
Labile mood
Inconsistent mood
Pressure of speech
Poverty of speech
Thought block
Flight of ideas
Preservation
Loosening of association
Thought broadcast
Thought insertion
Thought withdrawal
Thought content ( obsessional rumination and compulsion)
Insight
Delusions
Ideas of reference
Illusion
Hallucination
Pseudo-hallucination
Depersonalization
Derealization
Dj vu
Jamais vu
Tourette syndrome tics is controlled by Haloperidol
Huntington chorea "familial".. Is usually controlled by Tertabenazine

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Cluster A (odd or eccentric disorders)
Paranoid personality disorder: characterized by irrational suspicions and mistrust of others
Schizoid personality disorder: lack of interest in social relationships, seeing no point in sharing time
with others
Schizotypal personality disorder: also avoids social relationships, though out of a fear of people
Cluster B (dramatic, emotional, or erratic disorders)
Antisocial personality disorder: "pervasive disregard for the law and the rights of others."
Borderline personality disorder: extreme "black and white" thinking, instability in relationships, selfimage, identity and behavior
Histrionic personality disorder: "pervasive attention-seeking behavior including inappropriate sexual
seductiveness and shallow or exaggerated emotions"
Narcissistic personality disorder: "a pervasive pattern of grandiosity, need for admiration, and a lack of
empathy"
Cluster C (anxious or fearful disorders)
Avoidant personality disorder: social inhibition, feelings of inadequacy, extreme sensitivity to negative
evaluation and avoidance of social interaction
Dependent personality disorder: pervasive psychological dependence on other people.
Obsessive-compulsive personality disorder (not the same as obsessive-compulsive disorder):
characterized by rigid conformity to rules, moral codes, and excessive orderliness
Dythymia : It's considered a form of chronic depression but less severe than major depressive
disorders, the depression lasts for at least 2 years.
Somatoform disorders :
Somatization disorder "Briquet's syndrome": Somatization disorder is characterized by many somatic
symptoms that cannot be explained adequately based on physical and laboratory examinations. Specific
characteristics of somatization disorder include the following:
o Onset of unexplained medical symptoms in persons younger than 30 years
o Multiple and chronic complaints of unexplained physical symptoms
o Multiple pain symptoms involving multiple sites, such as the head, neck, back, stomach, and
limbs
o At least 2 or more unexplained gastrointestinal symptoms, such as nausea and indigestion
o At least 1 sexual complaint and/or menstrual complaint
o At least 1 pseudoneurological symptom, such as blindness or inability to walk, speak, or move

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Pain disorder:
Pain disorder is a somatoform disorder characterized by a focussed pain complaint that cannot be
entirely attributed to a specific medical disorder. Specific symptoms of pain disorder include the
following:
o Pain in 1 or more anatomical site producing a predominant clinical focus
o Psychological factors (felt to play an important role in the onset, severity, or course of
pain)
o Pain symptom that is not feigned or intentionally produced
Hypochondriasis:
Hypochondriasis is a somatoform disorder characterized by unexplained physical symptoms related to
fear of a specific medical condition, ie, a complaint of breast pain perceived as being due to breast
cancer when no breast cancer is present.
Specific characteristics of hypochondriasis include the following:
o Preoccupation with fear of having a serious medical illness
o Bodily symptoms reported consistent with patient's conception of specific illness
o Preoccupation persists despite medical evaluation and reassurance o Fear persists for at least
6 months
Conversion disorder: Conversion disorders are a somatoform disorder characterized by a sudden loss
of neurological function, usually in the context of a severe stressor.
Specific characteristics of conversion disorder include the following: o One or more symptoms of loss of
voluntary motor or sensory function, eg, inability to walk, sudden blindness
o Psychological factors felt important in initiation or exacerbation of loss of function
o No evidence that the symptom is feigned or intentionally produced
o Loss of function that is not due to medical illness or culturally expected behavioral response
o Common conversion symptoms (eg, pseudoseizure, paralysis, becoming mute)

Body dysmorphic disorder:

Body dysmorphic disorder is a somatoform disorder characterized by a focus on a physical defect that is
not evident to others. Specific characteristics of body dysmorphic disorder include the following:
o Preoccupation with an imagined defect in appearance
o May be associated with multiple, frantic, and unsuccessful attempts to correct imagined defect by
cosmetic surgery

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Malingering: is a medical and psychological term that refers to an individual fabricating or
exaggerating the symptoms of mental or physical disorders for a variety of motives, including getting
financial compensation (often tied to fraud), avoiding work, obtaining drugs, getting lighter criminal
sentences, trying to get out of going to school, or simply to attract attention or sympathy. Because
malingerers are usually seeking some sort of primary or secondary gain, this disorder remains separate
from somatization disorders and factitious disorders in which the gain is not obvious. Legally,
malingering is often referred to as fabricated mental illness or feigned mental illness.
Mnchausen syndrome is a psychiatric disorder in which those affected fake disease, illness, or
psychological trauma in order to draw attention or sympathy to themselves. It is in a class of disorders
known as factitious disorders which involve "illnesses" whose symptoms are either self-induced or
falsified by the patient. It is also sometimes known as hospital addiction syndrome
PSYCHIATRY checklist:
Psychiatric introduction
Acute confusional state
Differential diagnosis of confusion
Causes and management of dementia
Diagnosis of depression
Management of schizophrenia
Risk of suicide
Treatment of alcohol and drug abuse
Treatment of psychosis