Clinical Psychiatry

Sx present for extended period of time, not caused by EtOH, drugs, or other dzSx cause distress and negative consequences in pts lifeSeen in two of the following: Thoughts, Emotions, Interpersonal Functioning, Impulse Control

-distrust others, suspicions of evil motives-trust themselves implicitly-avoid close relationships, seem cold and distant-challenge loyalties and intentions of friends and loved ones

-avoid relationships, prefer to be alone-do not show much emotion, weak social skills-do not show need for attention or acceptance

-represents mild schizophrenia-characterized by odd forms of thinking and perceiving-seek isolation from others, believe to have superpowers or connect isolated events to relate to themselves-eccentric behavior and difficulty concentrating

-NOT people c poor social skills-characterized by lack of conscience-prone to criminal behavior, lying, stealing-impulsive c money and actions-aggressive, self needs > needs of others

-characterized by mood instability and poor self-image-prone to mood swings and bouts of anger-take anger out on themselves, causing injury-suicidal threats and actions common-think in black-white terms, esp c relationships

-constant attention seekers-seek consant praise-exaggerate dress, illness, friendships, relationships, all to gain attention-often manipulative

Odd or eccentric behaviorschizoid, paranoid, schizotypal

Dramatic, emotional, erraticantisocial, borderline, narcissistic

Anxious fearful behavioravoidant, dependent, obsessive-compulsive (personality)

HypoxiaStroke/MISeizureHypoglycemiaEmbolismDrug Intoxication

CHF/EdemaInfectionMetabolic Disturbances (Electrolyte Disturb, Hyper/HypoGlycemia)UremiaDrug Withdrawl

InfectionMetabolic Disturbances (Vit Def, Thyroid)TumorHematoma

Age (elderly or children)CNS Dz (esp. Dementia)End-organ FailureSubstance Use/AbuseTrauma (burns, head trauma, hip fx)

Criterion A (Attention): inability to shift, focus, or sustain attentionCriterion B (Brain): speech, language, thought process, memory, and orientation OR perceptual disturbancesCriterion C (Course): acute, fluctuatingCriterion D (Ddx): underlying causes (minutes, hours, days)Criterion E (Extras Features): sleep/wake reversal, psychomotor agitation, fear, embarrassment