Trichtollomania
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Increased anxiety relieved by pulling hair.
Can be focused (intentional) or automatic.
Can cause trichophagy and trichobezoars leading to intestinal blockage or
malnutrition.
Typically in females onset at menarche.
structural abnormalities of the brain in depression
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, Hyperintensities in subcortical regions: ventricles, basal ganglia, an
thalamus. (most common)
Reduced hippocampus size.
kindling hypothesis
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episode of depression/mania is neurotoxic; over time, episodes get more
severe, last longer, more easily triggered.
Initial episodes may be triggered by events "kindling" but subsequent
episodes may not need them.
Symmetry/Ordering OCD
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Obsession with symmetry or precision can lead to a compulsion of slow
behavior.
Piaget Concrete Operations
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, 7-11 years old
Begin abstract thought
Plays games with rules
Cause and effect relationship
Conservation of quantity, weight, volume, inclusion/seriation
Atomoxetine (Strattera)
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Non stimulant ADHD medication
Norepi uptake inhibitor
BBW
> Risk of suicidal ideation; monitor for suicidal thinking or behavior,
worsening, or unusual behavior
- Contraindications
> Glaucoma, pheochromocytoma, MAO I use within past 14 days
- Warning
> Rare, but severe hepatotoxicity (most within 120 days of start of
treatment)
SE
> Headache, insomnia, somnolence, dry mouth, nausea, abdominal pain,
decrease in appetite, nausea, etc.
> Priapism
NOTE
> do not open capsule - irritant
> CYPD 2D6 substrate
> watch out for LIVER PROBLEMS
Dysthymia (Persistent Depressive Disorder)
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Give this one a try later!
Increased anxiety relieved by pulling hair.
Can be focused (intentional) or automatic.
Can cause trichophagy and trichobezoars leading to intestinal blockage or
malnutrition.
Typically in females onset at menarche.
structural abnormalities of the brain in depression
Give this one a try later!
, Hyperintensities in subcortical regions: ventricles, basal ganglia, an
thalamus. (most common)
Reduced hippocampus size.
kindling hypothesis
Give this one a try later!
episode of depression/mania is neurotoxic; over time, episodes get more
severe, last longer, more easily triggered.
Initial episodes may be triggered by events "kindling" but subsequent
episodes may not need them.
Symmetry/Ordering OCD
Give this one a try later!
Obsession with symmetry or precision can lead to a compulsion of slow
behavior.
Piaget Concrete Operations
Give this one a try later!
, 7-11 years old
Begin abstract thought
Plays games with rules
Cause and effect relationship
Conservation of quantity, weight, volume, inclusion/seriation
Atomoxetine (Strattera)
Give this one a try later!
Non stimulant ADHD medication
Norepi uptake inhibitor
BBW
> Risk of suicidal ideation; monitor for suicidal thinking or behavior,
worsening, or unusual behavior
- Contraindications
> Glaucoma, pheochromocytoma, MAO I use within past 14 days
- Warning
> Rare, but severe hepatotoxicity (most within 120 days of start of
treatment)
SE
> Headache, insomnia, somnolence, dry mouth, nausea, abdominal pain,
decrease in appetite, nausea, etc.
> Priapism
NOTE
> do not open capsule - irritant
> CYPD 2D6 substrate
> watch out for LIVER PROBLEMS
Dysthymia (Persistent Depressive Disorder)
Give this one a try later!