How do you respond to a patient in public?
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, Walk by
Only say hello if they initiate the conversation
Don't talk about health-related things
Defer patient to clinic/nurse for questions
Sleep Interview
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How many hours a night of sleep are you getting?
How long does it take before you fall asleep?
Do you wake frequently during the night?
Any nightmares or night terrors?
Do you snore?
Do you have any episodes of apnea?
Any current stressors or worries?
Do you take any over the counter medications?
What have you tried in the past?
Do you drink alcohol?
Do you drink caffeine?
What is lethality?
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the probability that a person will successfully complete suicide
,DSM-5 Obsessive Compulsive Personality Disorder
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A pervasive pattern of preoccupation with orderliness, perfectionism, and
mental and interpersonal control, at the expense of flexibility, openness, and
efficiency, as indicated by four or more of the following:
1. Is preoccupied with details, rules, lists, orders, organization, or schedules to
the extent that the major point of the activity is lost
2. Shows perfectionism that interferes with task completion
3. Is excessively devoted to work and productivity to the exclusion of leisure
activities and friendships
4. Is overconscientious, scrupulous, and flexible about matters of morality,
ethics, or values
5. Is unable to discard worn-out or worthless objects even when they have no
sentimental value
6. Is reluctant to delegate tasks or to work with others unless they submit to
exactly his or her way of doing things
7. Adopts a miserly spending style toward both self and others; money is
viewed as something to be hoarded for future catastrophes
8. Shows rigidity and stubbornness
DSM-5 Body Dysmorphic Disorder
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Preoccupation with perceived flaw on body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin
picking, reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
, Cluster B Personality Disorders
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Antisocial
Borderline
Histrionic
Narcissistic
OCD common co-morbid conditions
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MDD (Major depressive disorder)
Skin Picking
Hair Pulling
Pharmacological Treatment for OCD
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First line treatment-SSRI (Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
Give this one a try later!
, Walk by
Only say hello if they initiate the conversation
Don't talk about health-related things
Defer patient to clinic/nurse for questions
Sleep Interview
Give this one a try later!
How many hours a night of sleep are you getting?
How long does it take before you fall asleep?
Do you wake frequently during the night?
Any nightmares or night terrors?
Do you snore?
Do you have any episodes of apnea?
Any current stressors or worries?
Do you take any over the counter medications?
What have you tried in the past?
Do you drink alcohol?
Do you drink caffeine?
What is lethality?
Give this one a try later!
the probability that a person will successfully complete suicide
,DSM-5 Obsessive Compulsive Personality Disorder
Give this one a try later!
A pervasive pattern of preoccupation with orderliness, perfectionism, and
mental and interpersonal control, at the expense of flexibility, openness, and
efficiency, as indicated by four or more of the following:
1. Is preoccupied with details, rules, lists, orders, organization, or schedules to
the extent that the major point of the activity is lost
2. Shows perfectionism that interferes with task completion
3. Is excessively devoted to work and productivity to the exclusion of leisure
activities and friendships
4. Is overconscientious, scrupulous, and flexible about matters of morality,
ethics, or values
5. Is unable to discard worn-out or worthless objects even when they have no
sentimental value
6. Is reluctant to delegate tasks or to work with others unless they submit to
exactly his or her way of doing things
7. Adopts a miserly spending style toward both self and others; money is
viewed as something to be hoarded for future catastrophes
8. Shows rigidity and stubbornness
DSM-5 Body Dysmorphic Disorder
Give this one a try later!
Preoccupation with perceived flaw on body taht is not observed by others
Repetitive behaviors such as mirror checking, excessive grooming, skin
picking, reassurance seeking, clothes changing
Clinical significance
Differentiation from eating disorder
, Cluster B Personality Disorders
Give this one a try later!
Antisocial
Borderline
Histrionic
Narcissistic
OCD common co-morbid conditions
Give this one a try later!
MDD (Major depressive disorder)
Skin Picking
Hair Pulling
Pharmacological Treatment for OCD
Give this one a try later!
First line treatment-SSRI (Luvox, fluoxetine)
Second-line treatment TCA with serotonergic properties (clomipramine)
SNRI or MAOI
Augmentation with benzos, lithium, or Buspar
