Psychiatry Mnemonics

[Asclepius1]

Premature ejaculation: treatment
2 S's:
SSRIs [eg: fluoxitime]
Squeezing technique [glans pressure before climax]
· More detail with 2 more S's:
Sensate-focus excercises [relieves anxiety]
Stop and start method [5-6 rehearsals of stopping stimulation before climax]

[Asclepius1]

Sleep stages: features
DElta waves during DEepest sleep (stages 3 & 4, slow-wave).
dREaM during REM sleep.

[Asclepius1]

Narcolepsy: symptoms, epidemiology
CHAP:
Cataplexy
Hallucinations
Attacks of sleep
Paralysis on waking
· Usual presentation is a young male, hence "chap".

[Asclepius1]

Depression: symptoms
BAD CRISES:
Behavioural change (slowing down or agitation)
Appetite change (weight loss or weight gain in the young)
Depressed look (looking down)
Concentration decrease (does not do serial 7s well)
Ruminations (constant negative thoughts, hopelessness good indicator of suicidality)
Interest (reduced interest in what is normally pleasurable)
Sleep change (insomnia or hypersomnia, sleeping early, waking up at night, waking up feeling tired)
Energy change (fatigue)
Suicide

[Asclepius1]

Cluster personality disorders
Cluster A Disorder = Atypical. Unusual and eccentric.
Cluster B Disorder = Beast. Uncontrolled wildness.
Cluster C Disorder = Coward [avoidant type], Compulsive [obsessive-compulsive type], or Clingy [dependent type].

[Asclepius1]

AIDS Dementia Complex (ADC): features
AIDS:
Atrophy of cortex
Infection/ Inflammation
Demyelination
Six months death

[Asclepius1]

Reinforcement schedules: variable ratio
SLOT machines show SLOwesT extinction.

[Asclepius1]

HM: this classic patient's lesion
HM had Hippocampus Missing.
Hippocampus and surrounding areas were removed surgically: prevented formation of new memories.

[Asclepius1]

Originally Posted by Depression: major episode

Depression: major episode characteristics
SPACE DIGS:
Sleep disruption
Psychomotor retardation
Appetite change
Concentration loss
Energy loss
Depressed mood
Interest wanes
Guilt
Suicidal tendencies

Here are the ones I have found useful....

Suicide assessment: SADPERSONS
Sex (M)
Age (<19, >45)
Depressed
Previous attempt
Excessive ETOH or drugs
Rational thinking loss
Single
Organized plan with means
No social support
States future intent

Bipolar Mania: DIGFAST
Distractable
Insominia with increased energy
Grandiosity
Activity increased
Speech rapid
Thoughtlessness

Delirium: IWATCHDEATH
Infection
Withdrawl
Acute metabolic
Trauma
CNS
Hypoxia
Deficiency in vitamins
Endocrine
Acute vascular
Toxins
Heavy metals