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Personality Disorder – AAFP 2011

Personality Disorder Enduring pattern of inner experience and behavior that deviates markedly from the norm of the individual’s culture Impairment in social, occupational, or other important areas of functioning Stable & inflexible and pervasive across a broad range of personal and

Posted in 73 Personality Disorder, FM 99 priority topics, Psych

Behavioural Problems – CADDRA 2011

ADHD 5-12% school-aged children; M:F = 4:1; average onset 3 yo girls tend to have inattentive/distractible symptoms Boys have impulsive/hyperactive symptoms Identify upon school entry Etiology: genetic – family hx of ADHD, cognitive – difficult temperamental characteristics, arousal co-occurring conditions

Posted in 10 Behavioural Problems, 99 Priority Topics, FM 99 priority topics, Psych

Anxiety – CCP guideline 2014

Anxiety Universal human characteristic involving tension, apprehension, or terror Serves as an adaptive mechanism (fight or flight) Becomes pathological when fear is out of proportion to risk/severity of threat response continues beyond existence of threat or become generalized to other

Posted in 6 Anxiety, 99 Priority Topics, FM 99 priority topics, Psych

Substance Abuse

1. In all patients, and especially in high-risk groups (e.g., mental illness, chronic disability),  opportunistically screen for substance use and abuse (tobacco, alcohol, illicit drugs). Use random urine drug screen – new kit distinguishes methadone and oxycodone from opiates. Amphetamines,

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Posted in 89 Substance Abuse, 99 Priority Topics, FM 99 priority topics, Psych

Suicide

Suicide Risk Factors – SAD PERSONS Scale Sex (male) Age >60, 15-24 Depression Previous attempts – the best predictor of completed suicide (worst if in the past year) Ethanol abuse Rational thinking loss (delusions, hallucinations, hopelessness) Mood disorders (depression > bipolar),

Posted in 90 Suicide, 99 Priority Topics, FM 99 priority topics, Psych

Depression – CANMAT Guideline 2009

1. In a patient with a diagnosis of depression:  a) Assess the patient for the risk of suicide. b) Decide on appropriate management (i.e., hospitalization or close follow-up, which will depend, for example, on severity of symptoms, psychotic features, and

Posted in 24 Depression, 99 Priority Topics, FM 99 priority topics, Psych
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