stages of change in overcoming addictionprecontemplation(denying)
contemplation(acknowledging, but unwilling)
preparation
action
maintenance
relapse psychiatryUWorld HirotoShishido
which test should be used to evaluate executive functionclock drawing test, an element of MoCA(Montreal Cognitive Assessment) neurologypsychiatry HirotoShishido
ego defense which is frequently seen ln the patient with borderline personality syndromesplitting
the act of characterizing actions, ideas, people, or things as either “all good” or “all bad" psychiatry HirotoShishido
the difference between repression and supressionrepression→ unconsciously holding back inappropriate thoughts(immature ego defense)
the differences between
barbiturates and benzodiazepines・mechanism
bar→(facilitate GABAa action by)↑duration(giant door stop)
ben→ ↑frequency
・clinical use
ben→ muscle relaxant, treat withdrawal symptoms
common→ hypnotic, anetsthetic, anticonvulsant, anxiolytic
・adverse effects
bar→ respiratory and cardiovascular depression, life threatning withdrawal, CYP450 induction
ben→ overdose can be treated w/ flumazenil
common→ drowsiness, paradoxical stimulation, addiction pharmacologyneurologypsychiatry HirotoShishido
Trichotillomaniadefined by pulling out of one's hair, often preceded by tension
first-line therapy is cognitive behavioral therapy psychiatry HirotoShishido
with what antisocial personality disorder frequently comorbid?
Wernicke encephalopathy
on imaging,symptoms, managementincieased MRI T2 FLAIR signal involving the ☆mammillary bodies, →Confusion
dorsomedial thalami, →Amnesia
tectal plate,
periaqueductal area,
(around the third ventricle)
+Ataxia,Nystagmus,Ophthalmoplegia
(CAAN Of beer)
intravenous thamine should be administered before infusion of glucose-containing fluids in at-risk patient because ☆glucose can deplete the last remaining stores of thiamine neurologypsychiatryUWorld HirotoShishido
