Jeffrey Kalei

Jeffrey Kalei

Somatic Symptom and Related Disorders

Changes from DSM-IV to DSM-V General Principles The patient reports physical sx that cannot be explained by a general medical condition or is disproportionate to their general medical condition. Objective testing is normal. Sx interferes with the patient’s quality of…...

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Dissociative Disorders

Overview All dissociative disorders involve a disruption of consciousness, memory, identity OR perception resulting in significant distress to the patient. Mostly caused by some degree of psychological trauma. The defense mechanism dissociation is prominent (mostly in Dissociative amnesia). r/o Hallucinogens…...

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Sexuality

Overview Definition of terms Term Definition Sex (Sexual identity) A person’s biological sex, based on their chromosomes and external and internal features XY – biologic males (except for androgen insensitivity syndrome – develop as female in utero, doesn’t get menarche),…...

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Substance Use Disorders

“At first drugs will take away your pain. Then it will take your joy, your freedom, your family your home, your job, your self respect. Eventually it will take away everything and you will be left with nothing BUT the…...

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Personality Disorders

General Principles Less of a disorder, and more of an enduring set of behavioural traits. Do not just present in the clinic. People with personality disorders don’t see the problem in themselves. The degree of maladaptiveness results in difficulties in…...

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Psychotic Disorders

“It’s almost as if a demon has passed from one host to another.” – John Forbes Nash, Jr., 1994 Nobel Prize Winner in Economics Overview It is unwise to stereotype people with schizophrenia as “homeless bums on the street”. It…...

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Mood Disorders

General Principles Wide ranges of moods are normal, and mood can fluctuate from day to day. Very few people will be the same on a day-to-day basis. Mood and affect can be congruent or incongruent. Mood disorders (as defined by…...

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Electroconvulsive Therapy (ECT)

Electroconvulsive Therapy (ECT) ECT is the artificial induction of grand mal seizures through the application of electrical currents through the brain. It was introduced in 1938 by 2 Italian doctors, Ugo Cerletti and Lucio Bini to replace insulin coma therapy…...

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Psychostimulants

Psychostimulants Stimulants increase the availability of DA and NE in the synaptic cleft (by increasing release and blocking reuptake) Dextroamphetamine, Methylphenydate Stimulants used for Mood Disorders Modafinil (Provigil) is a stimulant that is often used clinically in mood disorders. Stimulants,…...

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Anxiolytics

Overview Benzodiazepines are widely used for panic disorders, anxiety disorders, Insomnia and Status epilepticus Barbiturates (rarely used) are first-line for infantile seizures, and second-line for Status epileptics. Were originally used for insomnia and panic disorders but fell out of favour…...

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