By Michael J. Murphy, Ronald L. Cowan MD PhD

A part of the extremely popular Blueprints sequence, Blueprints Psychiatry offers scholars with a concise overview of what they should comprehend of their psychiatry rotations or the forums. every one bankruptcy is short and comprises pedagogical positive factors comparable to bolded keywords, tables, figures, and key issues. a question and solution part on the finish of the booklet comprises a hundred board-format questions with entire rationales. This variation contains new pictures, extra USMLE research questions, and a Neural foundation part for every significant diagnostic classification. A better half web site encompasses a query financial institution and entirely searchable textual content.

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Diagnostic and Statistical Manual of Mental Disorders, 4th ed. Washington, DC: American Psychiatric Association, 2000. CLINICAL MANIFESTATIONS History and Mental Status Examination Patients with generalized anxiety disorder worry excessively about virtually every aspect of their lives (job performance, health, marital relations, and social life). They do not have panic attacks, phobias, obsessions, or compulsions; rather, they experience pervasive anxiety and worry (apprehensive expectation) about a number of events or activities that occur most days for at least 6 months.

CLINICAL MANIFESTATIONS History and Mental Status Examination Bipolar I disorder is defined by the occurrence of mania (or a mixed episode). A single manic episode is sufficient to meet diagnostic requirements; most patients, however, have recurrent episodes of mania typically intermixed with depressive episodes. The criteria for a manic episode are outlined in Table 2-3. The first episode of mania usually occurs in the early 20s. Manic episodes are typically briefer than depressive episodes. The transition between mania and depression occurs without an intervening period of euthymia in about two of three patients (Fig.

Combat, physical assault, rape, explosion) in which they experienced, witnessed, or were confronted with actual or potential death, serious physical injury, or a threat to physical integrity. The traumatic event is subsequently re-experienced through repetitive intrusive images or dreams or through recurrent illusions, hallucinations, or flashbacks of the event. , dissociation, numbing) or actual avoidance of circumstances that will evoke recall. They also experience feelings of detachment from others and exhibit evidence of autonomic hyperarousal.

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