- Prominent delusions and hallucinations with little disturbance in affect or speech
- grandiosity, excessive need for admiration, superficial and exploitative relationships, lack of empathyare these in the DSM-5 for narcissists?
- Long-standing pattern of odd/eccentric beliefs +/- perceptual disturbances that don't rise to level of hallucinations*HeritableLeft lateral temporal lobe affected
- identity disturbance, difficulty with attachment and dependency, chronic feelings of emptiness and boredom, vulnerability to life changesare these in the DSM-5 for narcissists?
- Which 2nd gen antipsychotic?seizures, fatal agranulocytosis, neutropenia, leukopenia, long QT, myocarditis, and cardiomyopathy, risk of neuroleptic malignant syndrome
- What part of the brain is affected in schizotypal personality disorder?
- Which gen antipsychotics?o Clozapineo Aripiprazole and Brexpiprazoleo Cariprazineo Iloperidoneo Lurasidoneo Pimavanserino Risperidoneo Paliperidoneo Ziprasidoneo Olanzapine
- aggression / encephalopathicwhat are your ddx
- major depressive episode + hypomanic episode (no mania)
- Low potency 1st gen antipsychotic with high risk of neuroleptic malignant syndrome, cholestatic jaundice, and ocular manifestations
- Which 2nd gen antipsychotic?D3 preferring D3/D2 receptor partial agonist
- High potency 1st gen antipsychotic with high risk of neuroleptic malignant syndrome
- Which 2nd gen antipsychotic?long QT (greatest risk), DRESS
- Which 2nd gen antipsychotic?long QT moderate risk
- exaggeration of normal processesex. hallucinations, delusions, disorganized speech/thoughts/behaviors
- Which gen antipsychotics?Have active metabolites that extend the effective duration of activityUse p-450 metabolism
- Which 2nd gen antipsychotic?seizures, elevation in prolactin
- Which 2nd gen antipsychotic?d2 partial agonists (different MOA)
- Which 2nd gen antipsychotic?DRESS, weight gain, lower risk of suicide, risk of neuroleptic malignant syndrome
- Which 2nd gen antipsychotic?comes from risperidoneelevation in prolactin