DIP Episode 453 - A Quick Review of HY Psychiatry Timelines

All right, welcome. My name is Divine. This is a short podcast. It is just going to be one of those podcasts that you can use to very correctly answer many questions with your exams. And this podcast really is dealing with psychiatric timelines. Psychiatric timelines. High-yield psychiatric timelines. High-yield psychiatric timelines. And we know that in psych, especially with a DSM, you need to know certain pathologies, but not just know the pathologies, but know the timelines associated with them. So the first one I'm going to start off with is PTSD. Right? So you're going to see a person that's having a lot of flashbacks, a lot of intensified experiences. And usually it's going to be a person that most have had a history of like some really bad experience. Maybe they were in an accident or they were first responder or they were in the military. And remember, they're going to have those symptoms for more than a month. You need to have symptoms for more than a month for us to see you have PTSD. If you've had those symptoms for less than a month, we call it acute stress disorder. Now, what if they give you a question about a person that has a really bad stressor? When do you think it's going to be a adjustment disorder? Well, the thing is, many people screw up, I just made the disorder an exam. And you don't have to. And I just made the disorder the problem most have ended the stress almost have ended less than six months ago.

The stress almost have ended less than six months ago. You must have ended less than six months ago. Okay? The cause of it, the stressor usually just made the disorder the way I think of it is you're going to have a stressor. And then you have going to have depression or anxiety light. That's the easy way I think about it. You're going to have a stressor plus anxiety or depression light. So you see a person they have a stress relief in their lives. Maybe they get diagnosed with some malignancy or something like that. And then they start having some depressive symptoms or some anxiety symptoms. But you notice that they don't meet the full criteria for diagnosing MDD. Either they don't have five out of nine of the criteria, what's last day for less than two weeks. Or you see them, they don't meet the full criteria for diagnosing GED. When you see the think of a person having an adjustment disorder. I think we're pressing having an adjustment disorder. I think we're pressing having an adjustment disorder. Okay? So in general, their symptoms don't last for more than six months after the stressor has ended. And typically, typically, typically, they have their symptoms, you know, not for very long. Not for very long. I think that's easy to think about it. Now, what if they give you a question about a person that is anxious about multiple domains of their lives? Well, you're going to be thinking about general likes anxiety disorder GED.

Remember GED, you need to have symptoms for more than six months, for us to say that you have general likes anxiety disorder, has to be for more than six months. If it's less than six months, it's not GED, has to be more than six months. And then, what if they give you a question about a person? And the person, again, has very low mood. They have an hedonia and all those things. Well, obviously, that's going to be major depressive disorder. For us to say that you have major depressive disorder, you need to have symptoms for more than two weeks. You need to have five out of nine of the CIGI cap symptoms for more than two weeks. You need to have like sleep problems, loss of interest, guilt, low energy, concentration problems, appetite issues. You're going to have problems with psychomotor retardation and suicidal ideation. And then also, there's low mood. That's one of those. Okay, so if you have five or more out of those nine symptoms for more than two weeks, that's going to tell us that this person has major depressive disorder. And then remember, if you're looking at depression, and a person has low level depression for more than two years as an adult, we call it dysphemia. Although these days, we call it persistent depressive disorder. Although in children are adolescents, we actually modify that. We actually use more one year, one year for children are adolescents.

And then, if you're talking about a person that is manic, and we're like, ooh, list the diagnosed and we borderline personality disorder. Before we diagnose you with bipolar disorder, you must have had symptoms of mania for more than a week. At least bipolar one, most have had symptoms of mania for more than a week. Although if you require hospitalization for your manic symptoms, we don't wait for a week. It doesn't matter the time frame in those circumstances. Now, bipolar two is when you have hypomania, hypomanic symptoms for at least four days, for at least four days. To be completely honest with you, one of the big differences between mania and hypomania is that people that have hypomania, they don't necessarily have problems in social, they don't usually have like social dysfunction. But people that have mania, they tend to have problems with occupational and social dysfunction. So that's a nice way to differentiate those two things. So again, mania, symptoms more than a week, hypomania, symptoms more than four days. So if we're looking at the longer term form of bipolar disorder, that's going to be called cyclophemia. That's going to be a person that basically has depression and then they have some symptoms of mania, depression and some symptoms of mania, hypomania. So almost like they're moving in cycles for more than two years. But again, kind of like persistent, depressive disorder.

In this case, if you're a child or you're an adult, we use one year, we don't use two years. We use one year, we don't use two years. And typically for cyclophemia, you're not going to have gone for more than two months without having symptoms. You're not going to have gone for more than two months without saying, oh, I do have any symptoms. So that's pretty high, you know. And then remember, I think of such an adolescence, I do disorder that has to be more than six months. Well, don't forget your schizo time-free. So if a person is hearing voices, they have to determine how hallucinations for less than a month. If it's less than a month, we're going to call that birth-psychotic disorder. If it's between one to six months, we call that schizo-frenet from the disorder. If it's more than six months, we call that full-blown schizo-frenet. And then, don't forget, conduct the disorder. We don't say you have conduct the disorder unless you're less than 18. You have to be less than 18 for us to say, oh, gee, you've got conduct the disorder. That's a person that basically has anti-social personality disorder for their under 18. Remember, conduct the disorder is not the same as oppositional defiant. Conduct the disorder to those people, they're screaming at activity, they're violent behavior. Once we go past 18, we're going to call you, oh, jeep, you have anti-social personality disorder. And then, also, ADHD, remember, ADHD typically has to be diagnosed before age 12. Before age 12.

And you need to have those symptoms in at least two settings, right? Those symptoms of hyperactivity and inattentiveness in at least two settings, in at least two settings. As we diagnosed before the age of 12, that's the high yield timeline to keep in mind for ADHD. That's the high yield timeline to keep in mind for ADHD. And then, also, don't forget that if you're thinking of panic disorder, panic disorder, basically, a person will be having a recurring panic attacks. And for more than a month, they'll be worried about having another panic attack. For more than a month, they'll be worried about having another panic attack. Whenever you see something like that, I really, really want to strongly, strongly consider that that person likely has... That person very likely has a panic disorder, okay? That person likely has panic disorder. That person likely has panic disorder. But again, I think in general, if you know these time frames that I've talked about, you should be pretty set with at least the time frames. I mean, there's obviously more stuff with psych, and I have a psych review video on You Tube and also on my website. And I have multiple psychiatric podcasts. And just real quick, if you're taking step two or step three, next week, I do have a review course coming up, studying on Monday and Tuesday, and then Thursday and Friday of next week. It's only 20 hours, five hours each of those days in the evenings in the Easter and Standard time.

And then if you're taking your... You know, if you're taking any of your USML exams, and you need a review for ethics, quality improvement, social sciences, communications, healthcare systems, all those things, I do actually have a class this coming Saturday, next week Saturday, not this Saturday, but next week Saturday, I believe the 29th is a five hour class where we really dive deep into those disciplines. So if you're interested, ship me an email through the website and I'll give you some more information. I'll follow on on one, two, three, and for all the USML exams, step one to three pre-clean comments, for exams, tradition of exams. I do offer review courses for step one, step two and step three. I have a 50 hour review course for step two and step three. Taking place in a... It's a 500 multiple choice question course. Taking place in June, I have an MBME Testikin Strategy course. Many people have taken that I found it to be helpful. That's for two and a half hours. I have a four hour bio statistics board camp, and then I have the five hour social sciences and ethics class. And then I also have a website called, Divine Interventional Life Lessons.com. That's where I post, you know, many of you know, I'm a Christian. I post two podcasts every week on Fridays and Sundays of a life lesson that many people face, but from a biblical perspective. There's actually an Apple Podcast associated with that called Divine Interventional Life Lessons podcast.

And then I also obviously have the podcast for this mainstream podcast on the... on Apple Podcasts, on Google Podcasts, and on Spotify. And also, everything is on Divine Interventional Podcast.com. You don't even actually need a sign in for that. Although, if you have a Word Press account, then you subscribe to my website, and you'll get an email notification whenever I make a new podcast. So thank you for listening to me today. Have a wonderful, wonderful, wonderful rest of your day. I'll see you next time, and bye for now. Thank you.

Symptoms must persist for more than one month following a traumatic event.

Acute Stress Disorder (ASD).

Symptoms must be present for more than six months.

Mania typically causes marked occupational and social dysfunction, whereas hypomania does not necessarily cause such severe impairment.

The individual must be less than 18 years old.

Five or more out of nine criteria present for a period exceeding two weeks.

Less than one month following trauma.

More than six months.

At least four days.

Persistent Depressive Disorder (PDD).

Between one month and six months of symptoms.

Must be diagnosed before age 12 AND must be present in at least two settings.

Less than one month following trauma.

More than six months.

At least four days.

Persistent Depressive Disorder (PDD).

Between one month and six months of symptoms.

Must be diagnosed before age 12 AND must be present in at least two settings.