Patient will have 3 of 7 within 12 month period:

"WITHDraw IT":

Withdrawal symptoms

Interest or Important activities given up or reduced

Tolerance

Harm to physical and psychosocial known but continue to use

Desire to cut down, control

Intended time, amount exceeded

Time spent too much

Side effects of psychiatric drugs:

1-antipsychotics=SHADE + the extrapyramidal sideeffects.
S=Sedation
H=Hypotension
A=Anticholinergic
D=dermatological SEs
E=Endocrine(impotence,gynaecomastia......)
2-Antidepresants=SHACSS
S=sedation
H=hypotension
A=anticholinergic
C=cardiac
S=seizure
S=sexual
3-Amtimania(lithium)=ABCDW
A=acne
B=bad thyroid(hypothyroidism)
C=Congenital anomalies(epsteins anomaly)
D=diabetis insipidus
W=Wbc count may increase

These stages can occur in any order or simultaneously;

D: Denial
A: Anger
B: Bargaining
D: Depression
A: Acceptance
"DABDA"

Here is a simple way I try to remember the side effects of Lithium.

L - Leucocytosis
I - Insipidus (Diabetic)
T - Tremor, Teratogenicity (especially in the first trimester)
H - Hypothyroidism
I - Increaded Weight Gain
U - Vomitting (substitute V for a U), Nausea, GI disturbances
M - Miscellaneaous - ECG Changes, Acne

Here is another way of remembering the side-effects of Lithium , which is high-yield, as

it is the drug of choice for Bipolar disorder.
BLIND CAAT HITS

BLIND -Stands for Visual disturbances

C- for chorea
A for Athetosis
A for Acne
H for Hypothyroidism
I for Insipidus diabetes
T for Tremor and Taste changes
S for Severe weight gain

Blind CAAT HITS

blind for visual disturbances
C for chorea
A for athetosis
A for Acne
T for Torsades/Teratogenic changes
H for Hypothyroidism
I for Insipidus
T for Tremor/Thirst
S for Severe weightgain, Seizure threshold decreases.

Here is an easy way to remember borderline personality disorder " PRAISE"

P-paranoid
R-relationship instability

A-anger outbursts,abandonment fears,affective instability

I-Impulsiveness, Identity disturbance

S-suicidal behaviour

E-emptiness

Criteria to diagnose Generelized Anxiety Disorder

in addition to the excessive anxiety and worry over a number of events,three out of the
following must be present

remember PRIME

P poor concentration
R restlessness
I irritability & impaired sleep
M muscle tension
E easy fatiguability

MNEMONICS FOR DELERIUM :

CAT MEt SLEEP-WAKE CYCLE by PERCEPTION
C:CONCENTRATION LOST
A : ATTENTION DISTURBANCE
T : THINKING DISTURBANCE

M: MEMORY DISTURBANCES
E : EMOTIONAL PROBLEMS

SLEEP WAKE CYCLE DISTURBED

P : PERCEPTION IS IMPARED.

Here is the easy way to remember Mental status examination;

ASEPTIC

A= Appearance and Behaviour

S= Speech

E= Emotion [mood and affect]

P= Perception [Hallucination and illusion]

T= Thought content and process

I= Insight and Judgement

C= Cognition

criteria for mania:

GST PAID

G=Grandiosity

S= Sleep

T= Talkative

P= Pleasurable activities,painful consequences,

A= Activity

I= Ideas, flight of

D= Distractable

OR use this: DIG FAST

D= Distractable,

I= Impulsivity [irritable/euphoric]

G= Grandiosity
F= Flight of Ideas

A= Activity[goal directed/pleasurable]

S= Sleep [decreased need]

T= Talkative

Observe the child for ATTENTION

Annoying, Temperamental, Turn(cannot wait for), Energetic,

Noisy,Task Incompletion,Inattentive, Oppositional, Negativism

Causes of Delirium:

I WATCH DEATH

I= Infection,

W= Withdrawal from drugs, A= Acute metabolic disorders, T= Trauma, C= CNS

pathology, H= Hypoxia

D= Defficiencies in vitamins, E= Endocrinopathies, A= Acute vascular insult, T=

Toxins, H= Heavy metals

Generalized Anxiety Disorder

MRS ICE

m-muscle tension
r-restlessness
s-sleep disturbance

i-irritability
c-concentration problems
e-easy faitguabilty

six symptoms six months

and the gap indicates (bwteen mrs and ice) that 3 symptoms need to be present