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teaching:2-diagnosis [on April 25, 2020]
teaching:2-diagnosis [on April 25, 2020]
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 Diagnosing psychiatric disorders can be difficult, and below are some algorithmic approaches for learners. Diagnosing psychiatric disorders can be difficult, and below are some algorithmic approaches for learners.
 ==== Anxiety ==== ==== Anxiety ====
-<imgcaption fig1|>{{ :​anxiety:​anxiety_flow_chart.png?​direct&​600|Diagnostic Flow Chart for Anxiety}}</imgcaption>+<WRAP group> 
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 Is the anxiety in the background of euthymia (normal mood)? If so, then it is likely a primary anxiety disorder, such as generalized anxiety disorder. If the anxiety is in the background of a depressed mood, then depression with anxious features should override a primary anxiety disorder diagnosis. Another thing to consider is if the patient’s “anxiety” is actually heightened excitement, restlessness,​ and fidgeting from hypomania. In this case, bipolar II should be considered. Some other clues would be if the anxiety is very episodic in nature (i.e. – months of having no anxiety symptoms at all).  Is the anxiety in the background of euthymia (normal mood)? If so, then it is likely a primary anxiety disorder, such as generalized anxiety disorder. If the anxiety is in the background of a depressed mood, then depression with anxious features should override a primary anxiety disorder diagnosis. Another thing to consider is if the patient’s “anxiety” is actually heightened excitement, restlessness,​ and fidgeting from hypomania. In this case, bipolar II should be considered. Some other clues would be if the anxiety is very episodic in nature (i.e. – months of having no anxiety symptoms at all). 
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 +<​imgcaption fig1|>{{ :​anxiety:​anxiety_flow_chart.png?​direct|Diagnostic Flow Chart for Anxiety}}</​imgcaption>​
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 +</​WRAP>​
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 ==== Psychosis ==== ==== Psychosis ====
-<imgcaption fig2|>{{ psychosis:​psychosis-anxiety_flow_chart.png?​direct&​600|Diagnostic Flow Chart for Psychosis}}</imgcaption>+<WRAP group> 
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 Is the psychosis occurring during a manic episode (mania with psychotic features)? Is the psychosis occurring in a depressive episode (depression with psychotic features)? If the psychosis only ever happens during periods of euthymia, then schizoaffective disorder should be considered. Is the psychosis occurring during a manic episode (mania with psychotic features)? Is the psychosis occurring in a depressive episode (depression with psychotic features)? If the psychosis only ever happens during periods of euthymia, then schizoaffective disorder should be considered.
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 +</​WRAP>​
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 +<​imgcaption fig2|>{{ psychosis:​psychosis-anxiety_flow_chart.png?​direct|Diagnostic Flow Chart for Psychosis}}</​imgcaption>​
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 +</​WRAP>​
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 ===== Uncertainty ===== ===== Uncertainty =====