Study Hub

Psychiatry

The psychiatry shelf is a discrimination test in a white coat: grief or depression, delirium or dementia, schizophrenia or schizoaffective, almost always settled by a timeline and the one feature that breaks the tie. Every Bone Wizardry psychiatry deep-dive, mapped by theme and ordered by exam yield.

Roughly half the items test history and diagnosis (DSM-5 criteria, timeline cutoffs, and separating look-alike disorders), about a third test management and pharmacology (first-line agents, side effects, and emergencies), and the rest split across diagnostics, mechanism, and risk.

01

Mood Disorders & Suicide Risk

Yield 16-22%
Thyroid and Secondary Depression
Endocrine · Rule out hypothyroidism before treating low mood
Cushing Syndrome
Endocrine · Cortisol excess driving depression, mania, and psychosis
Calcium and PTH Axis
Endocrine · Hypercalcemia and its psychiatric overtones
02

Anxiety, OCD, Trauma & Stress

Yield 12-17%
Anxiety and OCD Disorders
Psychiatry · Time thresholds, exposure therapy, first-line SSRIs
Trauma and PTSD
Psychiatry · The one-month line, acute stress, prazosin
Pheochromocytoma
Endocrine · Episodic catecholamine surges that mimic panic disorder
03

Psychotic Disorders & Antipsychotics

Yield 9-13%
Schizophrenia vs Mood Disorders
Psychiatry · The 6-month criterion and psychotic timelines
Antipsychotics and Mood Stabilizers
Psychiatry · EPS, NMS, lithium, and the anxiolytics
The Four Dopamine PathwaysPro
Neurology · Why blockade causes EPS and prolactin rise
Movement DisordersPro
Neurology · Drug-induced tremor, dyskinesia, and EPS phenomenology
04

Substance Use & Addiction

Yield 12-16%
Substance Intoxication and Withdrawal
Psychiatry · Which withdrawal kills and which does not
Wernicke-KorsakoffPro
Neurology · Thiamine before glucose, then confabulation
Toxidromes and Antidotes
Pharmacology · Overdose patterns, naloxone, flumazenil
Smoking Cessation
Family Medicine · Varenicline, bupropion, and NRT
Tobacco Control
Family Medicine · Counseling and the 5 A's
05

Neurocognitive & Geriatric Psychiatry

Yield 8-12%
Dementias Compared
Neurology · Alzheimer vs Lewy body vs frontotemporal
Neurodegeneration Decoder
Neurology · Pattern-match the degenerative diseases
Normal Pressure Hydrocephalus
Neurology · Wet, wacky, wobbly, and reversible
Parkinson DiseasePro
Neurology · TRAP, Lewy bodies, and PD dementia
Huntington DiseasePro
Neurology · Chorea, psychiatric change, CAG repeats
HIV-Associated DementiaPro
Neurology · Subcortical decline in advanced HIV
Wilson DiseasePro
Neurology · Young psychiatric symptoms that are actually organic
NeurosyphilisPro
Microbiology · General paresis as organic dementia and psychosis
06

Child & Neurodevelopmental Disorders

Yield 7-11%
Fragile X Syndrome
Genetics · Inherited intellectual disability, CGG repeats
07

Personality, Somatic & Dissociative Disorders

Yield 11-16%
Personality Disorders
Psychiatry · Clusters A, B, and C decoded
Somatic Symptom Disorders
Psychiatry · Body signals, illness anxiety, conversion
08

Eating, Sleep & Impulse Control

Yield 5-8%
Eating Disorders
Psychiatry · Anorexia, bulimia, and refeeding syndrome
Restless Legs SyndromePro
Neurology · Iron, dopamine, and the urge to move
09

Psychopharmacology & Therapeutics

Yield 7-11%
Antidepressants
Psychiatry · SSRIs, SNRIs, TCAs, MAOIs, and switching
Drug-Induced Mental Status and TremorPro
Pharmacology · Serotonin syndrome vs NMS vs lithium
Tyramine CrisisPro
Pharmacology · MAOIs and the hypertensive reaction
10

Emergencies, Ethics & the Clinical Encounter

Yield 6-9%
The Agitated Patient
Psychiatry · De-escalation to chemical and physical restraint
Confidentiality and Duty to Warn
Ethics · Tarasoff and the limits of privacy
Medical Ethics PrinciplesPro
Ethics · Capacity, consent, autonomy to justice
Medication Adherence
Endocrine · Barriers, insight, and behavior change
Working with Interpreters
Biostatistics · The clinical interview across a language gap
Screening Test Interpretation
Biostatistics · Sensitivity, specificity, and when to screen
+

To Be Added

Blueprint gaps

Topics the Psychiatry boards test that do not yet have a Bone Wizardry deep-dive. On the build list.

Mood Disorders & Suicide Risk Bipolar I and the manic episode (DIG FAST), Bipolar II and hypomania vs a major depressive episode, Cyclothymic disorder, Persistent depressive disorder (dysthymia), Premenstrual dysphoric disorder, Disruptive mood dysregulation disorder, Peripartum mood disorders: postpartum blues vs depression vs psychosis, Depression with a seasonal pattern, Major depression with psychotic features, Treatment-resistant depression and ECT indications, Suicide risk assessment, protective factors, and the hospitalization decision.
Anxiety, OCD, Trauma & Stress Body dysmorphic disorder, Hoarding disorder, Trichotillomania and excoriation (skin-picking) disorder, Adjustment disorders, Buspirone, benzodiazepine dependence, and tapering.
Psychotic Disorders & Antipsychotics Schizophreniform disorder (1 to 6 months) and brief psychotic disorder (under 1 month), Schizoaffective disorder, Delusional disorder and its subtypes, Substance-induced and medical-condition psychosis, Tardive dyskinesia and VMAT2 inhibitors, Clozapine: refractory schizophrenia and agranulocytosis monitoring.
Substance Use & Addiction Opioid use disorder and medication-assisted treatment (methadone, buprenorphine, naltrexone), Pharmacotherapy for alcohol use disorder (naltrexone, acamprosate, disulfiram), CAGE and AUDIT screening, brief intervention, and motivational interviewing, Neonatal abstinence syndrome, Gambling disorder (behavioral addiction).
Neurocognitive & Geriatric Psychiatry Delirium: hyperactive vs hypoactive, acute onset, fluctuating course, and workup, Delirium vs dementia: the bedside discriminators, Vascular dementia, Creutzfeldt-Jakob disease, Pseudodementia (depression mimicking dementia), Cholinesterase inhibitors and memantine, Behavioral and psychological symptoms of dementia and the antipsychotic black-box warning, Mild cognitive impairment and the line before dementia.
Child & Neurodevelopmental Disorders Attention-deficit/hyperactivity disorder (stimulants, atomoxetine), Autism spectrum disorder, Intellectual disability and specific learning disorder, Oppositional defiant disorder vs conduct disorder, Tourette syndrome and tic disorders, Separation anxiety disorder and selective mutism, Reactive attachment and disinhibited social engagement disorders, Enuresis and encopresis, Childhood-onset fluency disorder (stuttering), Child abuse and neglect: recognition and mandatory reporting, Developmental milestone red flags.
Personality, Somatic & Dissociative Disorders Borderline personality disorder: splitting, self-harm, and DBT, Obsessive-compulsive personality disorder vs OCD, Mature vs immature defense mechanisms, Factitious disorder vs malingering vs factitious disorder imposed on another, Dissociative identity disorder, dissociative amnesia, and depersonalization/derealization.
Eating, Sleep & Impulse Control Binge-eating disorder and avoidant/restrictive food intake disorder, Insomnia disorder and sleep hygiene, Narcolepsy, cataplexy, and orexin deficiency, Obstructive sleep apnea, Circadian rhythm sleep-wake disorders, Parasomnias: sleepwalking, sleep terrors, REM behavior disorder, nightmares, Sexual dysfunctions and SSRI-induced sexual dysfunction, Paraphilic disorders and gender dysphoria, Intermittent explosive disorder, kleptomania, and pyromania, Pica and rumination disorder.
Psychopharmacology & Therapeutics Lithium: toxicity, monitoring, and Ebstein anomaly, Anticonvulsant mood stabilizers (valproate, carbamazepine, lamotrigine), Benzodiazepines, buspirone, and hypnotics, Stimulants and non-stimulant ADHD agents, Electroconvulsive therapy: indications and side effects, Psychotherapy modalities: CBT, DBT, IPT, exposure, motivational interviewing, Psychotropic safety in pregnancy and lactation, Antidepressant and benzodiazepine discontinuation syndromes, CYP450 interactions and pharmacogenomics.
Emergencies, Ethics & the Clinical Encounter Suicide risk stratification and disposition, Homicidal ideation and violence risk assessment, Involuntary and civil commitment criteria, Decision-making capacity vs legal competency, Mental status examination components, Catatonia as a psychiatric emergency, Recognizing medical causes that masquerade as psychiatric presentations, Child, elder, and intimate-partner violence reporting, Informed consent and consent in minors (emancipated and mature minor doctrine), Professional boundaries, dual relationships, and physician-patient sexual misconduct.
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