10 Flashcards
define severe depression
3/3 of: - persistent low mood >2weeks - fatigue - anhedonia 8+ of: - self harm/ suicidal thoughts/ ideation - guilt - decreased appetite - disturbed sleep - reduced concentration - low self-esteem - bleak and pessimistic views of the future
how long does a short term detention certificate last for
28 days
valproic acid side effects
- thrombocytopenia
- N+V
- weight gain
- sedation
- tremor
- hair loss
- increased risk of neural tube defect
presentation high dose alcohol
- disorientation
- N+V
- slurred speech
- impaired attention and judgement
- unsteadiness
- flushing
- stupor
- nystagmus
- mood instability
- disinhibition
- unconscious
carbamazepine target level
4-12
investigations/ checks pre-starting carbamazepine
- baseline LFTs
- FBC
- ECG
delusional perceptions
see something that is real but instantly believes there is a meaning behind it
first and second line ADHD management
methylphenidate
atomoxetine
downsides to cocaine
- damage to nose and airway
- convulsions with resp failure
- cardiac arrythmias
- MI
- hypertension
- toxic confusion
- paranoid psychosis
effects MDMA
- euphoria followed by feeling of calm
- increase in sociability
- inability to distinguish between what is and what isn’t desirable
- lasts 20mins-4hours
describe how reward centres work
ventral tegmental area (VTA) neurons are stimulated, dopamine is released causing a sensation of pleasure/ reward
conditions which may involve psychosis
- depression
- schizophrenia
- bipolar
- delirium
- severe affective disorder
- depressive episode with psychotic symptoms
- manic episode with psychotic symptoms
what is the psychoactive agent in cannabis
tetrahydrocannabinol
retardation
severe psychomotor impairment, slowing of motor responses including speech
depression
unpleasant emotion in which sadness predominates
