10 - Psychiatry Flashcards
1
Q
Define neurosis.
A
Contact retained with reality
2
Q
Define psychosis.
A
Contact is lost with reality
3
Q
What are examples of neuroses?
A
- anxiety
- phobic
- obsessional
- hypochondriacal
- depressive
4
Q
How do you differentiate between an anxious patient and somebody who has anxiety neurosis?
A
- an anxious patient is nervous about treatment
- someone with anxiety neurosis is nervous about everything, a worrier, and can be worried if they have nothing to worry about
5
Q
What are different types of anxiety disorder?
A
- generalised anxiety disorder
- phobic anxiety
- panic disorder
- social anxiety disorder
6
Q
What is generalised anxiety?
A
- free-floating anxiety in many situations
- can present with fatigue, restlessness, poor concentration, irritability, poor sleep
7
Q
What is phobic anxiety?
A
- intense anxiety
- panic in specific situations
8
Q
What is panic disorder?
A
- unpredictable extreme anxiety
- symptoms can mimic the feeling of a heart attack
9
Q
What is a somatoform disorder?
A
Repeated presentation of physical symptoms and persistent requests for medical investigations despite negative findings and reassurance that symptoms have no physical basis
10
Q
What are management strategies for anxiety disorders?
A
- CBT
- psycho-eduction
- self medication (alcohol)
- prescribed medication
11
Q
Give examples of anxiolytic drugs.
A
- alcohol
- benzodiazepines (diazepam, midazolam)
- tricyclic antidepressants (amitriptyline)
- mirtazepine
- SSRI (sertraline, citalopram)
12
Q
What is OCD?
A
- obsessive compulsive disorder
- fear of infection etc
- patients develop rituals to contain anxiety
- insight into own disorder can lead to depression
13
Q
What is an adjustment disorder?
A
- maladaptive response to severe past or continuing stress/trauma
- usually accompanied by mood disorders
- examples of trauma include bereavement, separation, extreme events
