11 Flashcards
components of mental state examination
- appearance
- behaviour
- mood (apparent and subjective)
- speech (normal, slow, pressured)
- thought (form and content)
- beliefs
- perceptions
- cognitive function
- insight
- risk
how long does typical depression episode last
4-6 months
management depression
CBT medication SSRI -> TCA -> MAOI family therapy ECT psychosurgery
describe risk component MSE
risk of harming themselves/ others
- thoughts
- ideation
- intent
- plans
2nd line management OCD in PC
SSRIs
takes up to 12 weeks to see a response
1st line management OCD in PC
CBT
including exposure + response prevention
resist their compulsions/ urges
management social anxiety disorder
1st - CBT
2nd - sertraline/ escitalopram
continue for 6 months after treatment has become effective
consider a diagnosis of GAD in patients who
- present with anxiety/ significant worry
- frequent attendees with chronic health problem
- frequent attendees seeking advice about somatic symptoms
- frequent attendees repeatedly worrying about a range of different issues
length of time 3rd depression treatment
discuss lifelong prophylaxis
min length of time 2nd antidepressant treatment
2 years
min length of time for first antidepressant treatment
6 months
define trial of adequate length for depression treatment
at least 2 months
in cases of antibiotic resistance, what methods should be considered
switching combining SSRI with mirtazapine adjunctive with lithium adjunctive with atypical antipsychotic ECT
typical LD prison representation
- arson
- sexual (normally exhibitionism)
describe over-activity syndrome in children with learning disability
many severe LD are overactive but not the extent that would indicate ADHD diagnosis
