14 Flashcards
first and second line ADHD management
atomexetine
methylphenidate
what is a cold and flattened affect suggestive of
schizoid PD
behaviour MSE
- greeting
- non-verbal cues
- gesturing
- tremor
- posture
- cooperative
- rapor
agranulocytosis
medical emergency
acute condition involving a severe and dangerous leukopenia and neutropenia
indications for anxiolytics
- GAD
- panic disorder
- substance related disorders and their withdrawal
- insomnias and parasomnias
describe schizoid PD
- lack of interest in social relationships
- solitary/ sheltered life
- secretive
- emotionally cold
- flattened affect
- detached
- apathy
- no interest in sexual relationship
- unresponsive to praise/ criticism
- don’t want family
- lack of close friendships
- anhedonia
conditions for use of benzodiazepines
- insomnia
- parasomnias
- anxiety disorders
- alcohol withdrawal
managing OCD
educational explanation involve partner/ family SSRI clomipramine CBT exposure and response prevention psychosurgery
describe histrionic personality disorder
- pattern of excessive attention seeking emotions
- usually begins early adulthood
- inappropriately seductive behaviour
- excessive need for approval
- uncomfortable if not centre of attention
- dramatic
- exaggerated
- dresses to get attention
- sees relationships as more intimate than they actually are
- willing to manipulate others
describe mood component MSE
subjective and objective mood
- eye contact
- affect (blunt/ flat/ reactive)
- psychomotor function
who can give short term detention certificate
approved medical practitioner
define a personality disorder
enduring pattern of inner experience and behaviour that deviates markedly from expectations of an individuals culture
describe dependant PD
cluster C
- inability to be alone
- anxiety when people not around them
- rely on other people for comfort, reassurance, advice, support
- clingy - need taken care of
- fear of abandonment
- got to excessive lengths to maintain
- difficulty expressing disagreement with others incase this leads to a relationship breakdown
- needs someone for important decisions
benzodiazepines side effects
- sedation
- constipation
- amnesia
- tolerance
- dependance
Warnikes encephalopathy presentation
- N+V
- confusion
- ataxia
- opthalmoplegia
- nystagmus
effects of opiates
- physical and emotional anaesthesia
- intense but transient feeling of pleasure ‘a rush’ ‘almost orgasmic’
medium term side effects optiates
- phlebitis
- anorexia
- constipation
phlebitis
inflammation of a vein
symptom groups anxiety disorders
- psychological arousal
- autonomic arousal
- muscle tension
- hyperventilation
- sleep disturbance
function of methadone maintenance
to taper someone of opioid addiction
allows normalisation of lifestyle
reduces IV misuse
potential consequences of conduct disorders
- increased risk of early death often by sudden/ violent means
- increase risk social exclusion
- poor school achievement
- unemployment
- criminal activity
- adult mental health
- poor interpersonal relationships
describe dementia ABCD
A - decrease Activities
B - behavioural and psychiatric symptoms (depression, psychosis, aggression, anxiety)\
C - cognitive decline
D - decline physical
