2 Flashcards
first line agent for acute mania/ mania prophylaxis
carbamazepine
what should be measured prior to starting patients on valproic acid
baseline LFTs
pregnancy test
FBC
factors predicting positive response to valproic acid
- rapid cyclin patients
- comorbid substance issues
- mixed patients
- patients with cormorbid anxiety disorders
indications valproic acid
mania prophylaxis
level and presentation of severe lithium toxicity
> 2.5
- generalised convulsions
- oliguria
- renal failure
rheumatology FNDs
- fibromyalgia
- benign hypermobility syndrome
describe compulsive acts associated with OCD
- feel they have to do them
- add no benefit to life/ have no purpose
- normally something ‘bad will happen’ if they don’t do them
- not enjoyable
agoraphobia
fear of being in situations where escape may be difficult or that help won’t be available if things go wrong
apathy
loss of interest in own surroundings
anhedonia
loss of ability to derive pleasure from experience
agitation
state of restless overactivity, aimless and ineffective
attitudes for motivational interviewing
- never disagree
- empathy
- understand predicament
- support self efficacy
- patient sets agenda
management of someone who’s in contemplation
information
risk screening
pros and cons
stages of change cycle
- pre-contemplation
- contemplation
- planning/ determination
- action
- maintenance
when would motivational interviewing be used
where behaviour change is being considered but patient still unmotivated or ambivalent to change
limitations to interpersonal therapy
- requires degree of ability to reflect
- where poor social networking, limited interpersonal support
strengths of interpersonal therapy
- no formal homework
- enables reflection
- good for treating depression
describe interpersonal therapy
focus on the present by constructing an interpersonal map
links symptoms to interpersonal events
what happens in CBT
identification of thoughts, feeling and behaviour assess unrealistic/ unhelpful thoughts automatic negative thoughts unrealistic behaviours identify what can change
what is CBT particularly good for
- depression
- anxiety
- phobias
- OCD
- PTSD
severe learning disability IQ
20-34
define learning disability
condition of arrested or incomplete development of the mind, characterised by impairment of skills manifested during the developmental period, contributing to overall level of intelligence