306 Psychosis Flashcards

1
Q

What is the definition of paranoia?

A

It’s a self-referential delusion

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2
Q

What is the definition of a hallucination?

A

A sensation in the absence of a percept

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3
Q

What is the difference between typical and atypical drugs?

A

Typical antipsychotic drugs act on the dopaminergic system, blocking the dopamine type 2 (D2) receptors

Atypical antipsychotics have lower affinity and occupancy for the dopaminergic receptors, and a high degree of occupancy of the serotoninergic receptors 5-HT2A

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4
Q

What effect does thiamine deficiency have on the brain?

A

It causes demyelination leading to organic brain injury

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5
Q

What is schizotypal disorder?

A

Someone who believes odd things

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6
Q

What is persistent delusional disorder?

A

When delusions are the only symptoms

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7
Q

What is section 136?

A

The police can detain someone in a public place for up to 72 hours if there is an assumption that they may have a psychotic disorder

The person must be causing trouble

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8
Q

What is section 52?

A

A holding power for doctors for up to 72 hours if the person is putting themselves at risk

-Can’t be used in A&E

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9
Q

What is section 54?

A

A holding power for nurses for up to 6 hours if the person is putting themselves at risk

-Can’t be used in A&E

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10
Q

What happens if a person with a suspected mental health disease is putting themselves at risk in the A&E?

A

You have to use common law and call security or the police

-Section 52 or 54 holds don’t work in A&E

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11
Q

What is section 135?

A

Detaining someone in their home if they have a suspected mental disease and are putting themselves at risk

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12
Q

What is an AMP?

A

An approved mental practitioner

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13
Q

How do you section someone?

A

An AMP and 2 doctors have to agree that the person would benefit from being sectioned

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14
Q

When is section 2 used?

A

It’s detention for 28 days for assessment

It’s used when you don’t know the diagnosis or you are evaluating the current diagnosis

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15
Q

What is section 3?

A

A detention for up to 6 months if the person already has a diagnosis

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16
Q

Why can’t delusions be full treated?

A

Because the person will forever hold memories of what happened they just won’t develop new delusions

17
Q

Why do antipsychotics cause weight gain?

A

They work on hormones that control appetite

Some people taking antipsychotics report craving sweet or fatty food causing weight gain