5 - Paeds - Safeguarding - CAMHS - Psychosis + Self harm + Recreational Illicit drugs

Question 1

Psychosis - main features

Answer 1

lost insight
delusional > odd behaviour
lose thought coherence, speech hard to follow, thought disorder, hallucinations

Question 2

Disorders that can cause psychosis

Answer 2

schiz
Bipolar AD
Organic (substance induced, dementia)

Question 3

Psychosis is rare before…? increased in freq during…?

Answer 3

rare before puberty

incr during adolescence

Question 4

Psychosis - Ix?

Answer 4

urine drug screen
review meds
r/o medical causes

Question 5

MGMT of psychosis

Answer 5

psych referral 
trt with antipsychotics
psychoeducation
FT
Individual therapy
treat underlying cause if organic with help from psych

Question 6

Self harm - overdose motives?

Answer 6

suicide
drawing attention to a perceivably unsolvable predicament
abuse/bullying

Question 7

What is PATHOS score ?

Answer 7

P - have you had problems for more than a month?
A - were you alone in the house at the time?
T - did you plan it for more than 3 hours?
HO - are you feeling hopeless about the future?
S - were you feeling sad for most of the time before your OD

Question 8

recreational illicit drugs - Class A?

Answer 8

MDMA, Cocaine, LSD, Heroin, Morphine, Methadone

Question 9

Rec illicit drugs - class B

Answer 9

amphetamine
cannabis
dihydrocodeine

Question 10

rec illicit drugs - class C

Answer 10

temazepam, valium, ketamine, GHB