6 Flashcards
indications for use of antipsychotics
- schizophrenia
- schizoaffective
- bipolar
- psychotic depression
- augmenting agent in treating resistant anxiety disorders
examples low potency antipsychotics
- chlorpromazine
- thioridazine
general features delirium
- abrupt, precise rapid onset
- shortened attention span
- acute illness
- usually reversible
- disorientating
- variable hour by hour
- prominent psychological change
- fluctuating levels consciousness
- disturbed sleep/ wake cycle
- marked early psychomotor changes
presentation frontotemporal dementia
- personality change
- early onset
- emotional blunting
- speech disorder
- stereotypy
- echolalia
- frontal dysexecutive syndrome
precipitating factors to anorexia nervosa and and bulimia nervosa
- weight loss (intentional or unintentional)
- puberty
- dieting
- increased exercise
- stressful life events
describe anorexia nervosa
- obsessive fear of fatness
- avoidance of food and other sources of calories
- range of compulsive compensatory behaviours
describe SCOFF questionairre
S - do you ever make yourself sick
C - do you ever feel out of control
O - lost more than one stone in 3 months
F - do you believe you’re fat when other people think you’re thin
F - does food dominate your life
management schizophrenia like psychosis
- compulsory admission
- neuroeptics
- social contact
presentation late onset schizophrenia like psychosis
- sensory loss
- social isolation
- persecutoy like delusions
social presentation of autism
- no reciprocal conversation
- don’t express emotion concern
- lack of non-verbal communication
- declarative pointing
- modulated eye-contact
- other gesture
- facial expression
describe OCD
excessive concern with orderliness, perfectionism, attention to detail, mental and interpersonal control which interferes with flexibility and efficiency and relationships
- overconscientious
- rigidity
- stubbornness
- won’t delegate
presentation cocaine withdrawal
- depression
- irritability
- agitation
- craving
- hyperphagia
- hypersomnia
nihilistic delusion
when you believe you’re dead/ rotting
abnormal presentation of grief, mourning + bereavement
- can no longer feel happiness
- anhedonia
- persistent for >2 months
- guilt
- thoughts of death
- worthlessness
- psychomotor retardation
- prolonged and marked functional impairment
schizophrenia diagnostic criteria
2 of following (including at least 1 of 1,2,3)
- hallucinations
- delusions
- disorganised speech
- disorganised/ catatonic behaviour
- negative symptoms
