AMH Flashcards
What is agoraphobia?
Marked and excessive fear or anxiety that occurs in response to multiple situations were help might not be available or escape is difficult I.e large crowds, being outside alone, public transport.
There is a fear of a specific negative outcome such as panic attack
Must have occurred for several months
How to manage agoraphobia
- Psychoeducation
- Refer for CBT
- Lifestyle advise-avoid caffeine illicit drugs and stimulants
- Medication-SSRI 1st line, consider imipramine or clomipramine 2nd line. Continue 6 months after optimal dose
What are negative symptoms schizohirenia?
5As:
-Affective flattening
-Alogia/paucity of speech
-Avolitiin
-Asociality
-Anhedonia
What lifestyle interventions can be suggested for negative symptoms schizophrenia
CBT to challenge negative cognitions
Skills based training to improve social functioning and reduce withdrawal
Cognitive training to improve areas of cognition they struggle with like concentration
Exercise
Music treatments
What antipsychotics have high risk of QTC prolongation?
Haloperodol
Pimozide
Sertindole
What antipsychotics have a moderate risk of QTC prolongation?
Quetiapine
Chlorpromazine
What antipsychotics have no risk of QTC prolongation?
Aripiprazole
What antipsychotics have low risk of QTC prolongation?
Olanzapine
Amisulpride
Risperidone
Clozapine
Flupenthixol
What % women relapse with bipolar in pregnancy?
23%
How long should mood stabilisers be prescribed for bipolar?
2-5 years
Weaned off gradually
Mood should be monitored for 2 years
What’s the prognosis for anorexia?
46% fully recover
34% improve
20% chronic
60% adolescents fully recover with early intervention
What % of deaths in anorexia due to suicide?
20%
What is the physical risk monitoring for anorexia guidance called?
MEED
(Previously Marsipan Junior Marsipan)
What is the prevalence of depression post MI?
20%
What is the most suitable antidepressant post MI
Sertraline (according to sadhart trial)
Avoid TVA due to impact on heat rhythm and venladaxine due to raised BP
