CBL - Psychosis Flashcards
1
Q
Neuroleptic malignant syndrome Rx?
A
Stop antipsychotics Full exam Exclude organic causes: heat exhaustion, rhabdo Transfer to ICU Call Med Reg and Psych Reg BZD for agitation Wait >5 days before rechallenge
2
Q
Causes of non-compliance?
A
Lack of insight Think there is no need for long term Rx/mechanism of action Cost SFX Asymptomatic so Poor therapeutic alliance Inadequate education Stigma
3
Q
Negative symptoms of schizophrenia from?
A
Meds - sedation Major depression Schizoaffective Bipolar Substance Organic Tried Normal adolescence
4
Q
Long term management for someone with schizo?
A
Monitor the side effects of meds - metabolic syndrome, bloods and BP
Social - family, support groups
Psychology: CBT, education
Psychosocial rehab
5
Q
Criteria for involuntary status under MHA VIC 1986
5 criteria
A
- Appears to have mental illness
- Imminent risk to self/other
- Treatment available at gazette D facility
- Incapable of making informed consent or unwilling to give consent
- Least restrictive method
