CIL: Dual Diagnosis in Psychiatry and Mental Health

Question 1

Explain MSE

Answer 1

Appearance

Speech

Emotions

Perception

Thoughts

Insight

Cognition

Question 2

Medication explanation

Answer 2

Mode of action

Indication

Side effects

Therapeutic evaluation

Interactions

Monitoring

Education

These things increase compliance as this increases informed consent

Question 3

Explain formulation

Answer 3

Question 4

What is dual diagnosis in psychiatry and mental health?

Answer 4

1. Drug dependence
   
   1. toxicity, social, how started, when, how funding, financial
2. Psychosis
   
   1. presenting symptoms, auditory (main one, what person, where, are others able to hear)/visual hallucinations, delusions?

Internet definition - the term used to describe patients with both severe mental illness (mainly psychotic disorders) and problematic drug and/or alcohol use.

Question 5

What can cocaine cause?

Answer 5

• Link with psychosis

Question 6

What is CTT?

Answer 6

Community treatment team

Question 7

What passivity?

Answer 7

They are characterised by the belief that one’s thoughts or actions are influenced or controlled by an external agent, for example when a psychotic patient is experiencing the movement of his own limbs like a passive observer

Question 8

How to assess alcohol consumption?

Answer 8

AUDIT

CAGE - concern, guilt, anger, eye opener