Conditions Summary Flashcards
decreased serotonin and noradrenaline insomnia (hence tired) anhedonia (loss of interest in prev enjoyable things) lack of concentration 3 weeks
moderate depression
mild depression <8weeks treatment
not antidepressants
exercise!
socializing
increase sleep
moderate depression treatment (7 steps)
SSRI - citalopram diff SSRI - fluoxetine, sertraline, paroxetine SSRI and mirtazapine SNRI - venlafaxine tricyclic - amitriptyline MAOi - phenelzine lithium
severe depression treatment
hospital admission
ECT
CBT
psychoeducation
periods of depression
periods of psychosis, flight of ideas, grandiosity
interferes with life
bipolar (with mania, not hypomania)
treatment of bipolar (5 steps)
STOP antidepressants
atypical second gen antipsychotics - risperidone, olanzapine, quetiapine
typical first gen antipsychotics - haloperidol
clozapine
lithium
sodium valproate
someone with 2nd trimester viral illness
cannabis user
3rd person auditory hallucinations
knights move thoughts
delusions of persecution, religion
passivity phenomena - thought insertion/withdrawal/broadcasting
negative symptoms - decreased speech, decreased motivation
schizophrenia
treatment of schizophrenia (3 steps)
atypical second gen antipsychotics - risperidone, olanzapine, quetiapine
typical first gen antipsychotics - haloperidol
clozapine - last line!
3rd person auditory hallucinations
schizophrenia
treatment of aggressive behavior in schizophrenia
lorazepam and haloperidol
fear of public places
doesn’t leave home
agoraphobia
fear of public speaking
fear of scrutiny
social phobia
fear of spiders
arachnophobia
fear of dentists
odonotophobia
fear of clowns
coulrophobia
treatment of specific phobias
graded exposure
OCD treatment
SSRI (fluoxetine)
tricyclic (clomipramine)
CBT + ERP
general anxiety treatment
psychoeducation
CBT
SSRI (fluoxetine)
benzos (lorazepam) - short term only
beta blockers for palpitations
PTSD treatment
CBT
EMDR
paroxetine/mirtazapine
pin point pupils
tachycardiac
hypotensive l
low resp rate
opiate over dose
opiate overdose emergency treatment
naloxone PO/IV/IM
opiate dependency treatment
methadone programme
rapid tranquilisation for violence
lorazepam 1-2mg
haloperidol 5mg
PO, IM if PO ineffective
young woman russells sign dental problems fear of being fat binges compensated by excessive exercise/vomiting/starvation/laxatives
bulimia
bulimia/anorexia acute treatment
inpatient admission
weight gain - PO or NG tube, beware of refeeding syndrome
bulimia/anorexia chronic treatment
CBT
family therapy, dietician
impaired social communication
impaired social interaction
rigid/repetitive behaviours/interests
hyperstimulation to sensory things
ASD
ASD with normal intelligence
aspergers
ASD chronic treatment
treatment of;
aggression
anxiety/depression
sleep disorder
special education
communication aids
risperidone - if aggression
SSRI - if anxiety/depression
melatonin - if sleep disorders
inattention
hyperactivity
impulsivity
ADHD
hyperactivity
6 yo boy
sore hip, funny gait
perthes (associated with ADHD)
ADHD treatment
1 - mindfulness, meditation, sleep, diet
2 - methylphenidate (stimulant)
3 - SSRI (atomoxetine)
think somethings worng with body, but no symptoms
hypochondriasis
say have symptoms but fine
no motives
facticious disorder
say they have symptoms
motives for doing so - secondary benefit eg benefits
malingering
