Dentistry and mental illness 2 Flashcards
What is body dysmorphic disorder?
Belief in cosmetic defect in someone of ordinary appearance
Socially isolated, introverted, associated with stress
Can also be ethnic dysmorphia or gender dysmorphia
Describe eating disorders?
Lack of insight, psychopathological relationship with food
Anorexia = reduced weight (stop eating)
Bullaemia = maintain weight (vomiting)
Poor OH - acidic vomit so erosion
What is OCD?
People with OCD have insight - they know it affects daily life
Ritual performances / obsessive doubts
Time consuming
What is PICA?
Eating inappropriate products
Varies with culture
Pregnant women often want coal
Must be in kids >18 months as young babies use their mouths for perception
What is schizophrenia?
Can be acute or chronic
ACUTE - delusion, hallucinations, interrupted thoughts
CHRONIC - slow, apathy, lack of drive, inability to explain abstract ideas, over-inclusiveness, delusions, hallucinations
What 4 treatments are there for mental illness?
Drugs - psychotropic, neuroleptic, anxiolytics
Behaviour therapy - desensitisation, relaxation training, cognitive therapy
Psycotherapy - talking cures,
ECT - electro convulsive shock therapy - shock frontal lobe
What is CBT?
Cognitive behavioural therapy
completed in 10 sessions but psychotherapy is ongoing
What factors affect OH and access to care?
PLIMIM
Type, severity and stage of illness
Side effects of medication - xerostaemia, dyskinesia
Mood, motivation, self esteem
Perception of OH problems
Lifestyle - language, diet, drugs
Lack of information - knowledge and attitudes
What are the 3 main issues that arise when dealing with a pt with poor mental health?
Clinical duty of care vs pt autonomy
Pt refusal of treatment vs best interests
Power of attorney - ill mentally incapable
What is competency?
The ability to consent for yourself:
- understand and remember information
- weight up choices
- believe information applies to you
What is the mental capacity act 2005?
1) Person must be assumed to have capacity unless otherwise stated
2) Person is not to be treated as unable to make a decision unless all practical steps have been taken to do so without success
3) Person not to be treated as unable to make a decision merely because their decision is unwise
4) An act done or decision made under this act for someone who lacks capacity must be in their best interests
5) Before the act is done, regard must be had for the purpose for which it is needed can be as effectively achieved in a way that is less restrictive of the persons rights and freedom of action
