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Phase 3a Psych > General/definitions > Flashcards

General/definitions Flashcards

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1
Q

What are the 5Ps of formulation?
what are they used for?

A

RF and management plan
Presenting complaint
Predisposing
Precipitating
perpetuating
protective

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2
Q

what do each of the 5Ps mean?

A

Presenting complaint - the problem they came in with

Predisposing - RF from before causing PC

Precipitating - Event causing Sx to occur

Perpetuating - what is keeping PC in the loop, perpetuating PC

Protective - things keeping them going

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3
Q

what is the biopsychosocial model?

A

it is used for risk factors and Tx
Biological, psychological and social RF

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4
Q

what are some Biopsychosocial RF?

A

Biologic - genetics, birth complications (eg. hypoxic ischemic injury), past MHx, DHx

Psychological - Trauma, abuse, self esteem, mood, personality

Social - relationships, finances, stress, culture

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5
Q

what is included in a psych Hx?

A

same as general Hx +
PERSONAL Hx - Timeline from childhood to now
Suicide and self harm
Forensic Hx (legal involvement)

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6
Q

what is the acronym for the Mental state exam?

A

ASEPTIC

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7
Q

What does ASEPTIC stand for?

A

Appearance and behaviour
(dressing, eye contact, body language)

Speech
(rate, rhythm, tone, volume)

Emotion
(mood - ask directly how they are, Affect - appearance, voice + behaviour matches that)

Perception
(delusion, delperc)

Thought
(formation, stream of thoughts)

Insight
(reality awareness)

Cognition
(high in agitation, low/slow)

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8
Q

Definitions:
Mental health disorder?

A

Disorder of mind, EXCLUDING ALCOHOL + DRUGS

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9
Q

psychosis?

A

Loss of touch with reality and impaired function

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10
Q

Neurosis?

A

Mood disorder (anx/depression) with NO REALITY loss but IMPAIRED FUNCTION

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11
Q

hallucination?

A

UNREAL interpretation of an unreal stimulus eg. hearing voices

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12
Q

Illusion?

A

UNREAL interpretation of a REAL stimulus

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13
Q

Delusion?

A

FIXED FALSE UNSHAKABLE BELIEF OUT OF KEEPING WITH SOCIAL NORMS

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14
Q

Overvalued idea?

A

strong belief but CAN BE CHALLENGED

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15
Q

Delusional perception?

A

‘If A happens, B will happen’
Pathognamonic for schizophenia

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16
Q

Flight of ideas?

A

Rapid stream of consciousness - jump between ideas

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17
Q

Formal thought disorder?

A

Disordered pattern of speech as a result of disordered thoughts

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18
Q

Knight move?

A

Illogical jumps between topics
eg. toys to weather

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19
Q

Tangentiality?

A

DEVIATING FROM A POINT + NOT returning

20
Q

Circumstantiality?

A

DEVIATING FROM A POINT but RETURNS

21
Q

Speech types?

A

PRESSURE (mania = rapid)
POVERTY (Depression = less speech)

22
Q

Munchenhausen?

A

Fabricating investigations and Sx to play SICK ROLE

23
Q

mallingering?

A

Fabricating mental health issues for secondary gain (eg, avoid jail time)

24
Q

Folie a deux?

A

stored delusion by 2 Px at the same time
Tx = separate the Px

25
Q

clang?
Neologisms?
Echolalia?
Confabulation?
Word salad?

A

severe flight of ideas - words sound similar

New words

repeat words back

making things up

random words

26
Q

Anhedonia?
ideas of reference?

A

loss of interest in things prev interested in

widespread eg. TV news message self directed

27
Q

Depersonalisation?

A

thinks they’re NOT REAL - nihilistic delusion

28
Q

Derealisation?

A

thinks world around them isn’t real

29
Q

obsession?

A

Mental preoccupation, pervasive (eats into time), recurrent

30
Q

Compulsion?

A

urge + action on obsession to obtain relief
eg. OCD

31
Q

Thought problems?
(schiz)

A

Insertion
withdrawal
broadcast
Passivity (external force controlling how u act)

32
Q

Somatoform disorder?

A

Medically unexplained Sx
(eg. IBS - No explanation)

33
Q

hypochondriasis?

A

mental preoccupation that Px has cancer or severe illness despite multiple negative tests

34
Q

Conversion disorder?

A

Neuro Sx (eg. weakness) in absence of pathology therefore put down to psych

35
Q

What are 4 types of delusion?

A

Persecutory (MC) - Points the finger to blame others

Grandiose (mania)

Guilt and worthlessness

Nihilistic (think you don’t exist)

36
Q

Eponymous:
capgras?
fregoli?
Othello?

A

close relative replaced with imposter

everyone is 1 person with masks

partner unfaithful

37
Q

De cleraumbault?
Ekbom?
Cotard?

A

erotomania (high status person M in love with Px F)

Restless leg syndrome (painless calf cramping, ‘creepy crawly’) - often associated with Fe def anemia (Fe role in DA pathway)
Tx = propanolol

Belief Px is dead and rotting

38
Q

When was the mental health act instated?

A

1983

39
Q

to detain under the mental health act, what must be provided?

A

evidence of mental health condition and risk (society), will benefit from admission + Tx available

40
Q

what principles are followed when detaining someone under the mental health act?

A

least restrictive
Px is safe
good wellbeing
give good and effective treatment

41
Q

When can the mental health act override the mental capacity act 2005?

A

Patient may be detained even is capacious

42
Q

what is section 2 of the mental health act?
Detained for how long?
approval from?
Renewable or non renewable?

A

28 day detained for investigations (non renewable)

2 Dr (1 S12 approv doc - ST4+) + Advanced mental health practitioner (AMHP - social worker)

Non renewable

43
Q

What is section 3 of the mental health act?
Held for how long?
Approval from?
renewable or non renewable?

A

6 months for Tx

2 - doctor (as before) and AMHP

Renewable (6 months, therefore 12m increments)

44
Q

what sections can be used in patients and federal?

A

section 5 (2) by Dr and nurse

section 135 and 136 by police

45
Q

What is section 5 (2) for Dr vs Nurses?
time held?
awaiting?

A

72hr - Dr holding power (await S12 AMHP)

6hr - Nurse holding power (await dr)

46
Q

section 135 + 136
how long do they have to admit?
why?

A

135: 24-36 hr admit Px to access home

136: 24-36 hr admit Px with suspected mental health illness in a public place

Phase 3a Psych (11 decks)

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