General Hospital Psychiatry Flashcards
What are the reasons for increased mental illness in hospital populations?
Challenges of physical illness (psychological, treatment, brain functioning)
Increased morbidity
What common mental health problems are seen in general hospital patients?
Affective disorders Self-harm Delirium Substance misuse Personality disorders Dementia Eating disorders
What common mental health problems are less seen in general hospital patients?
Schizophrenia
Bipolar
Severe depression
What challenges does Depression pose in general hospital patients?
2x as common, esp. in chronic illness and Neurological diseases
Overlapping symptomology
How does Delirium present?
(similar to schizophrenia) Psychomotor retardation or hyperactivity Disordered thinking Perceptual distortions Changes in mood Disordered sleep-wake cycle Fluctuating arousal
How common in self-harm in hospital patients?
Commonest female admission <65y
15-20% of patients repeat
Paracetamol
Self-harm in hospital patients is associated with what?
Mental illness/personality disorder
Substance misuse
Multiple social problems
How does Substance misuse present in hospital?
Physical complications/intoxication Withdrawal ARBD Trauma/accident Drug-induced psychosis Faking illness for drugs
What are functional disorders?
“Medically Unexplained symptoms”
Dissociative/somatoform disorders
How do FND patients present?
Psych symptoms
2/3 have Hx of mental health issues
Childhood trauma
How are FND patients treated?
Explanation of FND
Medications for co-morbid health issues
Psychotherapies
