General Hospital Psychiatry

Question 1

how is it different in hosptial

Answer 1

more prevalent than in general population

can affect management of physical condition

Question 2

why is there an increased prevalence

Answer 2

challenges of physical llness-medications, affect of illness

Question 3

what are common mental health problems in the hosptial

Answer 3

affective disorders
self-harm
delirium
substance misuse
dementia

Question 4

is depression common in the hsitpal

Answer 4

twice as common
more common in chronic ilnness
common in neurological diseases
may be more difficult to defect

Question 5

is delirium common in hospitals

Answer 5

very common
usually acute
disorienttion
disorder sleep wake pattern
changes in mood

Question 6

is self harm common

Answer 6

commonest reason for admission in families

Question 7

how does substance misuse present

Answer 7

physical complications
intoxication
withdrawm
trauma 
brain damage

Question 8

is dementia prominent

Answer 8

prevelance increases with age 60% of those over 65

Question 9

are eating disorders prominent

Answer 9

common in young females

may require stabilisation

Question 10

how to manage these disorders

Answer 10

provide mental health treatment
shorten time in hsotpal
avoid investigations
improve quality of life

Question 11

what is a functional disorder

Answer 11

medically unexplained symptoms
most have a history of mental health problem
history of childhood

Question 12

what is the treatment for functional disorder

Answer 12

good explanation of disorder
medications for co morbid problems
CBT
IPT