General Psych Flashcards
Multi Axial Diagnosis
1- Psychiatric
2- Personality disorders
3- Medical co-morbidities
4- Psycho-social stressors
5- Global assessment of funcctioning- mild, mod or severe.
What are the risk assessment categories?
Suicide/self harm
Homicidal/aggression
Absconding
Vulnerbaility/ self neglect
Suicide risk factors
Sex - male
Age
Ddpression or hopelessness
Previous attempt
Excessive drug/alchol use
Rational thinking loss
Single, widowed or divorced
Organised or serious attempt
No social support
Stated future intent
Mature Defense Mechanism
Alruism, humour, sublimation and suppression
Neurotic Defenses
Repression, displacement, dissociation, reaction formation and intellectualisation
Immature Defenses
Splitting, externalization, idealisation, projection and acting out
Psychotic Defenses
Denial and distortion
SUICIDAL
S - Sex
U - Unemployment
I - Illness
C - Crisis
I - Isolated
D - Depression/mental health
A - Alcohol
L - Lethality
Suicide Risk Assessment broad overview
DICDMR
Detection
Immediate MGMT
Comprehensive Suicide Risk Assessment (Incl Collateral)
- Obtain Full psychiatric history and MSE
- Identify RFs/Protective factors
- Identify Motivation for this suicidal presentation/Explore their distress ? Why now?
- Identify At risk mental states
- Explore particular TAAP
- Ascertain Safety of others
Determining Risk Level
MGMT
Re-assessment
Dopamine Pathways in the brain
Mesolimbic
Behaviour and pleaure
Overactivity of the mesolimbic system = positive symptoms
Mesocortical
Cognition
Associated with negative symptoms
Nigrostriatal
Motor
Includes the basal ganglia
Tuberoinfundibular
Prolactin release
Dopamine inhibits the release of prolactin
Psychotic Illness Timeline
Brief Psychotic Episode = one day - one month
Schizophreniform = one month-six months
SCZ = > six months
