General Psych Flashcards
What are the four first rank schizophrenia symptoms?
1) Auditory hallucinations - Hearing people speak about you OUTSIDE HEAD. Different to pseudohallucinations which are in head.
Commentary on you
Thought echo
2) Thought Disorder - Thought broadcasting/insertion/withdrawal
3) Passivisity phenomenon - Sensations being controlled by voices
Actions/feelings/impulses imposed by others
4)Delusional perception - delusion based on real thing
What is the management for schizophrenia?
- Atypical antipsychotics
- CBT
- CV risk factors
What are some atypical antipsychotics and their side effects
- Clozapine - Nb neutropenia and agranulocytosis
- Olanzapine
- Quetiapine
- Rispiredone
All cause:
Weight gain
Increase DVT/CVA risk in elderly
How to antipsychotics (and atypical) work?
What are the side effects common with typical antipsychotics?
- Dopamine antagonists
- Parkinsonism
- Torticollis
- Restlessness
- Antimuscarinic - dry mouth, blurred vision, urinary retention
eg haloperidol
What are mania and hypomania?
What makes hypomania mania?
What is the treatment?
1 ) Diseases causing:
Elevated mood
Restlessness
Poor attention/flight over ideas
Risky behaviour/over spending
2) the presence of psychotic symptoms - delusions of grandeur and auditory hallucinations
3) Up to 2 antipsychotics, then lithium
- What is lithium used for?
- What is the therapeutic dose?
- Bipolar, refractory depression
- 0.4 - 1.0mmol
How do you monitor lithium levls?
- Measure at days 4 and 7 until stable for 4 weeks
- Every 3 months, 12 hours post dose
- Do TFT U+Es every 6 months
What are the side effects of lithium?
Hypothyroid
Nausea, diarrhoea, vomiting
Polyuria (D.I)
Weight gain
What are personality disorders and how are they grouped?
Any disorder that leads to a maladaptive personality - they are inflexible. They are grouped in clusters
Cluster A - Odd and eccentric
- Paranoid
- Schizoid - emotionally cold
- Schizotypal - Eccentric, related to schizophrenia
Cluster B - Dramatic, emotional, eccentric
- Antisocial, dissocial
- Borderline (emotionally unstable)
- Narcissistic
- Histrionic
Cluster C - Anxious and fearful
- OCD
- Dependant
- Avoidant
What is the treatment for personality disordes?
- Psychological therapy
- Meds for anxiety/depression
- Antipsychotics at low doses may work for Cluster A
What is a thought disorder?
Disorganized speech representing disorganized thought
What are some examples of thought disorders?
- Flight of ideas
- Clanging
- Tangentiality
- Thought blocking
- Derailment
- neologisms
- Perseveration
What are thought disorders commonly linked to?
what else are they seen in?
Schizophrenia.
Also seen in depression, mania, tourettes
What is erotomania?
Type of delusion where you think someone famous is in love with you and can communicate with you
What is anorexia?
What are the symptoms/Signs
- Controlled weight loss and lack of eating
- Weight loss
- Social isolated
- Amenorrhea, loss of period
- Preoccupation with certain foods
- Russell sign - Callouses on nails
- Peach fuzz
