General psych

Question 1

What is the diagnostic hierarcy?

Answer 1

Always treat organic problems first!

Then treat psychotic disorders

Then non psychotic disorders:

Mood

Anxiety

Personality

Question 2

What is a ‘formulation’ instead of diagnosis?

Answer 2

A way of trying to make sense of a patient’s problems on an individual level. Usually based on a particular model or theory

Includes biopsychosocial stuff

More subjective, may be less reliable

Question 3

What is PHQ-9 used for?

Answer 3

identifies and rates symptoms of depression in primary care

Question 4

Can a psychiatric condition without known organic cause be described as a ‘disease’?

Answer 4

No, it is an illness or disorder as no demonstrable pathology.

Question 5

What is classification in psychiatry

Answer 5

The ICD-10 - defines and categorises disorders.

Question 6

Is ICD-10 a categorical or dimensional system?

Answer 6

Categorical

Question 7

What is the function of the diagnostic hierarchy?

Answer 7

The higher disorders take precedence in a diagnosis e.g. if a person with dementia as anxious, the anxiety is classified as a neuropsychiatric symptom of the dementia rather than a separate anxiety disorder.