Hard to recall Psych Flashcards
How many units of alcohol in a pint?
2
How many units of alcohol in a small glass of wine (175ml)
1.5
Which section allows police to detain someone in a public place?
136
Which section allows police to detain someone in their own home?
135
How long must psychotic symptoms last to consider a diagnosis of schizophrenia?
At least 1 month
List some drugs which cause erectile dysfunction
TCAs BDZs SSRIs Beta-blockers Anti-histamines Anti-parkinsonians Statins Oestrogens
Indications for ECT?
Severe depression
Puerperal depression
Mania
Catatonic schizophrenia
Absolute contra-indications for ECT?
Raised ICP
Relative contra-indications for ECT?
High anaesthetic risk
Known cerebral aneurysm
Action of typical antipsychotics on which pathway improves psychotic symptoms?
Mesolimbic
Action of typical antipsychotics on which pathway worsens negative symptoms?
Mesocortical
Action of typical antipsychotics on which pathway causes hyperprolactinaemia?
Tuberoinfundibular
Action of typical antipsychotics on which pathway causes extrapyramidal symptoms?
Nigrostriatal
What are the anticholinergic side effects of typical antipsychotics?
Increased QT interval
Arrhythmias
Cardiac arrest
Name some specific side effects of chlorpromazine
Greying of skin in response to sunlight
Reduced seizure threshold
6 Key features of Lewy body dementia?
Day to day fluctuation of cognitive function Visual hallucinations Sleep disturbance Transient loss of consciousness Recurrent falls Parkinsonian features
5 hallmarks of Parkinson’s?
Tremor Shuffling gait Bradykinesia Rigidity Postural instability
Schneider’s first rank symptoms?
Delusional perception
Auditory hallucination (3rd person)
Passivity
Thought disorder (broadcasting, insertion, withdrawal)
Positive symptoms of schizophrenia?
Hallucinations
Delusions
Thought disorder
Negative symptoms of schizophrenia
Blunted affect
Anhedonia
Loss of interest in others or initiative
Reduced speech
Lifetime prevalence of depression in women?
20-25%
Lifetime prevalence of depression in men?
7-12%
Population prevalence of schizophrenia?
1%
Lifetime prevalence of schizophrenia?
1.45%
A score above what is considered normal cognitive function on MMSE?
> 27
What is considered mild, moderate and severe cognitive impairment on MMSE?
Mild: 21-24
Moderate: 10-20
Severe: <10
3 features of stupor?
Unresponsive
Akinetic
Mute
What is Amok?
Dissociative disorder typically in South East Asia esp. Malaysia
Acquisition of a weapon and frenzied killing
Followed by stupor/sleep for 1 day
Amnesia of events
What is Koro?
Chinese
Fear that penis is retracting into abdomen
What is Dhat?
Indian
Anxiety and belief semen is being lost in urine
Guilt about masturbation
What is Latah?
North African
Exaggerated startle response with echolalia or obeying commands
Frequently followed by amnesia
What is Susto?
South America
Depression after traumatic event - similar to acute stress reaction
Criteria for mood stabilisers in bipolar?
More than 1 episode of mania
Which section allows a doctor to hold a patient who is an inpatient?
5.2
How long is a 5.2 valid?
72 hours
Symptoms of neuroleptic malignant syndrome?
Pyrexia
Fluctuating consciousness
Muscle rigidity
Autonomic instability
Blood results with neuroleptic malignant syndrome?
Raised creatine kinase
Raised WCC
Deranged LFTs
Mx of neuroleptic malignant syndrome?
- Stop precipitating anti-psychotic
- BDZs
- Supportive measures - lower body temp, oxygen, fluids
- IV sodium bicarb - rhabdomyolysis
- Dantrolene - malignant hyperthermia
- lorazapam - reduce rigidity and agitation
- Bromocriptine - reverse dopamine blockade
What syndrome describes someone being able to disguise themselves to look like many people?
Fregoli syndrome
What syndrome describes someone of higher status being in love with them?
De Clerambault’s
What syndrome describes men experiencing symptoms of pregnancy around the time of their child’s birth?
Couvade syndrome
What syndrome describes someone being replaced by a doppleganger?
Capgras syndrome
Risk factors for PTSD?
Low education Low social class Afro-caribbean/Hispanic Female Low self-esteem Personal or family history of psych problems Prior trauma
What characterises hebephrenic schizophrenia?
Disorganised speech and thoughts
Flat affect
Shallow and inappropriate emotional responses
What characterises simple schizophrenia?
Gradual decline in functioning
Negative symptoms without positive symptoms
Symptoms of serotonin syndrome?
Severe HTN Tachycardia High pyrexia Myoclonus Sweating Hyperreflexia
What drugs may contribute to serotonin syndrome?
SSRIs MAOIs Opioids Cocaine/meth Lithium Metoclopramide St John's Wort
What is logoclonia?
Repeating the last syllable of a word
What is palilalia?
Repeating a whole word
What is perserveration?
When mental operations are continued beyond when they are relevant
Examples include palilalia and logoclonia
What is Rett syndrome?
Neurodevelopmental disorder similar to autism
Normal development followed by decline after 1-2 years old
Behaviour in Rett syndrome?
Screaming attacks Avoidant eye contact Poor social interaction Loss of fine motor skills Stereotyped hand movements Ataxia
After an act of self-harm what is the risk of completed suicide within the next year?
1%
Risk factors for suicide?
Male Age>45 Divorced, single, widowed Unemployed High or low social class Psychiatric illness Previous self-harm Chronic physical illness Recent adverse life events
What section can an A&E doctor use and how long is it valid?
Section 4
72 hours
What is piblokto?
Inuit women
Sudden hysteria and bizarre behaviour
May be due to Vit A toxicity
What is windigo?
North American tribes
Believe body is possessed by spirit which craves human flesh
Obsessions and compulsions about cannibalism
What drug is preferable to treat delirium tremens in patients with hepatic failure?
Lorazepam
Which SSRI is most likely to lead to QT prolongation and Torsades de Pointes
Citalopram
What risks do SSRIs pose in first trimester and third trimester of pregnancy?
First = congenital heart defects Third = persistent pulmonary hypertension of the newborn
What does paroxetine increase the risk of in the first trimester?
Increased risk of congenital cardiac malformations
What electrolyte abnormality are SSRIs associated with?
Hyponatraemia
What type of incontinence do TCAs cause?
Overflow incontinence due to anticholinergic effect
What is an affect illusion?
one in which a perception is altered depending on the mood state
What is a complete illusion?
when there is a lack of attention, and a perception is ‘incorrectly’ interpreted
What is a paraidolic illusion?
consist of shapes being seen in other objects
What is an extracampine hallucination?
one which occurs beyond the usual
range of sensation
What is a functional hallucination?
when a hallucination is experienced only when
an external stimulus is present in the same modality
What is a hypnagogic hallucination?
Occurs on falling asleep
What is a hypnopompic hallucination?
Occurs on waking up
What is a reflex hallucination?
similar to functional hallucinations but
the stimulus is in a different modality to the hallucination
What is a delusional atmosphere?
AKA delusional mood
the state of perplexity or bewilderment in which sufferers feel that something is ‘going on’ but without being able to state exactly what
What are the 4 features of Gerstmann’s syndrome? And which lobe is affected?
- ‘Left-right’ disorientation
- Dyscalculia (inability to perform arithmetical tasks)
- Finger agnosia (inability to distinguish the fingers on the hand)
- Agraphia (inability to write).
Parietal lobe injury
Where would tumours with symptoms of confabulation and amnesia most likely be?
Wall/floor of third ventricle
What is pellagra?
Niacin deficiency
Symptoms of pellagra?
GI - diarrhoea, gastritis, anorexia
Psych - apathy, depression, irritability
What is temporal lobe epilepsy associated with?
psychological and psychiatric symptoms such as aura, sensory disturbances and depersonalization or derealization
What might precipitate an attack of acute intermittent porphyria?
menstruation
alcohol
poor nutrition
ocp
Side effects of aripiprazole?
Nausea
Insomnia
How can a diagnosis of schizoaffective disorder be made?
Symptoms of psychosis and mood symptoms present at the same time
Define dysthymia?
Chronic low grade mood disorder
How is brucellosis transmitted?
unpasteurized goat’s milk or contact with infected animals
What drug class is mirtazapine?
NaSSA
Incidence of OCD in men vs women?
1:1
MRI findings in Alzheimer’s
Loss of volume in hippocampus
generalized cerebral atrophy
enlarged ventricles
prominent sulci
Triad in Lewy Body dementia?
visual hallucinations
fluctuating cognitive impairment
parkinsonism.
In older people what type of drugs increase in their duration of action and why?
BDZs
Higher body fat proportion increases volume of distribution
Drugs which cause priapism?
Trazodone
Chlorpromazine
Define frotteurism
the paraphilic activity of touching and
rubbing against another person’s body for sexual pleasure
Define Kleine–Levin syndrome
characterized by distinct periods of extreme
somnolence and excessive hunger
Define Time zone change syndrome
characterized by difficulty initiating
and maintaining sleep as well as daytime fatigue
How long must substance misuse go on to claassify as harmful use?
1 month
Wernicke’s encephalopathy triad?
ataxia, confusion and ophthalmoplegia
Define Marchiafava–Bignami disease
a progressive neurological condition characterized by corpus callosum demyelination associated with chronic alcoholism
Acute psychological effects of cocaine?
increased alertness, formication, euphoria, irritability, delusions and hallucinations.
Similarities and differences between autism and aspergers?
Similarities: Intense interest in restricted things Abnormal social interaction Motor clumsiness Differences: Aspergers has no language delay or cognitive difficulties
IQ classifications for learning disabilities?
Mild 50-70
Moderate 35-49
Severe 20-34
Profound <20
What therapy is good for depression resulting from loss?
Interpersonal therapy
Incidence of baby blues?
50-75%
AUDIT score cut offs?
1-7 = low risk consumption 8-14 = hazardous or harmful alcohol consumption 15+ = alcohol dependence
Neuroleptic malignant syndrome Tx?
Dantrolene
List some symptoms of SSRI discontinuation syndrome
increased mood change restlessness difficulty sleeping unsteadiness sweating gastrointestinal symptoms: pain, cramping, diarrhoea, vomiting paraesthesia
Signs of opioid withdrawal?
Dilated pupils Yawning Rhinorrhoea Epiphora Agitation Sweating Piloerection Vomiting Shivering Tachycardia
Tx for amitriptyline OD?
Bicarbonate (causes metabolic acidosis)
How does renewing a section 3 work?
First time you renew: 6 months
After that can extend by 1 year
What constitutes a somatic syndrome of depression?
At least 4 of the following 8 biological symptoms: Anhedonia Decreased emotional reactivity Early morning wakening Diurnal variation Agitation Decreased appetite Weight loss >5% in one month Reduced libido
What is the proportion of people with completed suicide who have seen the GP in the last month?
66%
What is the annual incidence of suicide?
1 in 10,000
What is the annual incidence of self-harm?
3 in 1000
What is Ganser’s syndrome?
Factitious disorder when people give approximate answers to questions to try and look psychotic e.g. how many legs does a donkey have? They say 12 rather than chicken wings
Tx for akathisia?
Low dose propranolol or lorazepam
When are Z drugs used?
Short term management of insomnia
3 talking therapies adults with anorexia can be offered? What can be offered if all 3 are ineffective
eating disorder-focussed CBT
MANTRA
SSCM
Offer focal psychodynamic therapy
Prescribing rules of MAOIs?
Only by a mental health specialist
2-week washout period beforehand
What is excited delirium?
Rare complication of cocaine/drug intoxication: Profuse sweating Delirium Hallucinations Super human strength
Which antidepressants are most associated with discontinuation syndrome?
Paroxetine
Venlafaxine
Features of BDZ withdrawal?
Insomnia Agitation Anxiety Tremor Tinnitus Sweating
Preferred SSRI in OCD? If unsuccessful what should you try?
Fluoxetine
If after 12 weeks not working try another SSRI or clomipramine (TCA)
2 paediatric iq tests?
Wechsler Preschool and Primaryn Scale of Intelligence (WPPSI) 2-7 years
Wechsler Intelligence Scale for Children (WISC) 6-16 years
Which hypnotics are recommended for insomnia causing day time impairment?
Temazepam
Zopiclone
Which screening tools can be used to assess severity of social phobia?
Social phobia inventory (SPIN)
Liebowitz social anxiety scale
What scale is used to assess suicide risk?
SADPERSONs
What falls under dissociative disorders?
disorders of physical functions under voluntary control
loss of sensation
When should paracetamol level be measured in OD?
4 hours after ingestion
4 subtypes of behaviours in conduct disorder?
How long and how many do you need for a diagnosis?
Aggression to people and animals Destruction of property Deceitfulness or theft Serious violations of rules 3 out of 4 needed for at least 12 months and impair functioning
When can oppositional defiant disorder be a differential?
Age <11 years
1st and 2nd line treatments for prevention of relapse in alcohol withdrawal?
- Acamprosate and naltrexone - anti-craving effect
2. Disulfiram - immediate hangover
What to do if patient does not meet criteria for ADHD but it is suspected?
10 week watch and wait period
Tx for assisted heroin withdrawal?
Oral methadone
Sublingual buprenorphine
Lofexidine (alpha-2 agonist)
What do NICE recommend monitoring for patients starting on an SNRI and when should this be done?
BP (associated with HTN)
At initiation and after each dose titration
What can some people starting SSRIs be at high risk of and when should it be monitored?
Hyponatraemia
U&Es before tx, 2-4 weeks after starting tx and every 3 months after
What antidepressant do NICE recommend to people on warfarin/heparin?
Mirtazapine
Which patients should be reviewed a week after starting antidepressants?
When should everyone else be reviewed?
Under 30 years old
High suicide risk
Everyone else after 2 weeks
SEs of clozapine?
agranulocytosis (1%), neutropaenia (3%)
reduced seizure threshold - can induce seizures in up to 3% of patients
constipation
myocarditis: a baseline ECG should be taken before starting treatment
hypersalivation
PE
Smoking cessation causes a rise in blood levels of which drug?
Clozapine
Which SSRI specifically for body dysmorphic syndrome?
Fluoxetine
How long should SSRI tx be continued in OCD if successful?
12 months
When do fasting blood glucose and prolactin need to be monitored in patients on atypical antipsychotics?
at the start of therapy
at 6 months
annually
When do lipids and weight need to be monitored in patients on atypical antipsychotics?
at the start of therapy
at 3 months
annually
Which drugs increase lithium levels and therefore should be avoided?
NSAIDs
ACEi and thiazide diuretics
SSRIs
Anti psychotics
Blood abnormalities with valproate and carbamazepine?
Leukopenia
Thrombocytopenia
Abnormal LFTs (valproate)
Relative contraindications to AChEIs?
GI disease
Recent pancreatitis
CVS disease: bradycardia, sick sinus syndrome, AV block, asthma, COPD
Mx of BPSD? How long can you give it for? What does it increase risk of?
Risperidone
12 weeks
Increased stroke risk x3
What are neonates with mother’s on olanzapine during pregnancy monitored for?
Agitation Feeding problems Resp distress Tremor Hyper/hypotonia Drowsiness
Antidepressants post-partum?
- SSRIs
2. TCAs
1st line antipsychotics post-partum?
Olanzapine but must stop breast feeding
Prolonged QTc in man and woman?
Men >440ms
Women >460ms
New SNRI good for reducing sexual dysfunction side effects?
Reboxetine
Psychological therapies for bipolar?
DBT
Mentalisation based therapy
Risk factors for the development of GAD?
Aged 35- 54
Being divorced or separated
Living alone
Being a lone parent
How should SSRIs be discontinued?
Which is an exception?
gradually reduced over a 4 week period
Fluoxetine due to longer half life
Lack of which neurotransmitter causes anhedonia?
Dopamine
Mnemonic for negative symptoms of schizo?
L Loss of volition, underactivity and social withdrawal
E Emotional flatness, lose normal modulation of mood
S Speech is reduced, monosyllabic if at all
S Slowness in thought and movement, psychomotor retardation may occur
Mnemonic for positive symptoms of schizo?
T Thinking may become disturbed, neologism usage
H Hallucinations may occur, usually auditory
R Reduced contact with reality, the natural barrier between subjective and objective deteriorates
E Emotional control may be disturbed with inappropriate laughter or anger (incongruous affect)
A Arousal may lead to worsening of symptoms
D Delusions may occur
Where can a DoLS be applied?
If a patient lives in a care home/is currently admitted to hospital
Early symptoms of vascular dementia?
Gait disturbance
Urinary symptoms
Change in mood and concentration
What is interpersonal therapy for?
To explore reasons/circumstances contributing to depression
What is paroxetine licensed for use as?
SSRI in major depression
What would be seen on PET scan of a patient with schizophrenia?
Hypoactivity of frontal lobes and enlarged cerebral ventricles
Target lithium levels?
- 8-1.0mM/L (acute mania)
0. 6-1.0mM/L (prophylaxis)
Lithium toxicity symptoms?
Tremor GI upset Polyuria/polydipsia - feeling dry Psoriasis Weight gain Hypothyroidism/DI long term
Besides BPD when is lithium used?
Augmentation therapy in tx-resistant depression
ICD 10 classifications for depression severity
Mild: 4
Moderate: 5-6
Severe: 7+
Exception to EMDR in PTSD?
Combat related trauma
Which of clozapine’s side effects is dose dependent?
Seizure threshold
What is ekbom syndrome?
Delusion that you are infested with parasites
Metabolic/physiological derangements in anorexia?
hypokalaemia low FSH, LH, oestrogens and testosterone raised cortisol and growth hormone impaired glucose tolerance hypercholesterolaemia hypercarotinaemia low T3
Time frames for adjustment disorder?
starts within 3 months of event
duration <6 months
What is seen on MRI of a patient with vascular dementia?
Lacunar lesions
Features of friedrich’s ataxia? Age of presentation?
Ataxia Dysarthria/dysphagia Talipes/MSK problems HOCM DM Presents in childhood/adolescence
Risk of schizo if family member affected?
1st degree relative is 1/10
twin is 50%)
Assisted alcohol withdrawal - where and what?
Mild dependence: not needed
Moderate dependence: community assisted
Severe dependence: inpatient
Fixed dose reducing regimen of chlordiazepoxide
Exceptions to community assisted withdrawal in moderate alcohol dependence?
high risk of developing alcohol withdrawal seizures or delirium tremens
decompensated liver disease
Symptoms of frontotemporal degeneration?
personality and behaviour changes language problems problems with mental abilities memory problems physical problems: slow/stiff movements, loss of bladder or bowel control, muscle weakness or difficulty swallowing
When does frontotemporal degeneration present?
Age 45-60
Difference between korsakov’s and wernicke’s encephalopathy?
Korsakov’s: short term memory loss + confabulation
Wernicke’s: confusion + nystagmus + 6th nerve palsy
How long must symptoms have lasted for a diagnosis of somatisation syndrome?
2 years
What should you do if a person with known BPD on antidepressants and antipsychotics becomes manic?
Stop the antidepressants immediately
Risks of lithium in pregnancy?
Ebstein’s anomaly
Wolf parkinson white
3 psychopathological hallmarks of autism?
Difficulties with reciprocal social interactions
Difficulties with speech and communication
Restricted stereotyped, repetitive behaviours
Extrapyramidal side effects of antipsychotics? Tx for them?
Dystonia - procyclidine
Akathisia - beta blocker
Parkinsonism
Tardive dyskinesia - tetrabenazine
4 rating scales used to assess alcohol use/dependence?
AUDIT to identify use disorder
SADQ to determine severity of dependence
CIWA-Ar for severity of withdrawal
APQ to assess then nature of problems arising from alcohol
FRAMES structure for motivational interview?
What should be covered?
feedback, responsibility, advice, menu, empathy, self-efficacy
Cover potential harm caused by their level of drinking and reasons for changing the behaviour (inc health/wellbeing benefits)
Identify barriers to change
Outline practical strategies to help reduce alcohol consumption (to address ‘menu’ component of FRAMES)
Lead to a set of goals
ICD10 criteria for alcohol dependence? How many do you need?
- Compulsion/strong desire to drink
- hard to control consumption
- Withdrawal symptoms on stopping
- Tolerance
- Neglecting other activities
- Persisting despite clear evidence of harmful consequences
At least 3 at once during the past year needed for diagnosis
NICE recommended cognitive tools in dementia?
10-point Cognitive Screener (10-CS)
6-item Cognitive Impairment Test (6CIT)
Memory Impairment Screener (MIS)
Mini-Cog
Which class of drug inhibits serotonin re-uptake at pre-synaptic terminals only?
SSRIs
Which class of drug inhibits serotonin and norepinephrine re-uptake?
SNRIs
Which class of drug competitively inhibits MAO receptors?
MAOIs
Which class of drug inhibits serotonin re-uptake at pre-synaptic terminals and acts as a serotonin antagonist?
Serotonin modulators (trazodone)
Which class of drug inhibits dopamine re-uptake at pre-synaptic terminals and has a weak effect on norepinephrine?
Dopamine and norepinephrine reuptake inhibitors (bupropion)
Which class of drug blocks presynaptics alpha-2-adrenergic receptors thus leading to an increase in NA and serotonin? What other action do they have?
NaSSA
Also block post synaptic 5HT2 and 5HT3 receptors
Which class of drugs inhibit NA and serotonin reuptake in presynaptic terminals?
TCAs
What to do in paracetamol overdose?
If ingestion less than 1 hour ago + dose >150mg/kg: Activated charcoal
If staggered overdose or ingestion >15 hours ago: Start N-acetylcysteine immediately
If ingestion <4 hours ago: Wait until 4 hours to take a level and treat with N-acetylcysteine based on level
If ingestion 4-15 hours ago: Take immediate level and treat based on level
Symptoms of refeeding syndrome? What do you see on initial bloods?
Oedema, confusion and tachycardia
Hypophosphataemia
Triad in normal pressure hydrocephalus?
What would you see on CT head?
Urinary incontinence
Gait dysfunction
Dementia
Enlarged ventricles and absent sulci
Delirium mnemonic?
D - Drugs and Alcohol (Anti-cholinergics, opiates, anti-convulsants, recreational)
E - Eyes, ears and emotional
L - Low Output state (MI, ARDS, PE, CHF, COPD)
I - Infection
R - Retention (of urine or stool)
I - Ictal
U - Under-hydration/Under-nutrition
M - Metabolic (Electrolyte imbalance, thyroid, wernickes
(S) - Subdural, Sleep deprivation
Which hay fever drug can cause delirium in elderly?
Chlorphenamine (1st gen H1 antagonist + anticholinergic activity)
Good prognostic indicators in schizophrenia?
High IQ/education level Sudden onset Obvious precipitating factor such as a traumatic life event A strong support network Positive symptoms predominant
1st line Tx for alzheimer’s if mild, moderate and severe?
Mild - moderate: donepezil or rivastigmine
Moderate - severe: memantine
MMSE score and AD severity?
mild AD: MMSE 21–26
moderate AD: MMSE 10–20
moderately severe AD: MMSE 10–14
severe AD: MMSE less than 10.
Alpha-synuclein cytoplasmic inclusions?
Lewy body dementia
Spongiotic changes and neuronal death
sporadic CJD
SEs of anticholinesterase drugs?
Diarrhoea N&V bradycardia increased saliva urinary incontinence
3 hallmarks of anorexia in DSM5?
- Restriction of energy intake relative to requirements leading to a significantly low body weight in the context of age, sex, developmental trajectory, and physical health.
- Intense fear of gaining weight or becoming fat, even though underweight.
- Disturbance in the way in which one’s body weight or shape is experienced, undue influence of body weight or shape on self-evaluation, or denial of the seriousness of the current low body weight.
DSM 5 criteria for bulimia?
Recurrent episodes of binge eating (eating an amount of food that is definitely larger than most people would eat during a similar period of time and circumstances)
A sense of lack of control over eating during the episode
Recurrent inappropriate compensatory behaviour in order to prevent weight gain, such as self-induced vomiting, misuse of laxatives, diuretics, or other medications, fasting, or excessive exercise.
The binge eating and compensatory behaviours both occur, on average, at least once a week for three months.
self-evaluation is unduly influenced by body shape and weight.
The disturbance does not occur exclusively during episodes of anorexia nervosa
What are the 4 main diagnostic criteria of anorexia in ICD10?
- BMI <17.5
- Deliberate weight loss
- Distorted body image
- Endocrine dysfunction
Questionnaire for eating disorders? What are the qs?
SCOFF questionnaire:
Do you make yourself Sick because you feel uncomfortably full?
Do you worry you have lost Control over how much you eat?
Have you recently lost more than One stone in a 3 month period?
Do you believe yourself to be Fat when others say you are too thin?
Would you say that Food dominates your life?
Electrolyte imbalance in refeeding?
low phosphate, potassium and magnesium - KPMG
Charity to recommend for eating disorders?
BEAT
How to withdraw from benzos?
In steps of 1/8th daily dose every fortnight
Questionnaire for childhood depression?
Childhood depression index
Which childhood syndromes cause learning difficulties?
Fragile X
Cri du Chat
William’s
Down’s
List 3 educational/behavioural interventions that might be useful in ASD?
Applied behavioural analysis (young children)
Early start denver model
More than words (Hanen programme)
3 features of ED-CBT
Control
Low self-esteem
Perfectionism
40 sessions over 40 weeks
What medication can be given short term to a LD patient with challenging behaviour?
Risperidone
