HD 3 - Psychiatry in Dental Practice Flashcards

1
Q

What is psychiatry?

A

Dealing with mental disorder and its treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How many people attend a GP with a psychological problem?

A

1 in 3, with 1 in 9 needed specialist treatment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How many suicides attend primary care 1 month prior to treatment?

A

50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is psychology?

A

Science that investigates behaviour, experience, and normal functioning of the mind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is psychotherapy?

A

Treatment of psychological issues by non-physical means

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is psychoanalysis?

A

Sort of psychotherapy, or means of exploring the unconscious mind

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the barriers that psychological patients present with?

A

Present complaint and demand treatment, can be aggressive
Stigma and shame
Believe illness cannot be cured, think drugs are mind-altering and addictive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the barriers that psychological dentists present with?

A
Lack time 
Fear of embarrassment 
Uncertainty 
Lack of knowledge 
Feeling must do something for patient, as patient has expectations
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

How to act as a dentist in a psychiatric patient?

A
  • Putting the patient at ease
  • Patient & you seated – good eye contact
  • Explain what you are going to do – i.e. maybe not pull a tooth out!
  • Be prepared to discuss emotional issues
  • Referral – liaise with GMP or referral to hospital services
  • Never ignore threats of self-harm (or to others)
  • Record everything
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Define ambivalence?

A

Conflicting emotions about same someone/issue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Define catalepsy?

A

Trance like, holding one pose for a long time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Define delusional?

A

False belief

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Define psychosis?

A

Extreme disordered, thinking but not aware of it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Define neurosis?

A

Disordered thinking (disabling anxiety) and aware of it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What percentage of over 65s and over 80s have dementia?

A

Over 65s - 5%

Over 80s - 20%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What happens to the brain in dementia? and what are the symptoms?

A
Cerebral atrophy (brain shrinks in size)
Happens over time with age, but can be more than normal
Reduced, Social function, intellect, speech, memory and concentration
Onset insidious (gradual) and patient unaware of impairment
17
Q

When is best to carry out dental treatment for dementia patients?

A

First thing in the morning

18
Q

What are the symptoms of toxic confusion state under alcohol/drug intoxication?

A
  • Disturbance of consciousness
  • Impairment of memory and intellectual functions
  • Disorientation for time and place
  • Mood disturbance (anxiety or depression)
  • Hallucinations (most commonly visual)
19
Q

What are complications that occur with alcohol consumption?

A
  • Injuries
  • Social
  • Liver damage = CLOTTING PROBLEMS
  • Nutritional defects
  • Pancreatitis
  • Gastritis
  • Cardiomyopathy
  • Brain damage, epilepsy and myopathy
20
Q

What is deficient in Korsakoff’s Psychosis?

A

B1/THIAMINE DEFICIENCY

21
Q

How is Korsakoff’s Psychosis brought about?

A

Most frequently associated with chronic alcoholism

22
Q

What are the effects of Korsakoff’s Psychosis on the body?

A
  • Amnesia for recent events
  • Impaired ability to learn new tasks
  • Fabricated descriptions of recent events
  • Otherwise alert and normal behaviour
23
Q

What are the medical complications of bulimia?

A
  • Dehydration/weight fluctuations
  • Low potassium and muscle cramps
  • Dental erosion
  • Oesophagitis
  • Poor muscular tone in the colon from laxative abuse
24
Q

What signs do you look out for in self induced vomiting?

A
  • Look for calluses on back of fingers

* Traumatic lesions on back of palate

25
Q

Define sociopathy.

A

Anti-social behaviour

26
Q

What are the symptoms of schizophrenia?

A
  • Hallucinations: Which may be in the form of imagined inner voices that direct the patient’s life
  • Psychosis: Extreme disordered thinking that interferes with the patient’s ability to complete activities of daily living
  • Somatoform Disorder = preoccupied with imagined physical defects in their body
27
Q

What is psychiatric treatment?

A
  • Medication
  • Psychoanalysis
  • Psychological Cognitive Behavioural Therapy (CBT)
  • Group Therapy
  • Family support