HD 3 - Psychiatry in Dental Practice Flashcards
What is psychiatry?
Dealing with mental disorder and its treatment
How many people attend a GP with a psychological problem?
1 in 3, with 1 in 9 needed specialist treatment
How many suicides attend primary care 1 month prior to treatment?
50%
What is psychology?
Science that investigates behaviour, experience, and normal functioning of the mind
What is psychotherapy?
Treatment of psychological issues by non-physical means
What is psychoanalysis?
Sort of psychotherapy, or means of exploring the unconscious mind
What are the barriers that psychological patients present with?
Present complaint and demand treatment, can be aggressive
Stigma and shame
Believe illness cannot be cured, think drugs are mind-altering and addictive
What are the barriers that psychological dentists present with?
Lack time Fear of embarrassment Uncertainty Lack of knowledge Feeling must do something for patient, as patient has expectations
How to act as a dentist in a psychiatric patient?
- 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
Define ambivalence?
Conflicting emotions about same someone/issue
Define catalepsy?
Trance like, holding one pose for a long time
Define delusional?
False belief
Define psychosis?
Extreme disordered, thinking but not aware of it
Define neurosis?
Disordered thinking (disabling anxiety) and aware of it
What percentage of over 65s and over 80s have dementia?
Over 65s - 5%
Over 80s - 20%