Intro to Psychiatry Flashcards

1
Q

What are the 3 main features of mental illness?

A

Common
Stigmatising
Treatable

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2
Q

What evidence shows that mental illness is common?

A

1 in 3 people will have a mental health disorder

1 in 3 GP consultations have mental health componenet

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3
Q

What evidence shows that mental illness in stigmatising?

A

3 in 4 people feel stigmatised
Many people are afraid to discuss
10% of NHS funding
Taught for 6 week in most undergrad courses

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4
Q

What are the differences between mental and physical illness?

A
People often do not perceive themselves to be ill
No scientific basis to diagnose
Perceived lack of treatment 
Agents of social control 
No visual symptoms
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5
Q

What is psychic anxiety?

A

Feeling of fear of dread

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6
Q

What are the physical symptoms of anxiety?

A
Palpitations
Sweating
Dry mouth 
depersonalisation 
Splanchnic vasoconstriction (butterflies)
Paraesthesia (pins and needles)
Syncope
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7
Q

What are symptoms of OCD?

A

Ego-dystonic thoughts
Repetitive, circular ruminations
Bizarre
Sound delusional

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8
Q

Give examples of compulsions?

A

Motor response to obsessional thoughts
Often ritualistic, stereotyped, precise
Start again if interrupted or doubt

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9
Q

How can anxiety by classified?

A
Generalised anxiety disorder
Panic disorder
Agoraphobia
Simple phobia
Social phobia

Obsessive Compulsive disorder
Post-traumatic stress disorder

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10
Q

What can anxiety be compared to?

A

Clinical iceberg

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11
Q

When does anxiety become a disorder?

A

If it is excessive, impacts on life or out of context

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12
Q

What is the median age of onset?

A

11 years old

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13
Q

How is anxiety managed?

A

Treatable with medication and psychological therapies

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14
Q

What are the core features of depression?

A

Pervasive low mood/sadness
Loss of energy (anergia)
Loss of enjoyment (anhedonia)

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15
Q

What are the physical symptoms of depression?

A
Loss of appetite
Weight loss
Diurnal variation of mods
Poor sleep
Loss of libido
Psychomotor slowing or agitation
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16
Q

What are the psychological symptoms of depression?

A
Poor concentration
Feelings of guilt
Feelings of hopelessness
Low self-esteem
Indecisive
Suicidal ideation
Delusions
17
Q

What are the treatment options of depression?

A

Antidepressants
Psychological therapies
Social prescribing
90% of patients make a full recover

18
Q

What are symptoms of mania?

A
Elated mood
Irritability
Over-energised
Grandiose
Little need to sleep
Poor concentration 
Poor judgement
Over-spending 
Rapid speech
19
Q

What is the language condition of Schizophrenia?

A

Formal thought disorder

Failing to follow the semantic and syntactic rules of language

20
Q

What are the symptoms of Schizophrenia?

A
Hallucination
Delusion
Abnormal behaviour
Disorganised speech
Disturbances of emotion 
Poor self care
21
Q

What are the treatment options of Schizophrenia?

A

Antipsychotics
Psychological therapies
Family therapy
Arts therapies