Introduction Flashcards
What is the largest individual disease burden according to WHO?
Depression
What is involved in the examination in psych?
Mental state examination, cognitive assessment and physical exam
What are negative cognitions?
Guilt (past), helplessness and worthlessness (present) and hopelessness (future)
What factors are included in thought content?
Delusions, phobias, overvalued ideas, obsessions and compulsions.
What types of delusions exist?
Persecutory, grandiose, nihilistic, passivity
What are perceptions?
Hallucinations (in all the senses), illusions, deja vu (jamais vu), depersonalisation and derealisation.
What is an organic disorder?
Psychiatric disorders secondary to known physical disease
What is a functional disorder?
Psychiatric disorders in absence of physical disease
Organic disorders are broken up into psychotic and non-psychotic organic disorders, what are examples of psychotic disorders?
Delirium and epilepsy
What is an example of an organic non-psychotic disorder?
Anxiety secondary to hyperthyroidism
What are examples of psychotic functional disorders?
schizophrenia, mania, depression
What are examples of non-psychotic functional disorders?
OCD, phobias and depression
Talk through the levels of the diagnostic hierarchy?
Organic disorders (this will kill first!!), functional psychosis, non-psychotic disorders and personality disorder.
When was ICD 10 made?
1992
How many categories of mental disorder are there and how many groups are they separated into?
458 categories separated into 10 major groups.
What is formulation?
It is a way of drawing information from assessment together into one hypothesis to make sense of a patients distress- it describes factors which may have predisposed, now contributed and processed that may be maintaining these problems.
What screening tool is used in primary care to assess depression?
PHQ-9, 0-4 none, 5-9 mild, 10-14 moderate, 15-19 moderately severe, 20-27 severe.
What is GAD-7?
It is a screening tool for anxiety and it goes up to 15. Cut-offs 5, 10 and 15 are used or diagnoses of mild, moderate and severe anxiety.
What is HAD?
Hospital anxiety and depression score: 21 questions (again 3 points each max), cut off point at 8 to diagnose anxiety or depression
What is GDS?
Geriatric Depression Scale
