Introduction to psychiatry

Question 1

IMCA

Answer 1

Someone w/ training that helps someone lacking capacity

Question 2

IMHA

Answer 2

Independent mental health advocate. Someone specially trained to help people understand their MHA rights

Question 3

What is a CPA?

Answer 3

Care programme approach

Writing a care plan for pt under 2’ mental health services

Question 4

Who gets a CPA (5)

Answer 4

Severe mental illness
Signif intellectual disability 
Recent detention under MHA 
People w/ help from multiple agencies 
People w/ signif risk of harm to self/others

Question 5

What does a person w/ a CPA get? (3)

Answer 5

Care coordinator/keyworker
Written copy of care plan
Regular reviews

Question 6

What is the aim of the crisis team?

Answer 6

To avoid admission to psych ward by offering intensive, community based support @ home

Question 7

Who is the early intervention for psychosis team for?

Answer 7

Work w/ people w/ 1st time experiences of psychosis, usually 14-35 y/o

Question 8

What does the early intervention for psychosis team focus on?

Answer 8

Reduction of DUP

Question 9

Who is the assertive outreach team for?

Answer 9

People w/ Hx of mental health problems w/ poor engagement w/ services + incr risks

Question 10

Who is the Liason psych team for?

Answer 10

For med/surgical in-pt w/ psych presentations in general hospital

Question 11

What age is general adult psychiatry for?

Answer 11

17-65 y/o

Question 12

What 3 things does old age psych Tx

Answer 12

Functional - depression, anxiety, psychosis
Organic - dementia syndrome
Memory assessment services

Question 13

Who is rehabilitation psychiatry for?

Answer 13

Patients whose functioning has been impacted due to chronic severe illness or in a Tx resistant illness

Question 14

Who is forensic psychiatry for?

Answer 14

For thsoe who have been arrested and found guilty

Question 15

What is therapeutic engagement

Answer 15

Involves healthcare professionals spending quality time with patients and aims to empower the patient to actively participate in their care

Question 16

Components of MSE

Answer 16

Appearance and behaviour 
Speech 
Mood and affect
Thoughts
Perceptions 
Cognitive exam 
Insight

Question 17

Liable mood

Answer 17

Fluctuating mood state that alternates between extremes

Question 18

Mood

Answer 18

Pervasive and sustained emotional state of individual

Question 19

Affect

Answer 19

Observable behaviour associated with changing emotions

Question 20

Depersonalisation

Answer 20

An unpleasant subjective report that the patient feels they are ‘unreal’

Question 21

Derealisation

Answer 21

An alteration in the perception or experience of the environment, leading to a sense that it is strange or unreal

Question 22

Illusions

Answer 22

Misinterpretations of a real stimulus

Question 23

Hallucinations

Answer 23

An internal perception in the absence of a stimulus, perceived in external space and outside of conscious control

Question 24

Risk

Answer 24

Probability or threat of damage, injury, liability, loss or any other negative consequence that is caused by internal or external vulnerabilities, that may be reduced through pre-emptive action

Question 25

Main areas of risk to assess

Answer 25

Risk of self-harm or suicide
Risk of harm to others
Risk of self-neglect
Risk of abuse, harassment, or exploitation by others

Question 26

Predisposing

Answer 26

What made the patient prone to this problem

Question 27

Precipitating

Answer 27

What made this problem start now

Question 28

Perpetuating

Answer 28

What is maintaining the problem

Question 29

Alexithymia

Answer 29

Find it hard/impossible to describe any emotional state