Liaison Psychiatry Flashcards
What is liaison psychiatry?
Looking at the connections between mental health and physical health. Work with complex case presentations where there are many potential stressors.
Give examples of physical conditions which can cause anxiety
Hyperthyroidism
Illicit drug use
Angina
Give examples of physical conditions which can cause depression
Cushing's Cancer Hypothyroidism MS Huntingtons
Give examples of physical conditions which can cause mania
Cushing’s
Excess steroids
Give examples of physical conditions which can cause psychosis
Parkinsons
MS
Alcohol withdrawal
Degenerative brain disorder
Give an example of a physical condition which can cause adjustment disorder
Amputation
Cancer
Give an example of a physical condition which can cause personality changes
Wilson’s disease
List some of the physical symptoms of depression
Weight loss Loss of appetite sleep disturbance Constipation Decreased libido Poor concentration
List some of the physical symptoms of delirium
Disorientation
Disturbed sleep
Psychomotor agitation
List some of the physical side effects of psychiatric drugs
Constipation Urinary retention Dry mouth Sedation Hypotension Skin problems Arrythmia
What is somatization disorder?
At least 2 years of multiple and variable unexplained physical symptoms with persistent refusal to accept advice or reassurance from several doctors.
What is hypochondriacal disorder?
Persistent belief in the presence of at least one serious physical illness even though repeated investigations are normal. Persistent refusal to accept the advice and reassurance of others
What is a conversion/dissociative disorder?
No evidence of a physical disorder but evidence for a psychological cause due to a temporal relationship eg. pseudoseizures.
Dissociative –> mental effects with no obvious physical problem
Conversion –> physical problem with no obvious physical cause
What is a factitious disorder?
Intensional feigning of symptoms or disabilities to gain attention eg. Munchausen’s Syndrome
