Life Span Mental Health Flashcards
When is the peak of mental illness?
15-29 years old
What is the trend of suicide rate over your lifetime?
It increases
How does mental health impact life expectancy?
Bipolar - 9-20years
Schizophrenia - 10-20 years
Drug and alcohol - 9-24 years
Recurrent depression - 7-11 years
Name four mental illness that can occur throughout life
- schizophrenia
- depression
- bipolar
- personality disorders
What diseases predominantly start in childhood?
Behavioural disorders
ADHD and ASD
Anxiety
Trauma/attachment
Why is a diagnosis of ADHD and ASD vital?
In order to have individualised education
When is separation anxiety normal?
7months - preschool
Name two mental illnesses that can occur after childbirth
Puerperal psychosis
Postnatal depression
Describe puerperal psychosis
Acute sudden onset manic, confusion, disinhibition.
Emergency occur in 1 in 1000 births 2-4 weeks after
50% have no previous illness
What are the risk factors for puerperal psychosis?
First pregnancy, single parent, c-section, difficult relationship, thyroid disease, perinatal death
What is postnatal depression?
Occurs in 1 in 10 women 1-4 weeks after birth, risk factors include Family/past medical history of depression, traumatic birth, relationship issues, abuse/trauma
What is the pneumonic for delirium causes?
I WATCH DEATH
Describe pseudo-hallucinations
Fluctuating memory loss, depressed mood but no neurodegenerative process - responds well to medication
What is late onset depression?
Occurs in 2% of people >65 years old, genetic factors, life events (death of spouse), social factors, poor physical health
What proportion of children will have a mental health disorder?
In in 10 children or 1 in 3 per class
What percentage of mental health problems are diagnosed in childhood?
50%
What percentage of adolescent anxiety is severe enough to need treatment?
6%
Name the genetic factors that predispose to anxiety
Fearful disposition, abnormal neurotransmitter pathways, quiet/shy temperament
State the behavioural factors that predispose to anxiety
Acquisition of fear through classical conditioning (associates threat with non-threatening stimuli)
Maintenance of fear through operant conditioning (avoidance/escape learning)
Observational learning
Which cognitive factors contribute to anxiety disorders?
Attentional bias, selective attention, distorted judgement, select avoidant, tendency to remember anxiety provoking experience and selective memory
How is child anxiety managed?
First line - CBT
Second line - SSRI
Benzodiazepines can be used short term
What must not be given to a child with anxiety?
Propranolol
What percentage of young people have depression?
4-8%
State some vulnerable groups of young people
- offenders
- looked after
- LGBT+
- BAME
- disabled
- homeless
- gangs
- unemployed
