Mental Health Flashcards
Difference between PTSD and acute stress disorder?
Timing
Acute stress = 2days to 1 month post exposure
Define conversion disorder?
Physical symptoms (e.g. blindness, paralysis etc) not due to physical illness ( often follows psychological stressor)
Performance anxiety treatment?
CBT first line
Propranolol 10-20mg prn 30 minutes prior to performance
Which SSRI to avoid in pregnancy?
Paroxetine
Fluoxetine (ok in pregnancy, not breastfeeding)
Sertraline first line
Which SSRI associated with highest increased risk of prolonged QT interval?
Citalopram
What specific psychotherapy specifically for borderline personality disorder?
DBT - dialectal behavioural therapy
Rare but serious side effect of clozapine that requires blood monitoring?
Neutropenia
Myocarditis
Monitor FBC weekly for 18 weeks then monthly
Define schizoaffective disorder?
Symptoms of both schizophrenia and mood disorder
Medications used for alcohol abstinence / reducing intake?
- Acamprosate 333mg -666mg tds ( reduces cravings / withdrawal symptoms)
- Naltrexone 50mg daily (reduces sensation of feeling buzzed)
- Disulfiram 100mg daily (makes you sick if you drink)
Which regular bloods for lithium monitoring?
Euc, calcium, TFT + lithium (aim0.6-0.8)
Every 3-6 months
Causes for hyponatraemia?
Water retention
Kidney failure to conserve salt
Gi loss of sodium
Drugs (diuretics, acei)
Main serious Side effects of all antipsychotics?
Parkinsonism
Akathisia
Tardive dyskinesia
Neuroleptic malignant syndrome
DSM 5 term for schizophrenic type symptoms but not persisting for more than 6 months?
Schizophreniform disorder
First line chemical restraint in delirium?
Haloperidol 0.5mg PO or IM
What antipsychotic cannot be used in Parkinson’s patients?
Haloperidol
