Mental health Flashcards
How does bulimia nervosa present?
Bulimia nervosa is an eating disorder characterised by repeated episodes of uncontrolled overeating followed by compensatory weight loss behaviours. Common clinical features include a preoccupation with body weight, a feeling of lacking control overeating and compensatory weight-control mechanisms. These weight control mechanisms can include self-induced vomiting, fasting, exercise and abuse of medications. Patients may have significant dental erosion
What is GAD?
Generalised anxiety disorder is a syndrome of ongoing anxiety and worries about many events or thoughts that the patient is aware are excessive.
Bulimia nervosa vs binge eating disorder?
Binge eating disorder lacks the purging (i.e. self-induced vomiting) element of bulimia nervosa, resulting in sufferers usually having a raised BMI.
What is anorexia nervosa?
Anorexia nervosa is an eating disorder characterised by low body weight secondary to a preoccupation with weight. Despite being thin, these individuals believe they are fat. Typical clinical features include a weight that is 85% below what would be expected for the individual, dieting, rapid weight loss, fear of weight gain.
What criteria is used to diagnose depression?
DSM V
ICD 10
Core symptoms of depression
Low mood
Anhedonia
Extra symptoms of depression
Change in sleep Change in appetite or weight Fatigue Poor concentration Feeling worthless, guilt
Severity of depression
Subthershold 2 symptoms
Mild 5 symptoms minor functional impairment
Severe Most or all symptoms major functional impairement
Biochemical investigations in ?depression
HbA1c TFTs Cortisol B12 folate FBC
How long does an SSRI take to work?
2 weeks
Symptoms may worsen in this time
How long after remission can we stop a patients antidepressant?
6 months
Acute stress reaction vs adjustment disorder
Adjustment lasts up to 6 months
Acute stress reaction few days up to 4 weeks
What SSRI should be avoided in post natal depression?
Flouxitine
What SSRI might be suggested when breast feeding
Sertraline Paroxetine
Spectrum of anxiety disorders
Agrophobia Social anxiety OCD Specific phobia Generalised anxiety disorder
