Mental health Flashcards

1
Q

Positive symptoms of psychosis

A

Hallucination

Delusions

Thought disorders

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2
Q

Negative symptoms of psychosis

A

Poverty of speech

Lack of drive/ anhedonia

Social withdrawal

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3
Q

Risk factors for psychosis

A

Family history

Early adverse life experiences

Drugs, alcohol

Lack of sleep, stress

Medications (steroids)

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4
Q

Organic causes of psychosis

A

Drug reaction

infection

Neurological disease

Metabolic disease

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5
Q

People with serious mental illness have to have ______ due to shorter life expectancy

A

Annual checks

- Life expectancy is 10-15 years shorter.

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6
Q

PTSD screening questions

A

Over the last month have you:

Nightmares
- Had nightmares about the event(s) or thought about the event(s) when you did not want to?

Overthinking
- Tried hard not to think about the event(s) or went out of your way to avoid situations that reminded you of the event(s)?

On edge
- Been constantly on guard, watchful, or easily startled?

Feeling numb
- Felt numb or detached from people, activities, or your surroundings?

Guilt/blame
- Felt guilty or unable to stop blaming yourself or others for the event(s) or any problems the event(s) may have caused?

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7
Q

Sleep hygiene advice for insomnia

A

Exercise earlier in the day

Fixed time for going to bed and waking up

Restful activity 30mins before bed

Sleep in quiet, dark, cool room

Avoid: caffeine, nicotine, alcohol from late afternoon

Only use bedroom for sleep/ sex

Don’t nap during the day

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8
Q

Sleep hygiene advice for insomnia

A

Exercise earlier in the day

Fixed time for going to bed and waking up

Restful activity 30mins before bed

Sleep in quiet, dark, cool room

Avoid: caffeine, nicotine, alcohol from late afternoon

Only use bedroom for sleep/ sex

Don’t nap during the day

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9
Q

Z drugs are indicated for insomnia when…

A

There is daytime impairment

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10
Q

OTC medication for insomnia

A

Nytol

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11
Q

Medications for insomnia

A

Z drugs= zopiclone

Antihistamine
- Promethazine

Tricyclic
- Amitriptyline

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12
Q

organic causes of low mood

A

Poor sleep/ tired

Weight gain

Previous thyroid treatment

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13
Q

_____ is used as a depression screening tool

A

PHQ-9 questionnaire

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14
Q

______ should be carried out before starting SSRIs if there is a history of cardiac conditions

A

ECG

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15
Q

Anti-depressants take ______ to start seeing effects

A

10-21 days

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16
Q

Main side effect of anti-depressants

A

GI discomfort

17
Q

Stopping anti-depressants

A

Must be weaned off (SSRI discontinuation syndrome)

Must continue for 6 months after improvement (2 years if prev Hx)

18
Q

Returning to work after gastroenteritis

A

48 hours after symptoms resolve

19
Q

_____ is licenced for insomnia with daytime impairment

A

Z drug (benzos)

  • Zopiclone
  • Temazepam
20
Q

_____ is licenced for insomnia with daytime impairment

A

Z drug (benzos)

  • Zopiclone
  • Temazepam
21
Q

_______ and ______ are off licence indications for insomnia

A

Antihistamines
- Promethazine

Tricyclic antidepressant