Mental health

Question 1

What is section 8 of the mental health act

Answer 1

application for assessment

Question 2

What is section 13 (5) of the mental health act

Answer 2

leave of absence.

Question 3

Section 18

Answer 3

judge to examine pt where compulsory treatment sought.

Question 4

Section 29

Answer 4

community compulsory treatment order.

Question 5

Causes of depression

Answer 5

o stressful events (breakup, financial, trauma)
o family history
o physical illness
o medications
o self-isolation.

Question 6

Treatment of depression

Answer 6

o medication (antidepressants)
o ECT
o talking therapies (CBT, psychotherapy).

Question 7

What are Selective serotonin re-uptake inhibitors (SSRIS) with examples

Answer 7

o serotonin has influence on mood
o Increased serotonin and inhibit reuptake of presynaptic neuron
o (Citalopram, Sertraline)

Question 8

Side effects of Selective serotonin re-uptake inhibitors (SSRI) antidepressants

Answer 8

o Anxiety
o Nausea
o Dizziness
o suicidal ideation
o mania
o agitation

Question 9

WHat is serotonin syndrome

Answer 9

too much serotonin in brain `

Question 10

serotonin syndrome symptoms

Answer 10

o causes uncontrollable muscle spasms
o agitation
o confusion
o anxiety
o hypertension
o tachycardia
o arrythmias

Question 11

causes of binge eating

Answer 11

o family pattern (depression, ED, alcoholism)
o social factors (society’s emphasis on thinness, intolerance of fatness, pressure to achieve)
o personal factors (low self-esteem, overly sensitive to other opinions, perfectionist
o poor problem solving skills
o anxious
o self-critical

Question 11

Symptoms of binge eating

Answer 11

o eating large amounts at once
o eating when not hungry
- feeling ashamed of eating

Question 12

symptoms of alcohol withdrawal + medication treatment

Answer 12

o Anxiety
o sleep disturbance
o seizures
o sweating
o low BP
o confusion

• Diazepam

Question 13

What is Wernicke’s Korsakoff:

Answer 13

• Neurological disorder caused by the lack of thiamine (vitamin B1)

Question 14

Wernicke’s Korsakoff: symptoms

Answer 14

o jerky eye movements
o poor balance
o confusion
o drowsiness
o can lead to Korsakoff if untreated.

Question 15

signs of methamphetamine addiction

Answer 15

o compulsion
o loss of control
o cravings
o continued use despite consequences

Question 16

Treatment for methamphetamine addiction

Answer 16

o counselling
o motivational interviewing
o CBT
o Medication
o group therapy
o detox programs.

Question 17

methamphetamine opioid withdrawal symptoms

Answer 17

o Restless
o Anxiety
o nausea/vomiting
o diarrhea
o tachypnea
o insomnia

Question 18

What are benzodiazepines prescribed for

Answer 18

• anxiety
• insomnia
• reduce mood changes

Question 19

treatment for anxiety

Answer 19

o CBT
o sensory modulation
o counselling
o SSRIs/SNRIs/Benzos

Question 20

What are Anxiolytics:

Answer 20

o decrease anxiety by stimulating inhibitory GABA receptors
o Highly addictive Overdose can cause deep sedation/death
o Prescribed in short duration 3-4 weeks to prevent dependence.

Question 21

Bipolar affective disorder: type 1 and type 2

Answer 21

o Bipolar 1: periods of severe mood shift from mania-depression.
o Bipolar 2: milder form of mood elevation involving milder episodes of hypomania that alternate with periods of severe depression.

Question 22

Hypomanic symptoms

Answer 22

o form of elevated mood but less severe than manic
o no significant impairment
o still functioning but may be sleepless
o more activity
o very talkative

Question 23

manic episode symptoms

Answer 23

o extreme physical/mental overactivity
o poor judgement
o Distractable
o Irritable
o flight of ideas

Question 24

mood stabilizer side effects

Answer 24

o Sleepiness
o Dizziness
o metallic taste
o increased appetite
o increased weight
o nausea

Question 25

How to diagnose schizophrenia

Answer 25

must have two or more of the following for at least 1 month:
1. Delusions
2. Hallucinations
3. Disorganized speech

Question 26

side effects of First-generation for positive symptoms:

Answer 26

Movement and muscle disords

Question 27

Side effects of Atypical generation for negative symptoms:

Answer 27

o increased appetite/weight
o insulin dysregulation
o increased prolactin
o metabolic syndrome
o increased salivation.

(antisychotic, newer medication compared to typical generation, targets both pos and negaitve symptoms)

Question 28

section 30

Answer 28

• compulsory inpatient treatment order

Question 29

What is intellectual disability

Answer 29

• reduced ability to understand complex information and cope independently