Mental health Flashcards
What is section 13 (5) of the mental health act
leave of absence.
Section 18
judge to examine pt where compulsory treatment sought.
Section 29
community compulsory treatment order.
Causes of depression
o stressful events (breakup, financial, trauma)
o family history
o physical illness
o medications
o self-isolation.
Treatment of depression
o medication (antidepressants)
o ECT
o talking therapies (CBT, psychotherapy).
What are Selective serotonin re-uptake inhibitors (SSRIS) with examples
o serotonin has influence on mood
o Increased serotonin and inhibit reuptake of presynaptic neuron
o (Citalopram, Sertraline)
Side effects of Selective serotonin re-uptake inhibitors (SSRI) antidepressants
o Anxiety
o Nausea
o Dizziness
o suicidal ideation
o mania
o agitation
WHat is serotonin syndrome
too much serotonin in brain `
serotonin syndrome symptoms
o causes uncontrollable muscle spasms
o agitation
o confusion
o anxiety
o hypertension
o tachycardia
o arrythmias
causes of binge eating
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
Symptoms of binge eating
o eating large amounts at once
o eating when not hungry
- feeling ashamed of eating
symptoms of alcohol withdrawal + medication treatment
o Anxiety
o sleep disturbance
o seizures
o sweating
o low BP
o confusion
- Diazepam
What is Wernicke’s Korsakoff:
- Neurological disorder caused by the lack of thiamine (vitamin B1)
Wernicke’s Korsakoff: symptoms
o jerky eye movements
o poor balance
o confusion
o drowsiness
o can lead to Korsakoff if untreated.
signs of methamphetamine addiction
o compulsion
o loss of control
o cravings
o continued use despite consequences
Treatment for methamphetamine addiction
o counselling
o motivational interviewing
o CBT
o Medication
o group therapy
o detox programs.
methamphetamine opioid withdrawal symptoms
o Restless
o Anxiety
o nausea/vomiting
o diarrhea
o tachypnea
o insomnia
What are benzodiazepines prescribed for
- anxiety
- insomnia
- reduce mood changes
treatment for anxiety
o CBT
o sensory modulation
o counselling
o SSRIs/SNRIs/Benzos
What are Anxiolytics:
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.
Bipolar affective disorder: type 1 and type 2
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.
Hypomanic symptoms
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
manic episode symptoms
o extreme physical/mental overactivity
o poor judgement
o Distractable
o Irritable
o flight of ideas
mood stabilizer side effects
o Sleepiness
o Dizziness
o metallic taste
o increased appetite
o increased weight
o nausea
How to diagnose schizophrenia
must have two or more of the following for at least 1 month:
1. Delusions
2. Hallucinations
3. Disorganized speech
side effects of First-generation for positive symptoms:
Movement and muscle disords
Side effects of Atypical generation for negative symptoms:
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)
section 30
- compulsory inpatient treatment order
What is intellectual disability
- reduced ability to understand complex information and cope independently
