Mental Health Flashcards
Discuss the potential benefits of health professionals caring for their own mental health.
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Identify a range of complementary approaches to mental health self-care.
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Discuss basic principles of mindfulness practice.
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Self-instruct in a basic mindfulness meditation practice.
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Discuss how the practice of mindfulness could be beneficial for mental health, work performance and compassionate clinical care.
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Understand the historical aspects of psychiatry with respect to diagnosis and treatment.
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Apply the key components of history and interviewing to patients in the mental health clinical setting.
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Generalise knowledge and skills to patients seen in any clinical setting.
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Identify the components of the psychiatric history.
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Understand the concept of risk assessment and drug and alcohol assessment.
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Recognise how the biopsychosocial formulation relates to the psychiatric history.
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Appreciate how the psychiatric history relates to the psychiatric diagnosis (including personality disorders)
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Recognise a multi-axial Psychiatric Diagnostic Classification System.
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Employ techniques to develop and maintain rapport with patients with a mental illness.
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Identify safety issues in the setting of the clinical interview and adapt one’s practice to minimise risk to self.
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Reflect on the emotional responses generated in the interviewer and their impact on one’s actions.
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Describe the principle clinical features of depression and bipolar disorder, as well as the related disorders.
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Discuss the diagnosis and differential diagnosis of mood disorders.
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Recognise common co-morbidities and be aware of diagnostic dilemmas and controversies pertaining to the mood disorders.
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Describe the epidemiology of the mood disorders, and the significance of this in terms of global burden of disease and service provision.
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Critically examine current controversies in the arena of mood disorders.
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Summarise some of the dominant aetiological and path-genetic theories regarding mood disorders.
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Adumbrate the course and prognosis of the different mood disorders.
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Describe and critique different treatment approaches for the mood disorders.
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Understand the importance of early mother-infant relationships.
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Describe the features and effects of maternal mental illness in pregnancy and the post-natal period.
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Understand the potential benefits and risks of treatment of maternal mental illness.
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Appreciate the importance of the perinatal period as a kay opportunity for prevention and early intervention to ensure healthy infant and child development.
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Appreciate the importance of diagnosis and severity of illness in deciding treatment.
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Describe the classes of psychotropic medications and their usual therapeutic dose ranges.
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List the principal side effects of psychotropic medications.
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Explain the potential drug interactions of psychotropic medications.
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Identify the major components of a mental state examination in psychiatry.
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Describe the major components and of each subcategory in the mental state in psychiatry.
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Identify the normal range for the major components of the mental state examination in psychiatry.
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Describe what information should be collected in the interview as distinct from what information should be summarised in the mental state examination in psychiatry.
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Demonstrate a confident clinical and ethical grasp of the Victorian Mental Health Act and its practical application.
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Demonstrate a balanced approach to the evaluation and management of suicidal and violent patients.
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Describe the features of neuroleptic malignant syndrome.
- Life threatening complication of antipsychotic treatment (mortality 10-20%)
- S&S’s: Muscular rigidity, autonomic symptoms (elevated temp, sweating, elevated/labile BP, tachycardia), akinesia, mutism, changed level of consciousness
- Ix: Elevated CK, Leukocytosis
- Rx: supportive, cease antipsychotic, dantrolene or bromocryptine, ICU
Describe the features of serotonin syndrome.
- Life threatening
- Neurological: myoclonus, nystagmus, headache, tremor, rigidity, seizures
- Mental state: irritability, confusion, agitation, coma
- Other: increased temp, arrhythmias, death
- SSRIs (and other serotonergic agents) combined with MAOIs, lithium, tryptophan
- Rx: supportive, stop all psychotropic medication, 5-HT receptor antagonists (cyproheptadine) or propranolol
Discuss the utility and evidence base for electroconvulsive therapy (ECT) in psychiatry.
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Appreciate the diversity of symptoms and behaviours that encompass ‘schizophrenia’.
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Have an understanding of the core symptoms and how they map to neurobiology and neurochemistry.
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Weigh the evidence for various putative aetiological factors and how they impact at various stages of neurodevelopment.
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Appreciate the breadth of psychosocial problems associated with schizophrenia.
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Be able to articulate comprehensive management plan for a person with schizophrenia, encompassing biological and psychosocial domains and including a multidisciplinary approach.
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Understand the importance of consumer perspectives of mental health and illness.
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Understand the role of the doctor in working respectfully with consumers, and challenge the stigma associated with mental illness.
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Appreciate the concept of recovery models.
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Establish whether a patient is exhibiting a normal or abnormal MSE after observing a patient being interviewed by a psychiatrist.
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If the patient’s MSE is abnormal, identify which features of the MSE appear to be abnormal and report these using appropriate terminology and a structured MSE report format, including the relevant normal and abnormal findings.
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Demonstrate knowledge of how to appropriately and tactfully probe for important MSE features such as suicidality, homicidality, delusions, hallucinations, thought disorder, depressed or elevated mood.
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Apply the MSE findings in developing a differential diagnosis.
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Apply the MSE findings in assessing a patient’s response to treatment.
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Apply the MSE findings in developing a risk assessment.
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Define the common organic psychiatric syndromes that occur in the general hospital setting.
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Describe the common causes (pathological processes, diseases etc.) for the main syndromes.
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Discuss the skills needed to effectively diagnose and manage organic psychiatric disorders, including bedside cognitive assessment.
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Describe the psychological impact of organic psychiatric disorders on patients, staff, family, carers etc,. and understand their role in mitigating these impacts.
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List the names and roles of the main services specialising in organic psychiatric disorders in your hospital and in Melbourne.
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