Mental Health Flashcards
what makes depression severe?
symptoms interfere markedly with normal function. +/- psychotic features
what are the 3 main features of depression
low mood
reduction in energy
decrease in activity
for at least 2 weeks
what are the options in the treatment of depression
watchful waiting cognitive behavioural therapy relaxation therapy counselling medication
what is a binge?
> 8 units for men
>6 units for women
what symptoms indicate alcohol dependence?
Overwhelming desire for alcohol Drinking out of control Withdrawal symptoms Little interest in other activities Drinking when the harm is clear Need for increasing amounts of alcohol
What is the CAGE questionnaire
Cut down
Annoyed
Guilty
Eye opener
What is the AUDIT test
Alcohol Use Disorders Identification Test
specialist advice should be sort if scoring >15
how is alcohol detoxification undertaken
Benzodiazepine therapy
multivitamins to prevent Wernicke’s encephalopathy
Early detection of delirium tremens
What long term medication can be used to help preserve alcohol abstinence
Acamprosate - reduces cravings
Naltrexone - inhibits pleasure release by endogenous opioids
What is commonly given in drug/substance overdoses
activated charcoal - reduces absorption of the substance
what is somatisation disorder
multiple, recurrent and frequently changing symptoms for at least 2 years
in spite of negative investigations
What is the BATHE technique of questioning
Background - what is going on in your life
Affect - how do you feel about it
Trouble - what trouble you about the situation
Handle - what helps you handle it
Empathy
Causes 5 causes of acute delirium
acute infection medication dehydration change in environment other disease processes
Differential diagnoses of delirium
Lewy Body dementia - has a fluctuating course
depression
bipolar disorder
name the different types of dementia, in order of most to least common
Alzheimer’s disease
Vascular dementia
Lewy Body dementia
Fronto-temporal dementia
