Mental Health Flashcards
Discuss predominant side effects of conventional anti-psychotics
Extrapyramidal effects - Dystonia - Tardive dyskinesia - Akathisia (restlessness) Drowsiness and cognitive impairment Hyperprolactoinaemia - galactrorrohea - amenorrhoea etc... Antimuscarinic effects QT prolongation
Side effects of olanzapine
Weight gain
Increase in coronary heart disease
Hyperglycaemia and metabolic syndrome
ICD-10 subtypes of schizophrenia
Paranoid schiziophrenia Hebephrenic schizophrenia Catatonic schizophrenia Simple schizophrenia Post depressive Schizotypal Schizoaffective disorder
Discuss the diagnostic features of hebephrenic schizophrenia
- Irresponsible and unpredictable behaviour
- rambling and incoherent speech
Affective changes and mood incongruence, shallow affect and giggling - poorly organised delusions
- fleeting fragmentary hallucinations
- associated with onset of negative symptoms
Diagnosis of a patient initially presenting with negative symptoms and mood disorder, later presenting with psychosis and positive symptoms
Simple schizophrenia
Features of schizoid personality disorder
Extreme social detachment
Emotional coldness
Profound defect to perform social relationships
Restricted range of emotional expression
mechanism of action of atomexetine, levomilnacipran and sibutramine
Serotonin-noradrenaline reuptake inhibitors
Adverse effects associated with the antidepressant imipramine
Anticholinergic - dry mouth, constipation, blurred vision and urinary retention Drowsiness Orthostatic hypotension ECG changes Agranulocytosis
Which mental disorder is associated with Erotomania (delusions of people being in love with them) and the absence of other psychotic symptoms
Delusional disorder, De Clerambault’s syndrome
List first rank symptoms of schizophrenia
Auditory hallucinations
- May repeat his or her thoughts
- be a running commentary about the patient
- discuss the patient in 3rd person
Thought alienation
- thought withdrawal
- thought insertion
- thought broadcasting
Somatic passivity
Delusions
Discuss features of risk relevant to patients with bipolar
Financial ruin
Financial exploitation e.g. being charitable
Sexual exploitation
Differentiate mania and hypomania
Hypomania = elevated mood and irritability > 4 days
Mania = elevated mood and irritability for 1 wk +
Also note presence of psychotic features infers mania but these do not have to be present for diagnosis of mania
How long can a patient be detained under a section 2 of the MHA
max 28 days
How long can a patient be detained under a section 3 of the MHA
up to 6 months
In which settings does the Deprivation of Liberty Act apply?
care home or a hospital
