Mental Health d.o Flashcards
Why is lifespan important in Mental Health?
- prevention
- age tailored rx
- better prog. with early intervention
How many years does a bipolar d.o pt lose?
9- 20 years
How many years does a schizo pt and a reccurrent depression pt lose?
SCHIZO: 10-20 years
Recurrent Depression: 7-11 years
Most amount of years lost with _______
DRUG AND ALCOHOL abuse (at 7-11 years)
Why are illnesses often dx much late on? (3)
- early signs are vague
- symptoms can be FLEETING and shortlived in childhood
- hx only becomes clear RETROSPECTIVELY
- recall bias tends to MISATTRIBUTE presentation
What makes it difficult to dx individuals in extreme age groups with schizophrenia? (4)
- youngs: use of THC cannabis may INDUCE PSYCHOSES
- in elderly: increasing rate of DEMENTIA and a/w psychosis
At what age do 50% of depressed patients claim to have their 1st depressive episode?
before the age of 20
Who is more predisposed to depression in their adolescence?
- females
What are risk factors of depression in the elderly? (2)
- physical illness and LONELINESS
What is a barrier to accessing services in the elderly?
- pride and stigma `
What is the avg. age of BD TYPE 1?
- 25 years
When are personality d.os usually diagnosed?
after 18 y.o
Why is BAD rarely diagnosed in adolescence?
- because mood is LABILE
- fear of medicalizing normal adolescence
What is the issue with new onset BAP in old age?
- a/w NEGATIVE outcomes
- cognitive deficits
- increased SUICIDE risk
- overall mortality
Which behavioural d.o in childhood is HIGHLY a/w criminality, substance misuse and antisocial behaviour?
Conductive behaviour
- usually dx over 12 y.o
How to recognise Conductive disorder?
- aggression to animals/people
- lying/stealing
- destroys property
How to manage a kid with CD?
- parental intervention and social interventions
- medication is rarely given, unless SEVERE
Who is more affected in ASD?
- MALES! ( a M:F of 4:1 )
- 1 in 100-200 kids
Is treatment required?
- through education and social interventions
- only to treat main comorbidities (DEPRESSION, ANXIETY, PSYCHOSIS)
What is controversial about ADHD?
How common is ADHD?
- excuse for “bad parenting”
- seen in 4-5% of kids
WHat is S.A.D?
- known as Separation Anxiety Disorder
- –NORMAL from 7 months to PRE-school
—-marked increase in social anxiety and perfectionism during adolescence
What attachment d.os manifest as a result of MALTREATMENT and ABUSE in childhood?
- PTSD (anger and avoidance)
- general irritability and anxiety
- oppositional behaviours
- Quasi psychotic symptoms
How different is it in managing disorders among children and adults? (4)
- young kids lack VERBAL abilities to talk about emotions
- kids: less INSIGHT into difficulties
- medications are commonly
UNLICENSED for under 16s and reduced compliance - kids have less predicable medication resp.
Define Puerperium.
- period of 6 weeks after childbirth, when the female organs return to their non-pregnant position
