Mental Health - General

Question 1

What are the symptoms of generalised anxiety disorder?

Answer 1

C FIRST
Concentration
Fatigue
Irritability
Restlessness
Sleep Disturbance
Tension (muscle)

Question 2

What is the time period required to diagnose General anxiety disorder?

Answer 2

6 months

Question 3

What disorder must be excluded to diagnose generalised anxiety disorder?

Answer 3

Adjustment disorder with anxious mood

Question 4

What is social anxiety vs agoraphobia?

Answer 4

Social anxiety = fear of embarrassment in public places
Agoraphobia = Fear / avoidance of being trapped in places where escape is difficult / embarrasing

Question 5

How many symptoms need to be present for panic disorder?

Answer 5

4

Question 6

What are obsessions?

Answer 6

persistent unwanted thoughts

Question 7

What are compulsions?

Answer 7

Repetitive behaviours that are excessive and must be done to reduce anxiety / distress

Question 8

What part of the brain is involved in anxiety?

Answer 8

Amygdala

Question 9

What are cluster A personality disorders?

Answer 9

Weird / Mad
- Paranoid PD
- Schizoid PD
- Schizotypal

Question 10

What are cluster B personality disorders?

Answer 10

Wild / Bad
- BPD
- Antisocial PD
- Narcissistic PD
- Histrionic PD

Question 11

What are cluster C personality disorders?

Answer 11

Worried / Sad
- Avoidant PD
- Dependent PD
- OCPD

Question 12

What are the inclusion criteria of the mental health act 2016

Answer 12

1 - Patient has a mental illness
2 - Patient does not have capacity to consent to treatment
3 - Without treatment, Imminent serious harm to self or others because of illness is likely
4 - Without treatment, person suffering condition is likely to have serious mental or physical deterioration

Question 13

What is the most successful non-pharmacological therapy for OCD?

Answer 13

CBT

Question 14

What are the symptoms of Borderline Personality Disorder? (>= 5 is diagnostic)

Answer 14

IMPULSIVE
I - impulsive (min 2 self damaging ways - sex, spending, drugs, driving, etc)
M - Mood / affect instability
P - Paranoia / Dissociation under stress
U - Unstable self image
L - Labile + intense relationships
S - suicidal / self-harm
I - Inappropriate anger
V - Vulnerable to feeling abandoned (real or imagine - frantically try to avoid this)
E - Emptiness (feelings of)

Question 15

What parenting styles lead to BPD?

Answer 15

• Severe developmental trauma
• Sexual abuse
• Significant emotional abuse / neglect

Question 16

What defence mechanisms do people with BPD use?

Answer 16

• Dissociation
• Splitting
• Projection

Question 17

What is the management of BPD?

Answer 17

• Case management: SNAP, long term continuity, realistic goals
• DBT - individual and group sessions
• Crisis plans - triggers and risk factors, likely behaviours, contact people, indications for admission / alternatives

Question 18

What is the crisis / emergency management of BPD?

Answer 18

• Manage affect storm: project calmness, engage in dialogue, explore solutions
• Risk assessment: Chronic vs acute risk. Suicide / homicide risk. Substance abuse. Dynamic factors
• Manage own counter-transference
• Avoid admission but if needed: Counselling, medication to stabilise, address stressors

Question 19

What is the criteria for anorexia nervosa?

Answer 19

• Restriction of energy intake
• Fear / behaviour preventing weight gain
• Perception disturbance

Question 20

What is the gold standard for anorexia treatment?

Answer 20

Family therapy