Mental Health - General Flashcards
What are the symptoms of generalised anxiety disorder?
C FIRST
Concentration
Fatigue
Irritability
Restlessness
Sleep Disturbance
Tension (muscle)
What is the time period required to diagnose General anxiety disorder?
6 months
What disorder must be excluded to diagnose generalised anxiety disorder?
Adjustment disorder with anxious mood
What is social anxiety vs agoraphobia?
Social anxiety = fear of embarrassment in public places
Agoraphobia = Fear / avoidance of being trapped in places where escape is difficult / embarrasing
How many symptoms need to be present for panic disorder?
4
What are obsessions?
persistent unwanted thoughts
What are compulsions?
Repetitive behaviours that are excessive and must be done to reduce anxiety / distress
What part of the brain is involved in anxiety?
Amygdala
What are cluster A personality disorders?
Weird / Mad
- Paranoid PD
- Schizoid PD
- Schizotypal
What are cluster B personality disorders?
Wild / Bad
- BPD
- Antisocial PD
- Narcissistic PD
- Histrionic PD
What are cluster C personality disorders?
Worried / Sad
- Avoidant PD
- Dependent PD
- OCPD
What are the inclusion criteria of the mental health act 2016
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
What is the most successful non-pharmacological therapy for OCD?
CBT
What are the symptoms of Borderline Personality Disorder? (>= 5 is diagnostic)
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)
What parenting styles lead to BPD?
- Severe developmental trauma
- Sexual abuse
- Significant emotional abuse / neglect
What defence mechanisms do people with BPD use?
- Dissociation
- Splitting
- Projection
What is the management of BPD?
- 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
What is the crisis / emergency management of BPD?
- 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
What is the criteria for anorexia nervosa?
- Restriction of energy intake
- Fear / behaviour preventing weight gain
- Perception disturbance
What is the gold standard for anorexia treatment?
Family therapy
