Miscellaneous Conditions in Psychiatry Flashcards

Question

What is fabricated or induced illness (Munchausen's by proxy)?

Answer 1

A type of factitious disorder where a carer fabricates symptoms about a child or vulnerable adult, resulting in the child having a number of medical investigations. It is a form of child abuse.

Answer 2

Somatisation disorder Persistent somatoform pain disorder Body dysmorphic disorder Hypochondriasis

Answer 3

In the first month after the birth

Answer 4

``` History of bipolar disorder Family history of PPP Previous episode of PPP Discontinuation of mood stabilisers during pregnancy Obstetric complications Primiparity ```

Answer 5

- Admit to mother and baby unit as separation makes situation much worse - Mood stabilising medication

Answer 6

Post partum depression

Answer 7

Same as the treatment of depression at any other period

Answer 8

``` Social withdrawal Limited range of emotional expression Lack of interest in friends / relationships Preoccupied with fantasy Emotionally cold Few (if any) activities provide pleasure Indifference to praise or criticism ```

Answer 9

``` Socially anxious Peculiar ideas, perceptions etc. Superstitious Preoccupied with fantasy Interpersonal discomfort - few friends ```

Answer 10

Distrustful and suspicious Tendency to misconstrue other's behaviours as hostile Suspicious of spousal sexual infidelity Excessive sensitivity to criticism

Answer 11

``` Callous unconcern for feelings of others Irresponsible attitude Impulsivity Disregard for safety Incapacity to maintain enduring relationships, although no difficulty in forming them Lack of guilt - places blame on others ```

Answer 12

Multiple, intense, unstable relationships Emotional crises Self-harm and suicide attempts Emotionally unstable Lack of impulse control - spending, reckless driving etc. Fear of abandonment

Answer 13

Psychotherapies, especially dialectical behaviour therapy and CBT

Answer 14

``` Grandiose, vain Attention seeking Shallow, labile affect Crushes and fads Excessive concern over physical attractiveness ```

Answer 15

``` Grandiose sense of self importance Excessive need for attention Rarely acknowledges mistakes Sense of entitlement Exploitative - takes advantage of others Arrogant Lack of empathy ```

Answer 16

Avoidance of social interaction due to fear of being rejected / criticised Preoccupation with being criticised Belief they are socially inadequate

Answer 17

Need for others to make decisions for them Unable to make even reasonable demands on others Lack of expressing disagreement for fear of losing support Need for close relationships Limited ability to make everyday decisions Need for excessive reassurance

Answer 18

Excessive preoccupation with lists, order, organisation, schedule Insistence that others come round to their way of doing things Inflexible, stubborn Lack of humour Perfectionism which interferes with tasks

Answer 19

Lorazepam PO (or IM) Consider anti-psychotic as well e.g. haloperidol

Answer 20

Both involve a patient presenting with symptoms for which no underlying physical cause can be found. However, in somatisation there is an underlying psychological distress.

Answer 21

Persistano preoccupation with the possibility of having a serious medical disease / disorder e.g. cancer, despite repeated evidence that this is not the case. Lots of investigations carried out. Symptoms are often an elaboration of normal stimulus.

Answer 22

Preoccupation with an imagined physical defect in appearance, or an exaggeration and excessive concern over a slightly physical abnormality.

Answer 23

Conscious feigning of symptoms to deceive doctors. Might involve self-harm e.g. poisoning or injury. The patient is aware of the deception but has little insight into their motive, which is usually to stay in the 'sick role'.

Answer 24

They are similar, but Munchausen's is much more severe. It usually presents as an emergency and the patient may entirely fabricate a story. The aim here is to receive an intervention.

Answer 25

Similar to factitious disorder, but this time the carer feigns symptoms in a child or vulnerable adult. It is a type of child abuse and will result in the child having several investigations and procedures which might result in serious consequences and even death.

Answer 26

Fabricating of illness with a known intent e.g. money, drugs, compensation

Answer 27

Disorder of sexual function Disorder of sexual preference Disorder of sexual identity

Answer 28

Persistent, intrusive re-experiencing e.g. flashbacks, nightmares Avoidance of associations e.g. location of the accident, conversations surrounding the topic Hyperarousal Numbing, detachment from others Loss of pleasure in activities

Answer 29

CBT Self-help Eye movement desensitisation and reprocessing therapy Anti-depressants

Answer 30

Obsessions or compulsions should be present on most days of the week for at least 2 weeks

Answer 31

Edinburgh postnatal depression scale