Mood Disorders and Psychoses Flashcards

1
Q

What are the oral effects of mood disorders?

A

Dyaesthesias
Facial pain

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2
Q

Who is affected most by mood disorders?

A

Affects females over males 2-3:1

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3
Q

What is the prevalence of puerperal mood disorders (Post Natal Depression)?

A

0.5/1000 in one month
1/1000 in one year

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4
Q

What are common symptoms of depression?

A

Low mood
Reduced interest and motivation
Poor concentration
Appetite disturbance
Any form of anxiety

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5
Q

What are the different types of bipolar disorder?

A

Bipolar 1 - Mania
Bipolar 2 - Cyclothymia and Hypomania

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6
Q

What are the symptoms of mania and hypomania?

A

Increased productivity and feeling of wellbeing
Reduced need for sleep
Increase in reckless behaviour
Gradual reduction in social and occupational functioning
Followed by period of depression

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7
Q

How are mood disorders treated?

A

Psychological - cognitive behavioural therapy
Drug tx - antidepressant, mood stabilising
Physical - exercise, phototherapy

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8
Q

Which drugs are used in treating mood disorders?

A

Acute phase antidepressants - Trycyclic antidepressants (TCA), selective serotonin reuptake inhibitor (SSRI)
Mood stabilising drugs - lithium, carbamazepine

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9
Q

What are antidepressants used for?

A

Treating depression
Treating anxiety disorders
Pain relief
Helps psychological treatments

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10
Q

What are the side effects of tricyclic antidepressants?

A

Dry mouth
Sedation
Weight gain

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11
Q

Give examples of SSRIs and their side effects

A

Fluoxetine, paroxetine
Acute anxiety disorders
Sedation, dry mouth
GI upset

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12
Q

Give an example of MAOIs

A

Phenelzine

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13
Q

What drugs are used to treat bipolar?

A

Lithium - mood stabiliser
Carbamazepine - mood stabiliser
Antipsychotic medications to treat mania

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14
Q

Give examples of perceptual abnormalities

A

Manic depression
Schizophrenia
Korsakoff’s Psychosis - alcohol induced brain degeneration

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15
Q

What is schizophrenia?

A

Fundamental and characteristic distortions of thinking and perception

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16
Q

How is schizophrenia managed?

A

Psychological therapy - CBT
Drug therapy - dopamine antagonist drugs and atypical antipsychotics

17
Q

What are the different types of antipsychotics?

A

Butryrophenones
Phenothiazines
Thioxanthenes
New atypical antipsychotics

18
Q

What are the extrapyramidal side effects of antipsychotics?

A

Akathisia - restlessness
Dystopia - involuntary muscle contraction and contortion
Parkinsonism
Tardive dyskinesia - uncontrollable facial movements, don’t go away when medication is stopped

19
Q

How should extrapyramidal symptoms be used?

A

Use an atypical antipsychotic instead
Beta blockers
Anticholinergics

20
Q

Give examples of eating disorders

A

Anorexia nervosa - altered perception of body image
Bulimia
Comfort eating - used as a coping strategy for anxiety

21
Q

What are the different types of personality disorder?

A

Borderline
Antisocial
Histrionic
Narcissistic
Avoidant
Dependent
Shizoid