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Psychiatry > Primary Care Management of Mental Disorders > Flashcards

Primary Care Management of Mental Disorders Flashcards

1
Q

what is screening for depression

A

PMH
other mental health problems
have you been feeling down
have you lsot interest

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2
Q

what are the key symptoms of depression

A

persistent low mood
loss of interest and pleasure
fatigue and low energy

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3
Q

what is the step 1

A

recognise depression

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4
Q

what is step 2

A

offer advice
active monitoring
CBT
not antidepressants unless more than 2 years

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5
Q

what is step 3

A 
SSRI
individual CBT
interpersonal therapy 
behaviour activation
consider work and driving 
follow up every 2 weeks
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6
Q

what is step 4

A

after 3 to 4 weeks no response
switch to different SSRI
combine with lithium or antipsychotic

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7
Q

what is step 5

A

risk to life
severe self neglect
refer

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8
Q

what its step one in GAD

A

offer educaiton
active monitrogin
discourage over the counter

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9
Q

what is step 2 in GAD

A

CBT
individual guided help
psychoeducation groups

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10
Q

what is step 3 in GAD

A

CBT
applied relaxation
SSRI
review in 2-4 weeks

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11
Q

what is step 4 for GAD

A

specialist referral

refer if at risk

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12
Q

what is panic disorder

A 
unforeseen panic attacks for a month
palpattions
sweating 
choking 
SOB
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13
Q

what is the treatment for panic disorder

A

self help
review in 4-8 weeks
CBT
not fluoxetine

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14
Q

what is social anxiety disorder

A 
screening
avoiding social situations
fearful or embraced 
CBT
sertraline
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15
Q

what is normal grief

A

feelings of disbelief cant comprehend the reality of the loss
impaired functiona
intense yearning
positive emotions can be experiecnes

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16
Q

what is the treatment for prolonged grief

A

marked distress
SSRI
CBT

17
Q

what questions to ask for OCD

A 
do you clean a lot 
do you check things 
something that keeps bothering you 
do you daily activates take a while 
must be over an hour
18
Q

what is the treatment for OCD

A

CBT
SSRI
clomipramine
buspirone and SSRI

19
Q

what is causes of insomnia

A 
screen for causes 
anxiety 
depression
alcohol
circadian rhythm disorder
20
Q

what is the treatment for insominia

A 
avoid stimulating activities 
avoid aclohol
caffeine 
heavy meals
regular exceercise
21
Q

what’s in a suicide risk assessmetn

A 
ask about suciide thougts
intent 
previous attempts
homocidal risk
lethal methods 
alcohol
drugs 
proective factors 
physical illness

Psychiatry (18 decks)

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