Primary Care Management of Mental Disorders Flashcards
what is screening for depression
PMH
other mental health problems
have you been feeling down
have you lsot interest
what are the key symptoms of depression
persistent low mood
loss of interest and pleasure
fatigue and low energy
what is the step 1
recognise depression
what is step 2
offer advice
active monitoring
CBT
not antidepressants unless more than 2 years
what is step 3
SSRI individual CBT interpersonal therapy behaviour activation consider work and driving follow up every 2 weeks
what is step 4
after 3 to 4 weeks no response
switch to different SSRI
combine with lithium or antipsychotic
what is step 5
risk to life
severe self neglect
refer
what its step one in GAD
offer educaiton
active monitrogin
discourage over the counter
what is step 2 in GAD
CBT
individual guided help
psychoeducation groups
what is step 3 in GAD
CBT
applied relaxation
SSRI
review in 2-4 weeks
what is step 4 for GAD
specialist referral
refer if at risk
what is panic disorder
unforeseen panic attacks for a month palpattions sweating choking SOB
what is the treatment for panic disorder
self help
review in 4-8 weeks
CBT
not fluoxetine
what is social anxiety disorder
screening avoiding social situations fearful or embraced CBT sertraline
what is normal grief
feelings of disbelief cant comprehend the reality of the loss
impaired functiona
intense yearning
positive emotions can be experiecnes