Psych Flashcards
Timeframe for acute stress vs PTSD
4 weeks
Treatment for acute stress disorder?
CBT
Benzos sometimes
Most things are low in anorexia nervosa, what is high?
The Cs and the Gs - cortisol and growth hormone, glucose tolerance, cholesterol
hypercholesterolaemia and hypercarotinaemia
First line treatment in schizophrenia? Which one is the exception?
Atypical antipsychotics. Clozapine - only when resistant to other drugs given the risk of agranulocytosis/FBC derrangement
Why are antipsychotics preferred?
Fewer extra-pyramidal SEs
Adverse effects of atypicals?
Weight gain
Agranulocytosis - clozapine
Hyperprolactinaemia
Clozapine SEs
Agranulocytosis
Neutropaenia
Reduced seizure threshold
Constipation
Hypersalivation
Examples of atypical antipsychotics
clozapine
olanzapine: higher risk of dyslipidemia and obesity
risperidone
quetiapine
amisulpride
aripiprazole: generally good side-effect profile, particularly for prolactin elevation
What are extra-pyramidal SEs?
Acute dystonia
Parksinsonism
Akathisia (severe restlessness)
Tardive Dyskinesia
What are anti-muscarinic SEs?
Dry mouth
Blurred vision
Urinary retention
Constipation
Galactorrhoea in someone on antipsychotics?
Think hyperprolactinaemia - more commonly typical antipsychotics
Due to dopaminergic tuberoinfundibular pathway inhibition
Pyrexia and muscle stiffness in antipsychotic use?
Neuroleptic malignant syndrome
GABA drugs, frequency vs duration of chloride channels?
Frequently Bend - During Barbeque
Benzos - frequency
Barbituates - duration
Personality disorder - inappropriate sexual seductiveness, suggestibility and intense relationships?
Histrionic
Highest incidence of discontinuation symptoms of SSRIs?
Paroxetine
Personality disorder - fearful of criticism, being unliked, rejection and ridicule?
Avoidant
Compulsion vs obsession?
An obsession is an intrusive, unpleasant and unwanted thought. A compulsion is a senseless action taken to reduce the anxiety caused by the obsession
The presence of a delusion that a famous is in love with them, with the absence of other psychotic symptoms?
Erotomania (De Clerambault’s syndrome)
Schizophrenia treatment?
Atypical antipsychotics
CBT for all patients
Most dangerous TCAs in overdose?
Amitriptyline and dosulepin
Severe restlessness in antipsychotic?
Akathisia
PTSD treatment?
Trauma-focused cognitive behavioural therapy or EMDR
Generalised anxiety disorder first line?
Sertraline
Only single contraindication to ECT?
Raised ICP
