Psych Flashcards
Mx of PTSD?
Watchful waiting
Trauma-CBT / EMDR
If not tolerated SSRI / Venlaflaxine / Risperidone (v severe)
How long to continue antidepressants for after resolution of sx?
6 months
Which atypical antiphsychotic has highest risk of dyslipidaemia + obesity?
Olanzapine
SSRI of choice post MI?
Sertraline
presence of a delusion that a famous is in love with them, with the absence of other psychotic symptoms
Name?
Erotomania (De Clerambault’s syndrome)
What is histrionic personality disorder characterised by?
inappropriate sexual seductiveness, suggestibility and intense relationships
What is othellos syndrome?
pathological jealousy where a person is convinced their partner is cheating on them without any real proof
Adverse effects of atypical antipsychotics?
weight gain
clozapine is associated with agranulocytosis (see below)
hyperprolactinaemia
Duloxetine MoA?
Serotonin-NA reuptake inhibitor
When do you get:
Symptoms
Seizures
DT
with alcohol withdrawal?
symptoms: 6-12 hours
seizures: 36 hours
delirium tremens: 72 hours
Mx of DT?
Chlordiazepoxide, lorazepam or diazepam are used in the treatment of delirium tremens/alcohol withdrawal
Which receptor do typical antipsychotics and atypicals act on?
Typical - D2 antagonist - blocking dopaminergic transmission in mesolimbic pathways
Atypical - D2, D3, D4 5HT
When can antidepressants be stopped after remission?
6 months after - reduce risk of relapse
Risk of developing schizophrenia
monozygotic twin has schizophrenia =
parent has schizophrenia =
sibling has schizophrenia =
no relatives with schizophrenia =
monozygotic twin has schizophrenia = 50%
parent has schizophrenia = 10-15%
sibling has schizophrenia = 10%
no relatives with schizophrenia = 1%
