Psych Flashcards
Mirtazapine side effects
MirtaZapine
Mhmmm while eating
ZZZZZ - sleep
Symptoms of serotonin syndrome?
Altered mental state (e.g., anxiety and agitation)
Autonomic nervous system hyperactivity (e.g., tachycardia, hypertension and hyperthermia)
Neuromuscular hyperactivity (e.g., hyperreflexia, tremor and rigidity)
Concerns about sodium valproate in young women?
Teratogenicity
- effective contraception + annual risk acknowledgement form
Wet, wacky, wobbly: diagnosis + management = ?
Normal pressure hydrocephalus
Perform lumbar puncture.
If the LP relieves pressure, insert a ventriculoperitoneal shunt.
Management of lithium toxicity?
Fluid resuscitation
Or, if renal function is poor:
Haemodialysis
Treatment for postpartum psychosis
Olanzapine (safe in breastfeeding)
Somatoform vs conversion disorder
Conversion disorder = neurological symptom with no biological cause
Somatoform disorder = non-neurological symptom with no biological cause
Fregoli syndrome vs Capgras delusion
Fregoli = everyone is the same person in disguise (Italian performer who changed outfits quickly)
Capgras = someone has been replaced by an exact clone (that person is CAPping)
ECG change in refeeding syndrome ?
Prominent U waves (hypokalaemia)
OCD - how long to keep on SSRIs (even if symptoms improve)
12 months (before you consider weaning)
ICD-10 requirements for a diagnosis of mild depression
a minimum of two key symptoms and additional symptoms for a minimum duration of two weeks
Atypical antipsychotics
Clozapine
Olanzapine
Risperidone
Quetiapine
Aripiprazole
Treatment-resistant schizophrenia treatment + side effects?
Clozapine
- weight gain
- excessive salivation
- agranulocytosis
- neutropenia
- myocarditis
- arrhythmias
SSRI discontinuation syndrome symptoms?
gastrointestinal symptoms, restlessness, mood changes and insomnia
Management of mania in a patient taking SSRIs
Stop SSRI, start antipsychotic e.g. olanzapine
Depression -how long to keep on antidepressants after symptoms resolve?
6 months
Borderline personality disorder - psychotherapy =
Dialectical behavioural therapy
Electrolyte abnormality in SSRIs
Hyponatraemia
Antipsychotic with the most tolerable side effect profile?
Aripiprazole
SSRI + triptan =
Serotonin syndrome
Antidepressant that also helps with insomnia
Mirtazapine
How long to withdraw an SSRI?
4 weeks
How to switch fluoxetine to another SSRI?
Withdraw - leave a gap of 4-7 days - start new SSRI
(differs from usual direct switch of SSRIs due to fluoxetine’s long half-life)
Type of memory loss in pseudodementia
Global memory loss
(whereas dementia involves short-term memory loss)
