Psych Flashcards
distrust and suspiciousness of others such that their motive are perceived as malevolaent
%
when
paranoid personlaity disorder
0.1%
early adulthood
pervasive pattern of attachment from social groups and a restrictive range of expressions of emotions in interpersonal settings
%
when
schizoid
0.8%
early adulthood onwards
pervasive pattern of disregard for and violation of the rights of others
%
when
antosocial
0.6%
15 onwards
borderline PD %
when
treatment
0.7% early adulthood CBT, antipsychotics anger - topirimate hostility - phenalzine
excessive emotional symp and attention seeking
%
when
histrionic PD
1%
early adulthood
social inhibition, feelings of inadequacy and hypersensitivity to negative evaluation
%
when
treatment
avoidant
0.8%
early adulthood
social skills training. some evidence for anti depressants
dependant PD
%
when
0.1%
early adulthood
pervasive pattern of preoccupation with order lines perfectionism and mental and interpersonal control at the expense of flexibility openness and efficiency
%
when
difference between this and OCD
obsessive compulsive
1.9%
early adulthood
OCD is egodystronic
F32.0 F32.1 F32.2 F32.3 F32.8 F32.9
mild depressive episode (2 core and 2 minor)
mod depressive episode (2 core and 3/4 minor)
severe depressive episode without psychotic symptoms (3 core and 5 or more minor)
severe depressive episode with psychotic symptoms
other depressive episodes
depressive episode unspecified
core symptoms of depression
episode should last at least 2 weeks
loss of interests or pleasure
decreased energy or increased fatiguability
minor symptoms of depression
loss of confidence or self esteem self reproach or guilt suicide/death thought decrease in ability to concentrate psychomotor agitation or retardation sleep disturbance change in appetite
mild depression treatment
mod/severe
info and support and follow up in 2 weeks
pharmacology and high intensity psychotherapy
pharmacology treatment for depression
SSRI usually citalopram
fluoxetine, proexetin, sertaline
how long are people kept on SSRIs for depression
trail for 6 weeks unless side effects in first week
wait 4-7 days before starting a new drug with fluoxetine
what is given in under 18s
fluexetine
whats given in treatment resistant or recurrent depressive episodes
phenolzine
why is there paroxetin discontinuation syndrome
long half life
depression and sleep issues
mitalezpam
sedative and weight gain
depression and obesity
fluexoetine
depression and sexual dysfunction
mitazepine, bupropion
follow up with depression
6 months
continue for 2 years if risk of relapse
somatic depression treatment
ECT or pharma
atypical depression key point
often associated with what
treatment
low mod but reactive
anxiety
phenalzine
people are out to kill me
I’m being poisoned for my sins
I’ve got cancer but i deserve it
hypochondrical
I’m dead the world around me doesn’t exist
nihilistic delsusion
often in elders
cartard syndorme
treatment for psychotic depression
ECT first line
amoxapine and olanzapine - dual effect and good for episodic attacks
post stroke depression
1/3 of patients
most common neurppsychoatric complication
post MI depression
62% have depressive symptoms
15-22% have major depression
type 1 BPD
type 2 BPD
mood disturbance and mania
mood disturbance and hypomania and no mania
acute manic episode treatment
valproate/oral anti psychotic
lithium if non immediate
BZD for sedan if required
acute depressive treatment
treatment should be avoided when
SSRI and lithium,/valproate/anti psychotic
avoid in rapid cycling/recent hypomanic episode
long term treatment for BPD
lithium
olanzapine/questipine
valproate, lamotrigine, carbamazepine
psychotherapy for depressive symptoms
hypomanic
elected for 4 consecutive days
manic
elected for 7 consecutive days
mania with psychotic symptoms
grandiose, self referential, erotic, persecutory content
positive symptoms of schiz
delusions, hallucinations, though disorders
negative symptoms of schiz
apathy, lack of social withdrawal, lack of volition, social withdrawal, cognitive impairment
first rank symptoms of schiz
auditory hallucinations
delusional perceptions
thought abnormalities
lifetime risk of schiz
1%
treatment for schiz
risperidone
olanzapine
clozapine
what can make schiz sym[toms worse and cause psychotic symptoms
stimulant drugs - coke, amphetamines
commonest age of presentation of anorexia
18
f>m
risk assessment for anorexia
BMI 17.5-16 low/mod
mod 16-15
high 14.9-13
very high <13
severe enduring eating disorders
brain shrinkage
disadvantageous reward related decisions
no joy
chronic stress
treatment for anorexia
psychological
educations
obsessional ideation - fluexetine
referring syndrome risk preventions
frequent monitering of blood and slow pace of initial refeeding
bulimia how many episodes
treatment
2 in a week over 3 months
CBT. self help
binge eating disorder how often
difference between this and bulimia
at least once a week
not associated with inappropriate compensatory behaviour
48hour from traumatic event
up to 1m
3m
>3m
acute stress reaction
acute stress disorder
PTSD acute
PTSD chronic
if trauma mild and present for less than 4 weeks
watchful waiting and review
acute stress disorder when and how long
treatment
within 1m
lasts under 3 days
practical support. brief CBT
when does complex PTSD develop
after prolonged exposure to trauma
when can PTSD occur
days/weeks/months/years after event
triggers for PTSD
visual auditory smell taste kinasthetic
for a diagnosis what is the period of time that symptoms need to present
within 6 months of event or end of a period of stress
treatment for PTSD
trauma focused CBT
eye movement and desensitisation therapy
anti depressants - paroxetine
mirtazepam, amitrip, phenalzine
BZDs- bromazapam, clorazapem
gabapentin, prcegablin
atypical antipsychotics, mood stabilisers
generalised anxiety diagnosis
6 months of worry
4 symptoms of anxiety and at least one from autonomic
autonomic anxiety symptoms
palpitaions/poudning heart/increased HR
trembling
dry mouth
chest and abd symptoms
difficulty breathing, choking sensation, chest discomfort, nausea
brain and mind symptoms
dizzy
derealisation/depersonalisation
fear of losing control
fear of dying
general anxiety symptoms
hot flushes cold chills
numbness or tingling sensation
muscle anxiety symptomsm
tension, pains, restlessnesss, on edge, difficulty swallowing
general anxiety symptoms
exaggerated response to surprises, difficulty concentrating, irratibility, sleep problems
treatment for geenrliaed anxiety
CBT guided help relaxation
SSRIs - sertaline
SNRIs - vanlafaxine, pregablin
health anxiety is what
excessive or disproportionate preoccupation with having or acquiring a serious illness
panic disorder timing
peak with 10mins and last around 30-45mins
2/3 patients with panic disorder develop what
agoraphobia
treatment for panic disorders
CBT
SSRI
if contraindicated or no response in 12 weeks then
clomiparine or imipramine offered (TCAs)
poor prognosis of OCD
male
early onset
tics
multiple symptoms
treatment for OCD
psychotherapy - exposure and response prevention
CBT
SSRIs, clomipramine, risperidone, lamotrigene
physical symptoms of social phobia
blushing
fear of nom
urgency or fear of mictiration or defacation
treatment of social phobia
CBT cognitive restructioning social skills training SNRIs - venlafaxine, phenalzine BZDs - bromazapam, clonazapam gabapentin, pregablin
agoraphobia treatment
SSRIs
CBT graded exposure first line
TCAs - clomipramine, imipramine, venlafaxine
gabapentin, pregablin
specific phobia
who
symptoms
females
graded exposure
SSRIs
