Psych Flashcards
Schizophrenia allele R.F.
val increases risk of schizo with weed (skunk)
Val is a COM-T allele
+ve schizophrenia symptoms
excess dopamine in mesoLIMBIC
-ve schizophrenia symptoms
reduced dopamine in mesoCORTICAL
Phobia Rx
Cognitive = stepwise desensitization OR reciprocal inhibition/flooding Behaviour = exposure theory and control of hyperventilation
Paroxysmal attacks Rx
SSRI: paroxetine
Can add benzo
For autonomic symptoms can use Beta blocker
PTSD Rx
Eye Movement Desensitisation and Re-Processing
Can use paroxetine
Adjustment disorder
Verbalisation helps; gets better usually by 6 months
Driving after psychotic episode
Suspend license for 3 month post treatment
OCD
Exposure response prevention and CBT. Sertraline for 12 weeks
Psychosis brain association
In temporal lobe, particularly relevant in epilepsy
Recent alcohol abuse
Carbohydrate deficient transferrin
Bio management for alcoholism
Acamprosate = reduced cravings
Disulfram = ALDH inhibitor causing hangovers
Natrexone = reduced high/enjoyment
(SE: GI disturbance and headache)
Bio management for opiates
Methadone (complete agonist) OR buprenorphine (partial agonist which comes in liquid form)
Naltrexone for long term use
Bulimia + hypersomnia
Kleine Levin syndrome
Obsessive orality and sexuality
Kluver Bucy syndrome
PMDD or PMS Rx
Fluoxetine during luteal phase and diet change
Vaginismus Rx
Graded trainers or Kegel’s exercise
Non consensual rubbing on others
Frotterism
Rx = covert sensitisation, which creates associate of bad outcomes when looking at images
Body part fettish
Paritalism
Heller’s syndrome
Autism in boys after 2 years normal and reverts development by 10 years
MECP2 gene on X Chr
Rett’s
Hand wringing
Rett’s
TCA in elderly
Avoid if can, prefer to use SSRI
Reversing EPSE
IV procycline (Ach inhibitor)
Delusional mood/atmosphere
Primary delusion that something strange will happen
Alexithymia
Cannot describe mood
Autochthonous delusion
Primary delusion that occurs out of the blue
Reflex hallucination
Hallucination in different modality to stimulus, e.g. HEARING tap running and then SEEING hallucination of dead dog
Simple hallucination
Hallucination in same modality to stimulus
Elementary hallucination
Buzzing or flashing lights, minor hallucination
Usually organic cause
Hypagogic hallucination
When about to sleep
Hypopompic hallucinatio
When waking up
Undifferentiated schizophrenia
Schneider’s first rank symptom but nothing else for a month (neither +ve or -ve symptoms)
Depression in young adults Rx
Citalopram
Diagnostic overshadowing
LD or mental health obscures diagnosis of other illness either physical or mental
LD
IQ < 70
Serotonin syndrome
Everything up!
Hypertension, tachycardia,
high temp, hypertonia
