psych Flashcards
freudian theory
psychoanalytical
the psychoanalytic theory of personality development, which argued that personality is formed through conflicts among three fundamental structures of the human mind: the id, ego, and superego.
who must you inform when detaining under the emergency mental health act
mental health officer
who can help explain diagnosis to schizophrenic patients
consultant psychiatrist?
who can help an old man who wants to move into a care home?
social worker
if somebody has an accident and they need emergency treatment but you cant get consent, what law can you use to operate on
common law
schizo woman being detained and says its not fair and wants help to appeal
advocacy worker
Advocacy is a process of supporting and enabling people to: Express their views and concerns. Access information and services. Defend and promote their rights and responsibilities. Explore choices and options.
person was on olanzapine and had developed a dry mouth, which neurotransmitter is responsible?
Ach
best first line treatment for PTSD
EMDR
non pharmacological first!
woman was hearing things but knew they were inside her head
pseudohallucination
in perception part of MSE?
Alzheimers has what neurotransmitter defect
lack of Ach
depression has what neurotransmitter defect
low 5Ht (5-hydroxytryptamine) (seretonin)
parkinsons has what neurotransmitter defect
low dopamine
inner feeling of restlessness, caused by typical antipsychotics
akathisia
what is the heritability of schizophrenia
approx 80%
man says he wants to kill himself
which part of MSE does this fit into?
thought content
man has flight of ideas,
which part of MSE does this fit into?
thought form
somebody picks up their phone during the interview
which part of the MSE does this fit into?
behaviour
cant complete MMSE
there is a problem with which part of MSE?
cognition
person refuses to change diet , even though it will be good for their health
health behvaiour model
person says they are hearing thing
what part of MSE does this go in
perception
person is happy when talking about cats
which part of MSE does this go in
affect
Affect refers to immediate expressions of emotion, while mood refers to emotional experience over a more prolonged period of time.
olanzapine causes dry mouth via which neurotransmitter
Ach
benzo causing memory loss
what sort of effect is this
idiosyncratic
unusual/ individual
mind racing with worries and drinks alcohol to calm
GAD
which neurotransmitter causes sedation
histamine
dismanteling electrical equipment due to fear of recording
schizoprenia
what personality is this
irritable, callous, no responsibility, expects family to do everything,
general dickhead
anti-social / disocial
what personality disorder is this
binge drinker, self harms a lot, overly sexual, forms intense relationships
borderline
which personality disorder is this
works really hard, doesnt spend any money on his wife
obsessive -complusive personality
mum calls police because her kid has her mobile phone
inappropriate emergency response
alcoholic dad, child stays off school to care for him
child carer
depressed mum , so dad is having sex with the child
inappropriate roles
what is the biggest risk factor for borderline personality disorder
sexual abuse
person with learning disabilities doesnt understand what his psych pills are for,,, who can help
community mental health nurse?
learning difficulties, struggles to communicate
who can help
speech and language therapist
a man with genuine depression, what can you do
start SSRI
persistent sexual thoughts about a woman at church, the more he thinks the worse it gets
he tells you he is more than happy in his marriage
OCD
thought dystonic
who would be good to speak to the family about a psych diagnosis
community psych nurse
boy doesnt like doing presentations, drinking more and more on nights out
social phobia
boy running out infront of cars, learning difficulties, trouble with police, inattention
ADHD
woman anxious, calls her parents all the time
GAD
total random panic attacks, tingling in fingers, sweating, palpitations
panic disorder
schizophrenia like presentation later on in life
paraphrenia
a strong belief that they wont disregard even though there is strong evidence against it
delusion
e.g thinking the CIA is spying on you
TV trying to send you a message
delusion of reference
name some delusional themes
mood congruent paranoid grandiose nihilistic bizarre
an experience involving the apparent perception of something which is not present
perception in the absence of external stimuli
hallucinations
can be any sensory modality
what do you want to know about auditory hallucinations
2nd or 3rd person how many voices male or female voice what are they saying? commanding? thoughts spoken aloud? running commentry? do you feel you have to act on what they tell you to do?
misinterpretations of actual stimuli
e.g hearing the wind blowing and thinking its birds chirping
illusion
ideas are presented with illogical or tenuous connections
loose associations
quickly moving between topics and there is no link
flight of ideas
you are no longer on control
passivity
lack of interest, lack of enthusiasm or conver
apathy
patient reports lack/absence of thoughts
poverty of thought
abrupt/ complete interruption of stream
seen in schizophrena
thought blocking
varied ideas in abundance
seen in mania
pressure of thought
wondering from topic and never returning to it
tangential thinking
when your thoughts go public
thought broadcasting
someone elses thoughts have been inserted into your mind
thought insertion
thought has been taken out of their mind and they have no power over it
thought withdrawel
hear your thoughts being spoken
thought echo
description of events as they occur
running commentary
what therapy is beck triad
CBT
