Psych- Alcoholism, eating disorders and other conditions Flashcards
What is the key difference between pseudohallucinations and true hallucinations?
Patients with pseudohallucinations understand that that they are seeing isn’t real.
Abnormal grief reactions are usually present for how long after bereavement?
> 6 months
Can pseudohallucinations form part of the normal grieving process?
Yes
What psychological features can be seen in post-concussion syndrome?
Anxiety
Depression
What are the indications for ECT?
Treatment resistant severe depression
Manic episodes
An episode of moderate depression know to respond to ECT in the past
Life threatening catatonia
Which antipsychotic is best to avoid galactorrhoea?
Arirpiprazole
What are the key PHYSIOLOGICAL abnormalities in anorexia?
most things are LOW, Gs and Cs raised
- LOW FSH and LH
- Hypokalaemia
- Low T3
- Impaired glucose tolerance
- Raised growth hormone
- Raised cortisol
- Hypercholesterolaemia
- Hypercarotinaemia
________ _________ can present as:
Chewing
Jaw pouting
Excessive blinking
Tardive dyskinesia
How might smoking cessation affect clozapine blood levels?
Smoking cessation causes an increase in clozapine blood levels.
1 unit of alcohol is equivalent to how many ml or g of alcohol?
10ml
8g
of pure alcohol
Give examples of simple alcohol withdrawal symptoms.
Shaking Nausea Malaise Autonomic hyperactivity Visual hallucinations
What are the 2 main features of delirium tremens?
- Global confusion
- Autonomic hyperactivity
These can progress to cardiovascular collapse
How long after stopping drinking can delirium tremens occur?
Usually around 3 days into withdrawal
What % of alcohol withdrawal patients develop delirium tremens?
5%
Which Benzodiazepines can be used for sedation in alcohol detox?
Diazepam
Chlordiazepoxide
Lorazepam for delirium tremens
Which acts can be used to restrain in patients with alcohol misuse?
- Mental health act- only if hallucinating/ 1st episode psychosis
- Mental capacity act- if lacking capacity
__________ __________ involves neurological symptoms caused by biochemical lesions of the CNS due to thiamine deficiency
Wernicke’s encephalopathy
_________ _________ is an amnesic disorder caused by thiamine deficiency, associated with prolonged ingestion of alcohol.
Korsakoff’s psychosis
What are the features of Korsakoff’s psychosis?
Retrograde and anterograde amnesia Confabulation Apathy Lack of insight Minimal content in conversation
________ is used for alcohol abstinence and works as an aldehyde dehydrogenase inhibitor.
Disulfiram
________ is used for alcohol abstinence and works as a GABA analog to reduce cravings.
Acamprosate
