Psych - Intro to Psych

Question 1

How common is mental illness?

Answer 1

Affects 1 in 3 people

Question 2

How much of NHS funding is for mental health?

Answer 2

10%

Question 3

How many NHS cases are mental health?

Answer 3

1/3

Question 4

What therapies are available for mental health?

Answer 4

Social therapies
Psychotherapy
Medication

Question 5

Why do people not want to associate themselves with mental health?

Answer 5

Stigma of mental health:

• No therapeutic contract
• People don’t want to accept treatment for mental health
• Mental health act

Question 6

What are the differences between mental and physical health?

Answer 6

Mental heath is diagnosed via symptom clusters, physical health is diagnosed though aetiology and pathology. We are always uncertain about a mental health diagnosis. There’s a dispute as to whether mental health even exists.

Question 7

What are the symptoms of anxiety?

Answer 7

• Feeling of fear/dread
• Sweating
• Tremor
• Palpitations
• Splanchnic vasoconstriction
• Paraesthesia
• Depersonalisation
• Syncope
• Dry mouth

Question 8

When does anxiety become pathological?

Answer 8

When it becomes disabling and has an impact on daily life.

Question 9

What are the main classes of anxiety?

Answer 9

Generalised anxiety disorder
Panic disorder
Agoraphobia 
Simple phobia
Social anxiety

Question 10

What 2 anxiety disorders can coexist?

Answer 10

GAD and Panic disorder

Question 11

What is generalised anxiety disorder?

Answer 11

Constant feeling of psychic anxiety (fear and dread)

Question 12

What is panic disorder?

Answer 12

Crescendos of intense panic attacks

Question 13

What is agoraphobia?

Answer 13

Fear of the outside world

Question 14

What is social phobia?

Answer 14

Fear of scrutiny e.g. standing on a stage and presenting yourself

Question 15

Describe the population health of anxiety

Answer 15

Anxiety is under diagnosed. It has a lifetime prevalence of 14-33% and more commonly affects females than males (2:1). Anxiety is common in 60% of the LGBTQ+ community. The median onset of anxiety is age 11.

Question 16

What treatments are available for anxiety?

Answer 16

Should be talking based such was group/individual cognitive behavioural therapy - this helps people find alternative explanations or responses to their anxiety. We can also give medication such as clomipramine.

Question 17

What are the symptoms of OCD?

Answer 17

Obsessions - resistance to these obsessions leads to anxiety.
Compulsions

Question 18

What are compulsions?

Answer 18

Motor response to obsessions - often ritualistic circular motions such as hand washing or counting things. If these compulsions are interrupted, patients will have to start again.

Question 19

What are obsessions?

Answer 19

Ego dystonic thoughts
Repetitive circular ruminations
May be bizarre and sound delusional, however insight is maintained and you are aware of the thoughts

Question 20

What is the difference between delusional and obsessional?

Answer 20

Delusional is when we have those bizarre thoughts without the maintenance of insight - therefore we may act on those thoughts. Obsessional is when we know that our thoughts are bizarre and we try and restrict those thoughts or their compulsions from occurring.

Question 21

What is a panic attack?

Answer 21

This is an intense period of disabling anxiety.