Psych revision session Flashcards
1
Q
What do you need to consider in management
A
Bio
Psycho
Social
2
Q
Illusion
A
Misperception of a real stimuli
3
Q
Hallucination
A
Perception in the absense of an external stimulus
4
Q
2nd person hallucinations- who gets them
A
Depression
Personality disorder
5
Q
3rd person hallucinations- who gets them
A
Schizophrenia (first rank symptom)
6
Q
Visual hallucination who gets them
A
Lewy body dementia/ organic
7
Q
Over valued idea
A
Belief sustained beyond logic/reason but held with less rigidity than a delusion
8
Q
Delusion
A
False belief that is firmly maintained in spite of invontrovertible evidence to the contrary
9
Q
Delusional perception
A
Delusional belief resulting from a real perception (1st rank symptom)
10
Q
What do you call first rank symptoms
A
Schneiderian first rank symptoms
11
Q
Thought insertion
A
Thoughts have been exerted by an external agency (1st rank)
12
Q
Thought withdrawal
A
Thoughts have been stolen by an external agency (1st rank)
13
Q
Thought broadcast
A
Thoughts are being broadcast so that they can be heard by others (1st rank)
14
Q
Thought echo
A
Form of auditory hallucination where the person hears their thoughts spoken aloud (1st rank)
15
Q
Thought block
A
Sudden interruption in the train of throught, leaving a blank
16
Q
Concrete thinking
A
Lack of abstract thinking (asd/psychosis)
17
Q
Loosening of association
A
Lack of logical association between thoughts leads to incoherent speech
18
Q
Circumstantiality
A
Talking at great length around the subject but returns to the topic
19
Q
Perseveration
A
Repetition of a word (usually associated with organic/ frontal lobe/ wernickes encephalopathy- vit b1)
20
Q
Tangential
A
Does not return to the topic
21
Q
Confabulation
A
Giving a false account to fill a memory gap (not deliberate)- korsakov psychosis
22
Q
Somatic passivitiy
A
Delusional belief that patient is a passive recipient of bodily sensation imposed from outside forces (1st rank)
23
Q
Made acts, feelings and drives
A
The experience being carried out by the patient is considered as alien/ imposed (1st rank)
24
Q
Psychomotor retardation
A
Slowing of thoughts and movements
25
Stupor
Loss of activity with no response to stimuli, may mark a progression of motor retardation
26
Catatonia
Significantly excited or inhibited motor activity (with waxy flexibility or posturing)
27
Flight of ideas
Rapid skipping from one thought to a distantly related ideas
28
Neologisms
Use of novel or made up words
29
Pressure of speech
Rapid rate of delivery may be associated with rhymes and puns
30
Poverty of speech
Reduced amount
31
Anhedonia
Reduced enjoyment from normally pleasurable activity
32
Flattening of affect
Reduced range of emotional expression
33
Incongruity of affect
Mismatch between emotional expression and content
34
Obsession
an unwanted recurrent thought (experienced as intrusive)
35
Compulsion
An irresistible urge to behave in a certain way
36
Belle indifference
An apparent lack of concern at symptoms/ disability
37
Depersonalisation
Thoughts and feelings do not seem to belong to oneself
38
Derealisation
Feeling as if you are looking at yourself from the outside
39
Sterotypy
Persistent repetition of a movement, not goal directed (problem is the nature of movement)
40
Mannerism
Repetition of a seemingly purposeful gesture of language or behaviour (problem is frequency)
41
Differential diagnosis of psychosis
Schizophrenia, drug induced psychosis, depressive psychosis, organic pscyhosis
42
Who would treat first episode of psychosis
Early intervention service
1st episode psychosis team
Home treatment team
43
Capgras syndrome
Imposter syndrome
44
TV is referring to him
Delusional of reference
45
Postive psychosis symtoms
Delusions
Disordered thought and speech
Hallucinations
Respond well to medication
46
Negative psychosis symptoms
```
Flat affect
Poverty of speech
Lack of motivation
Poor ability to function
Respond less well to medications
```
47
Residual schizophrenia
Chronic negative symptoms
48
Simple schizophrenia
Insidious and progressive negative symptoms with no history of psychotic symptoms
49
1st rank symptoms
Auditory hallucinations (3rd)
Passivity experiences
Thought alienation
Delusional perception
50
Acute and tranisent psychosis
Short lived
2 week long, 3 month recovery
no treatment
51
Persistent delusional disorder
Long standing delusion only without hallucination
Old people
Food, smells, contamination
Sensory problems
52
Schizoaffective disorder
Both affective and schizophrenic symptoms are present together
53
Pueperal psychosis
Within days or weeks of childbirth
54
Organic psychosis
```
Related to overt brain disorder/ delirium
Epilepsy
Brain tumours
Lewy body
Parkinsons
```
55
Psychosis bio management
Antipsychotics (clozapine if treatment resistant)
56
Psychosis psycho management
Family therapy
| CBT
57
Psychosis social management
Family intervention, carer support
Employment, activity, education
Support with engagement, benefits, PSI
58
Clozapine
Agranulocytosis, monitor WBC
Toxic megacolon
Constipation
59
What type of bipolar is caused by just one manic episode
Bipolar type 1
60
Describe bipolar
```
Increased speed of talk
Irritable
Grandiose beliefs
Increased sex drive and energy
Reduced need for sleep
Inappropriate eurphoria
Risky behaviours
Functional impairment
```
61
Hypomania
Bipolar type 2
| Lesser degree of mania that does not affect functioning to the same degree
62
Symptoms of hypomania
```
Elevation of mood for days
Talkativeness
Overfamiliarity
Increased sexual energy
Decreased sleep
No psychotic symptoms
```
63
Bipolar diagnosis
Significant disturbance
Atleast 2 episodes
Some element of recovery between episodes
Depressive episodes longer as people get older
64
Bipolar bio management
Mood stabilisers - lithium
Carbazapine
Sodium valproate
65
Lithium SE
Thyroid dysfunction
Tremor
Kidney dysfunction
Narrow therapeutic index
66
Sodium valproate
Changes hair
| not in pregnant
67
Carbamazepine
Rash
| Neutropenia
68
Lamotragine
Rash
| Stephen johnson syndrome
69
Olanzapine
Metabolic
| Extrapyrimidal side effects
70
Psycho treatment of bipolar
cbt
relapse
psychoeducation
71
Bipolar social treatment
Family and carer support
| education
72
Does a diagnosis or drug automaticly automatically stop you driving (not epilepsy)
No
73
Bipolar and driving
Patient should inform the DVLA. They will then do function tests.
74
Core symptoms of depression
Low mood
Annhedonia
Reduced energy
75
Mild depression
2 core and 2 other
76
Moderate defintion
2 core and 3-4 others
77
Baby blues
Transient condition, 2 weeks. Lability of mood, tearful, anxiety and depressive symptoms. Normal
78
Post natal depresion
Depressive disoder in weeks/ momths post partum
| Normal treatment
79
Puerperal psychosis
```
Within days or weeks of delivery
Often admission to mother and baby unit
Psych emergency
Probable hormonal aetiology
High subsequent risk
```
80
Depression management bio
SSRI, then with TCA then and ajuvant ECT
81
Depression psycho management
CBT
Group work/ self help
Psychoeducation
82
Depression social management
Family and carer support
Employment/ activity/ education
Support with engagement and benefits
83
Mild depression treatment
Watchful waiting
| IAPT
84
Hypnotics
Benzodiazepines
Z drugs
Melatonin
85
Name benzos
Diazepam, temazepam, lorazepam, chlordiazepoxide
86
Anxiolytics
First line- IAPT
| Second line- Sertalline, pregabalin
87
SSRI SE
Abdominal, suicidality, sexual dysfunction, safe in OD
88
Tricyclics SE
Sedation, anticholinergic, cardic arrythmias
89
SNRIs
Suicidality, serotonin syndrome, sexual dysfunction
90
Mirtazepine SE
Sedation and weight gain
91
MAOI SE
Hypertensive crises with cheese and red wine
92
Extrapyramidal side effects
Dystonia
Occulogyric crisis
tardive dyskinesias
93
EPS side effects treatment
procyclodine IM
94
Clozapine SE
Weight gain, neutropenia, good for treatment resistance, and movement disorders
95
Metabolic side effects
DM, weight gain, lipids, nms
96
1st generation antipsychotics se
EPS
97
2nd generation antipsychotics se
Metabolic
98
Mood stabilisers
Lithium
| Mood stabilisers
99
ADHD Managment
Methylphenidate
| Family therapy and training
100
SE methylphenidate
Appetite suppression, psychosis, misuse
101
ADHD other meds
Atomoxetine (liver, suicide)
102
What type of drug is mirtazepine
Tetracyclic
103
Mood disorder psych treatment
Counselling
Psychoeducation
CBT
104
Personality disorder therapy
Dialectic behavioural therapy
105
OCD therapy
Exposure and response prevention
106
PTSD therapy
Eye movement densensitisation and reprocessing
107
Social interventions
```
Benefits
Care package, social prescribing
Cultural support
Help with meaningful activity
Safeguarding
Street triage
```
108
Emotionally unstable personality disorder
```
Unstable relationships
Instable mood
Feeling of emptiness
Impulsivity
Disturbed self image
```
109
Alcohol withdrawal treatment
Detox
110
Delerium tremens treamtent
Detox, B1 and supportive
111
Peurperal psychosis treatment
MHA and antipsychotic
112
Alternative to doing a 5.2
Get a nurse to do a 5.4
113
What does anankastic mean
Obsessive
114
What is section 2
Detention in hospital for assessment of your mental health and potentially get treatment
Lasts up to 28 days
115
What is section 5 4
Nurse holding power, 6 hours
| Needs to be followed by MHA
116
What is section 136
Police removal from public place designated place of safety for MHA assessment
117
What is section 125
Police removal from home to designated place of safety for MHA assessment- needs magistrate
118
Who for section 3
AMP
Sectional 12 approved doctor
another doctor
119
Conditions needed for section 3
Mental health disorder
Nature or degree to warrant detention in hospital
Risk to self, others or health
120
Who could release you from a section 3
Responsible officer for that patient
Nearest relative
Hospital management hearing
121
Psychotic symtoms
1st, 2nd, 3rd hallucinations, delusional beliefs, thought disorders
122
3rd person command auditory hallucinations
Voices telling you to do things
123
Belief that things dont exist/ are dying
Nihilistic delusion
124
Belief that seperate events refer to them
Delusion of reference
125
Delusion that they are amazing
Grandiose delusion
126
Spouse is imposter delusion
Capgas syndrome
127
Person in disguise delusion
Fregoli syndrome
128
Person is lying delusion
Delusional misperception
129
Paranoid schizophrenia
Auditory/ visual hallucinations and delusions (persecutory and or grandiose). No thought disorder or flattened affect
130
Hebephrenia schizophrenia
Thought disorder and flat affect present together
131
What are passivity experiences
Made actions/ feelings- delusion of control
132
Types of thought alienation
Thought insertion, thought withdrawal, thought broadcast
133
Manic symptoms
```
Increased energy and sex drive
Decreased need for sleep
Increased talking speed and racing thoughts
Grandiose beliefs/ inflated self esteem
Psychotic beliefs
Inappropriate elation or euphoria
Irritability
High risk activities
Functional impairment
```
