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Phase 3a > Psych revision session > Flashcards

Psych revision session Flashcards

1
Q

What do you need to consider in management

A

Bio
Psycho
Social

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2
Q

Illusion

A

Misperception of a real stimuli

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3
Q

Hallucination

A

Perception in the absense of an external stimulus

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4
Q

2nd person hallucinations- who gets them

A

Depression

Personality disorder

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5
Q

3rd person hallucinations- who gets them

A

Schizophrenia (first rank symptom)

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6
Q

Visual hallucination who gets them

A

Lewy body dementia/ organic

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7
Q

Over valued idea

A

Belief sustained beyond logic/reason but held with less rigidity than a delusion

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8
Q

Delusion

A

False belief that is firmly maintained in spite of invontrovertible evidence to the contrary

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9
Q

Delusional perception

A

Delusional belief resulting from a real perception (1st rank symptom)

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10
Q

What do you call first rank symptoms

A

Schneiderian first rank symptoms

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11
Q

Thought insertion

A

Thoughts have been exerted by an external agency (1st rank)

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12
Q

Thought withdrawal

A

Thoughts have been stolen by an external agency (1st rank)

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13
Q

Thought broadcast

A

Thoughts are being broadcast so that they can be heard by others (1st rank)

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14
Q

Thought echo

A

Form of auditory hallucination where the person hears their thoughts spoken aloud (1st rank)

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15
Q

Thought block

A

Sudden interruption in the train of throught, leaving a blank

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16
Q

Concrete thinking

A

Lack of abstract thinking (asd/psychosis)

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17
Q

Loosening of association

A

Lack of logical association between thoughts leads to incoherent speech

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18
Q

Circumstantiality

A

Talking at great length around the subject but returns to the topic

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19
Q

Perseveration

A

Repetition of a word (usually associated with organic/ frontal lobe/ wernickes encephalopathy- vit b1)

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20
Q

Tangential

A

Does not return to the topic

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21
Q

Confabulation

A

Giving a false account to fill a memory gap (not deliberate)- korsakov psychosis

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22
Q

Somatic passivitiy

A

Delusional belief that patient is a passive recipient of bodily sensation imposed from outside forces (1st rank)

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23
Q

Made acts, feelings and drives

A

The experience being carried out by the patient is considered as alien/ imposed (1st rank)

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24
Q

Psychomotor retardation

A

Slowing of thoughts and movements

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25
Q

Stupor

A

Loss of activity with no response to stimuli, may mark a progression of motor retardation

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26
Q

Catatonia

A

Significantly excited or inhibited motor activity (with waxy flexibility or posturing)

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27
Q

Flight of ideas

A

Rapid skipping from one thought to a distantly related ideas

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28
Q

Neologisms

A

Use of novel or made up words

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29
Q

Pressure of speech

A

Rapid rate of delivery may be associated with rhymes and puns

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30
Q

Poverty of speech

A

Reduced amount

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31
Q

Anhedonia

A

Reduced enjoyment from normally pleasurable activity

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32
Q

Flattening of affect

A

Reduced range of emotional expression

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33
Q

Incongruity of affect

A

Mismatch between emotional expression and content

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34
Q

Obsession

A

an unwanted recurrent thought (experienced as intrusive)

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35
Q

Compulsion

A

An irresistible urge to behave in a certain way

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36
Q

Belle indifference

A

An apparent lack of concern at symptoms/ disability

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37
Q

Depersonalisation

A

Thoughts and feelings do not seem to belong to oneself

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38
Q

Derealisation

A

Feeling as if you are looking at yourself from the outside

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39
Q

Sterotypy

A

Persistent repetition of a movement, not goal directed (problem is the nature of movement)

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40
Q

Mannerism

A

Repetition of a seemingly purposeful gesture of language or behaviour (problem is frequency)

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41
Q

Differential diagnosis of psychosis

A

Schizophrenia, drug induced psychosis, depressive psychosis, organic pscyhosis

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42
Q

Who would treat first episode of psychosis

A

Early intervention service
1st episode psychosis team
Home treatment team

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43
Q

Capgras syndrome

A

Imposter syndrome

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44
Q

TV is referring to him

A

Delusional of reference

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45
Q

Postive psychosis symtoms

A

Delusions
Disordered thought and speech
Hallucinations
Respond well to medication

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46
Q

Negative psychosis symptoms

A 
Flat affect
Poverty of speech
Lack of motivation
Poor ability to function
Respond less well to medications
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47
Q

Residual schizophrenia

A

Chronic negative symptoms

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48
Q

Simple schizophrenia

A

Insidious and progressive negative symptoms with no history of psychotic symptoms

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49
Q

1st rank symptoms

A

Auditory hallucinations (3rd)
Passivity experiences
Thought alienation
Delusional perception

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50
Q

Acute and tranisent psychosis

A

Short lived
2 week long, 3 month recovery
no treatment

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51
Q

Persistent delusional disorder

A

Long standing delusion only without hallucination
Old people
Food, smells, contamination
Sensory problems

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52
Q

Schizoaffective disorder

A

Both affective and schizophrenic symptoms are present together

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53
Q

Pueperal psychosis

A

Within days or weeks of childbirth

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54
Q

Organic psychosis

A 
Related to overt brain disorder/ delirium
Epilepsy
Brain tumours
Lewy body
Parkinsons
55
Q

Psychosis bio management

A

Antipsychotics (clozapine if treatment resistant)

56
Q

Psychosis psycho management

A

Family therapy

CBT

57
Q

Psychosis social management

A

Family intervention, carer support
Employment, activity, education
Support with engagement, benefits, PSI

58
Q

Clozapine

A

Agranulocytosis, monitor WBC
Toxic megacolon
Constipation

59
Q

What type of bipolar is caused by just one manic episode

A

Bipolar type 1

60
Q

Describe bipolar

A 
Increased speed of talk
Irritable
Grandiose beliefs
Increased sex drive and energy
Reduced need for sleep
Inappropriate eurphoria
Risky behaviours
Functional impairment
61
Q

Hypomania

A

Bipolar type 2

Lesser degree of mania that does not affect functioning to the same degree

62
Q

Symptoms of hypomania

A 
Elevation of mood for days
Talkativeness
Overfamiliarity
Increased sexual energy
Decreased sleep
No psychotic symptoms
63
Q

Bipolar diagnosis

A

Significant disturbance
Atleast 2 episodes
Some element of recovery between episodes
Depressive episodes longer as people get older

64
Q

Bipolar bio management

A

Mood stabilisers - lithium
Carbazapine
Sodium valproate

65
Q

Lithium SE

A

Thyroid dysfunction
Tremor
Kidney dysfunction
Narrow therapeutic index

66
Q

Sodium valproate

A

Changes hair

not in pregnant

67
Q

Carbamazepine

A

Rash

Neutropenia

68
Q

Lamotragine

A

Rash

Stephen johnson syndrome

69
Q

Olanzapine

A

Metabolic

Extrapyrimidal side effects

70
Q

Psycho treatment of bipolar

A

cbt
relapse
psychoeducation

71
Q

Bipolar social treatment

A

Family and carer support

education

72
Q

Does a diagnosis or drug automaticly automatically stop you driving (not epilepsy)

A

No

73
Q

Bipolar and driving

A

Patient should inform the DVLA. They will then do function tests.

74
Q

Core symptoms of depression

A

Low mood
Annhedonia
Reduced energy

75
Q

Mild depression

A

2 core and 2 other

76
Q

Moderate defintion

A

2 core and 3-4 others

77
Q

Baby blues

A

Transient condition, 2 weeks. Lability of mood, tearful, anxiety and depressive symptoms. Normal

78
Q

Post natal depresion

A

Depressive disoder in weeks/ momths post partum

Normal treatment

79
Q

Puerperal psychosis

A 
Within days or weeks of delivery
Often admission to mother and baby unit
Psych emergency
Probable hormonal aetiology
High subsequent risk
80
Q

Depression management bio

A

SSRI, then with TCA then and ajuvant ECT

81
Q

Depression psycho management

A

CBT
Group work/ self help
Psychoeducation

82
Q

Depression social management

A

Family and carer support
Employment/ activity/ education
Support with engagement and benefits

83
Q

Mild depression treatment

A

Watchful waiting

IAPT

84
Q

Hypnotics

A

Benzodiazepines
Z drugs
Melatonin

85
Q

Name benzos

A

Diazepam, temazepam, lorazepam, chlordiazepoxide

86
Q

Anxiolytics

A

First line- IAPT

Second line- Sertalline, pregabalin

87
Q

SSRI SE

A

Abdominal, suicidality, sexual dysfunction, safe in OD

88
Q

Tricyclics SE

A

Sedation, anticholinergic, cardic arrythmias

89
Q

SNRIs

A

Suicidality, serotonin syndrome, sexual dysfunction

90
Q

Mirtazepine SE

A

Sedation and weight gain

91
Q

MAOI SE

A

Hypertensive crises with cheese and red wine

92
Q

Extrapyramidal side effects

A

Dystonia
Occulogyric crisis
tardive dyskinesias

93
Q

EPS side effects treatment

A

procyclodine IM

94
Q

Clozapine SE

A

Weight gain, neutropenia, good for treatment resistance, and movement disorders

95
Q

Metabolic side effects

A

DM, weight gain, lipids, nms

96
Q

1st generation antipsychotics se

A

EPS

97
Q

2nd generation antipsychotics se

A

Metabolic

98
Q

Mood stabilisers

A

Lithium

Mood stabilisers

99
Q

ADHD Managment

A

Methylphenidate

Family therapy and training

100
Q

SE methylphenidate

A

Appetite suppression, psychosis, misuse

101
Q

ADHD other meds

A

Atomoxetine (liver, suicide)

102
Q

What type of drug is mirtazepine

A

Tetracyclic

103
Q

Mood disorder psych treatment

A

Counselling
Psychoeducation
CBT

104
Q

Personality disorder therapy

A

Dialectic behavioural therapy

105
Q

OCD therapy

A

Exposure and response prevention

106
Q

PTSD therapy

A

Eye movement densensitisation and reprocessing

107
Q

Social interventions

A 
Benefits
Care package, social prescribing
Cultural support
Help with meaningful activity
Safeguarding
Street triage
108
Q

Emotionally unstable personality disorder

A 
Unstable relationships
Instable mood
Feeling of emptiness
Impulsivity
Disturbed self image
109
Q

Alcohol withdrawal treatment

A

Detox

110
Q

Delerium tremens treamtent

A

Detox, B1 and supportive

111
Q

Peurperal psychosis treatment

A

MHA and antipsychotic

112
Q

Alternative to doing a 5.2

A

Get a nurse to do a 5.4

113
Q

What does anankastic mean

A

Obsessive

114
Q

What is section 2

A

Detention in hospital for assessment of your mental health and potentially get treatment
Lasts up to 28 days

115
Q

What is section 5 4

A

Nurse holding power, 6 hours

Needs to be followed by MHA

116
Q

What is section 136

A

Police removal from public place designated place of safety for MHA assessment

117
Q

What is section 125

A

Police removal from home to designated place of safety for MHA assessment- needs magistrate

118
Q

Who for section 3

A

AMP
Sectional 12 approved doctor
another doctor

119
Q

Conditions needed for section 3

A

Mental health disorder
Nature or degree to warrant detention in hospital
Risk to self, others or health

120
Q

Who could release you from a section 3

A

Responsible officer for that patient
Nearest relative
Hospital management hearing

121
Q

Psychotic symtoms

A

1st, 2nd, 3rd hallucinations, delusional beliefs, thought disorders

122
Q

3rd person command auditory hallucinations

A

Voices telling you to do things

123
Q

Belief that things dont exist/ are dying

A

Nihilistic delusion

124
Q

Belief that seperate events refer to them

A

Delusion of reference

125
Q

Delusion that they are amazing

A

Grandiose delusion

126
Q

Spouse is imposter delusion

A

Capgas syndrome

127
Q

Person in disguise delusion

A

Fregoli syndrome

128
Q

Person is lying delusion

A

Delusional misperception

129
Q

Paranoid schizophrenia

A

Auditory/ visual hallucinations and delusions (persecutory and or grandiose). No thought disorder or flattened affect

130
Q

Hebephrenia schizophrenia

A

Thought disorder and flat affect present together

131
Q

What are passivity experiences

A

Made actions/ feelings- delusion of control

132
Q

Types of thought alienation

A

Thought insertion, thought withdrawal, thought broadcast

133
Q

Manic symptoms

A 
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

Phase 3a (9 decks)

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