Psych (things I forget) Flashcards
What is the difference between tardive dyskinesia and acute dystonia?
Tardive dyskinesia = movement disorder cause by prolonged use of antipsychotics
Acute dystonia = acute reaction to typical antipsychotics - sustained muscle contraction e.g. torticollis/oculogyric crisis
What is used to manage tardive dyskinesia?
Tetrabenazine
What is used to manage restlessness?
Propanolol
What is used to manage acute dystonia?
Procyclidine and benztropine
What is akathisia?
Severe restlessness - may be caused by antipsychotics
When should patients new on SSRIs be reviewed?
<25 = 1 week
>25 = 2 weeks
What are the clinical features of SSRI discontinuation syndrome?
- Dizziness
- Electric shock sensations
- Anxiety
- Sweating
- GI symptoms
- Restlessness
What should be done in patients on antidepressants displaying symptoms of mania/hypomania?
Stop antidepressant and start antipsychotic
What are prognostic indicators in schizophrenia?
Good = female/predominance of positive sx
Bad = gradual onset of sx/onset in adolescence
Which antidepressant commonly causes increased appetite and subsequent weight gain?
Mirtazapine (NaSSAs)
What is clang association?
Ideas related only by rhyme or being similar sounding
What should be done to patients with depression who are about to commence ECT?
Reduce antidepressant medication
What is catatonia?
State in which someone is awake but does not seem to respond to other people and their environment/state of near unconsciousness or insensibility
What is the diagnostic criteria for chronic insomnia?
Trouble falling/staying asleep at least 3 nights per week for >3 months in patients of any age
Describe the PHQ-9 score for depression
- <=4 = minimal
- 5-9 = mild
- 10-14 = moderate (talking therapy)
- 15-19 = moderately severe (pharmacotherapy)
- > =20 = severe (pharmacotherapy + referral)
