psychiatric illness Flashcards
WHO definition of (good) mental health
a state of well-being in which the individual realizes his or her own abilities can cope with the normal stresses of life, can work productively and fruitfully, and is able to make a contribution to his or her community
why are people with severe mental disorders more susceptible to oral disease
- poor oral hygiene
- dental phobia
- dental costs
- orofacial side effects of antipsychotic meds (bruxism and xerostomia)
name 4 protective factors of good mental health
genetic background and early upbringing
strong social support and networks
employment and purposeful activity
physical health
who is at risk of poor mental health (childhood)
parental use of alcohol, tobacco, drugs
parental unemployment
child abuse and adverse experiences
poor parental mental health
who is at risk of poor mental health (adults)
low income and/or debt
stressful life events
unemployment
experience of abuse
GAD , generalised anxiety disorder
regular or uncontrollable worries about many things in everyday life
panic disorder
regular panic attacks without a clear cause or trigger
fear of having attack can even lead to another attack
phobia
extreme fear or anxiety triggered by a particular situation
social anxiety disorder
extreme fear or anxiety triggered by social situations
health anxiety
obsessions and compulsions relating to illness, including researching symptoms and checking to see if they have them
dental implications of depression
chronic facial pain
TMD
increased risk of BMS or oral dysaesthesia
tardive dyskinesia
involuntary movements of tongue, lips, face trunk and extremities
affects 20% of patients receiving antipsychotics
patients may be unaware if symptoms mild
dental implications of bipolar disorder
during depression: decline in OH, increased caries, increased perio
during maia: overuse of OH aids resulting in abrasion NCTSL
dental implications of haloperidol (antipsychotic)
hypersalivation
postural hypotension
dental implications of schizophrenia
facial dyskinesias
long term antipsychotic use side effects - xerostomia, oral pigmentation, extra pyramidal symptoms
side effects of drugs e.g haloperidol
