Psychiatry Flashcards
Cause of drug-induced psychosis
= steroids
Depersonalisation VS Derealisation
Depersonalisation = you aren't real Derealisation = the world isn't real
Side Effects of Typical Anti-Psychotics (4)
Hyperprolactinaemia
EPSE
QT prolongation
Neuroleptic malignant syndrome
Section of Mental Health Act for Emergency Detention
Section 5
= emergency 72 hour detention
Feigning insanity =
= Ganser’s syndrome
Ganser’s Syndrome =
= feigning insanity
Circumstantiality =
Give a really long winded answer, but eventually get back to the right answer
Delirium Tremens
- Features
- Association
= flailing arms around - usually have visual hallucinations so fighting them off
Association = alcohol
Schizoid VS Schizotypal
Schizoid = like to be alone, don't care about relationships Typal = more like schizophrenia, odd beliefs, inappropriate affect etc
Schizoaffective Disorder
= where there are separate affective and psychotic symptoms in the same episode
Akathasia
= severe restlessness
Discontinuation Symptoms (6)
Mood change Restlessness Difficulty sleeping Unsteadiness Sweating GI symptoms
Medication useful in Panic Disorder
SSRI
CV Side Effect of Clozapine
Myocarditis
Anti-Depressant Medication before ECT
Need to reduce
Acute Stress Disorder VS PTSD
Acute Stress = symptoms <4 weeks
PTSD = symptoms >4 weeks
Psychotherapy used in OCD
Exposure and Response Prevention
Monitoring in Olanzapine
Blood Lipid Levels
Sign of Tardive Dyskinesia
Pouting of lips
Risk of atypical antipsychotics (older people)
Increased risk of VTE and stroke
Which anti-psychotic reduces the seizure threshold?
Clozapine
Which anti-psychotic is least likely to result in hyperprolactinaemia?
Aripiprazole
Management of OCD
- Mild
- Moderate
- Severe
Mild = CBT Moderate = SSRI or CBT Severe = SSRI + CBT
Rasagiline is a…
MAO-inhibitor
